US Congress House Bill 5542 (Prior Session Legislation)

---

Spectrum: Partisan Bill (Democrat 3-0)
Status: Introduced on June 21 2016 - 25% progression, died in committee
Action: 2016-06-21 - Referred to the House Committee on Energy and Commerce.
Pending: House Energy And Commerce Committee
Text: Latest bill text (Introduced) [PDF]

Medicaid and CHIP Quality Improvement Act of 2016 This bill amends titles XI (General Provisions) and XIX (Medicaid) of the Social Security Act to expand reporting requirements with respect to the quality of care provided under Medicaid and the Children's Health Insurance Program (CHIP). Current law requires a state that contracts with a Medicaid managed organization to develop and implement a quality assessment and improvement strategy. The bill extends this requirement to state contracts with providers of comparable primary care case management services and other health care services under Medicaid. With respect to adults eligible for Medicaid and children enrolled in Medicaid or CHIP, a state must report annually on quality measures identified by the Centers for Medicare & Medicaid Services (CMS). Such reporting shall be stratified by service delivery system. CMS shall establish a Medicaid Quality Performance Bonus fund to award states for high attainment and improvement on a core set of quality measures. A state must designate at least 75% of any bonus funds for the development and operation of quality-related initiatives that will directly benefit providers or managed care entities participating in, or under a waiver of, the state plan for medical assistance. A state may use the remainder of such funds for activities related to the goals and purposes of the state plan.

Medicaid and CHIP Quality Improvement Act of 2016

Rep. Diana DeGette [D-CO]

Rep. Joseph Kennedy [D-MA]

Rep. Yvette Clarke [D-NY]

Date	Chamber	Action
2016-06-21	House	Referred to the House Committee on Energy and Commerce.
2016-06-21	House	Introduced in House

SB2438 (Same As) 2016-01-12 - Read twice and referred to the Committee on Finance.

Type	Source
Summary	https://www.congress.gov/bill/114th-congress/house-bill/5542/all-info
Text	https://www.congress.gov/114/bills/hr5542/BILLS-114hr5542ih.pdf