US SB2736 | 2015-2016 | 114th Congress

Status

Spectrum: Slight Partisan Bill (Republican 23-12-1)
Status: Engrossed on June 21 2016 - 50% progression, died in committee
Action: 2016-06-29 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Engrossed) [PDF]

Summary

Patient Access to Durable Medical Equipment Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to establish a bid ceiling for durable medical equipment (such as wheelchairs) under Medicare's competitive acquisition program, through which rates are set according to a bidding process rather than by an established fee schedule. Specifically, the bid ceiling for such an item shall not be less than the fee schedule amount that would otherwise be determined. Under current law, the Centers for Medicare & Medicaid Services (CMS) must use payment information from competitive acquisition programs to make payment adjustments for areas outside of such programs. The bill requires CMS, in making these adjustments, to account for stakeholder input. In addition, CMS must account for a comparison of competitive acquisition areas and other areas with respect to the following factors: average travel distance and cost associated with furnishing items and services, barriers to access, average delivery time, average volume of items and services furnished by suppliers, and number of suppliers. In addition, CMS shall delay by 15 months the full implementation of new Medicare payment rates for durable medical equipment. On a monthly basis, CMS must publish on its website the results of the monitoring of health outcomes and Medicare beneficiaries' access to durable medical equipment. The bill accelerates the applicability, from January 1, 2019, to October 1, 2018, of provisions of current law that limit federal Medicaid reimbursement to states for durable medical equipment to Medicare payment rates.

Tracking Information

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Title

Patient Access to Durable Medical Equipment Act of 2016

Sponsors


History

DateChamberAction
2016-06-29HouseReferred to the Subcommittee on Health.
2016-06-21HouseReferred to House Ways and Means
2016-06-21HouseReferred to House Energy and Commerce
2016-06-21HouseReferred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
2016-06-21HouseMessage on Senate action sent to the House.
2016-06-21HouseReceived in the House.
2016-06-21SenatePassed Senate with an amendment by Voice Vote.
2016-06-21SenateS.Amdt.4853 Amendment SA 4853 agreed to in Senate by Unanimous Consent.
2016-06-21SenateS.Amdt.4853 Amendment SA 4853 proposed by Senator McConnell for Senator Thune. (consideration: CR S4429-4430; text: CR S4429-4430)
2016-06-21SenateMeasure laid before Senate by unanimous consent.
2016-06-21SenateSenate Committee on Finance discharged by Unanimous Consent. (consideration: CR S4429-4430)
2016-03-17SenateRead twice and referred to the Committee on Finance.

Same As/Similar To

HB5210 (Related) 2016-07-06 - Received in the Senate and Read twice and referred to the Committee on Finance.

Subjects


US Congress State Sources


Bill Comments

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