[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3436 Introduced in House (IH)]
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116th CONGRESS
1st Session
H. R. 3436
To amend title XVIII of the Social Security Act to remove cost-sharing
responsibilities for chronic care management services under the
Medicare program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
June 24, 2019
Ms. DelBene (for herself and Mr. Welch) introduced the following bill;
which was referred 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
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to remove cost-sharing
responsibilities for chronic care management services under the
Medicare program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Chronic Care Management Improvement
Act''.
SEC. 2. REMOVING COST-SHARING RESPONSIBILITIES FOR CHRONIC CARE
MANAGEMENT SERVICES UNDER PART B OF THE MEDICARE PROGRAM.
(a) In General.--Section 1833 of the Social Security Act (42 U.S.C.
1395l) is amended--
(1) in subsection (a)(1), by striking subparagraph (Z) and
inserting the following: ``(Z) with respect to chronic care
management services (as described in section 1848(b)(8))
furnished on or after January 1, 2021, the amount paid shall be
an amount equal to 100 percent of the lesser of the actual
charge for such services or the amount determined under section
1848,''; and
(2) in subsection (b)--
(A) in paragraph (9), by striking ``and'' at the
end; and
(B) in paragraph (10), by striking the period at
the end and inserting the following: ``, and (11) such
deductible shall not apply with respect to chronic care
management services (as described in section
1848(b)(8)) furnished on or after January 1, 2021.''.
(b) Technical Amendments.--
(1) In general.--Section 1833(a) of the Social Security Act
(42 U.S.C. 1395l(a)) is amended--
(A) in paragraph (3)--
(i) in subparagraph (A)--
(I) by striking ``subparagraph
(B)'' and inserting ``subparagraphs
(B), (C), and (D)''; and
(II) by striking ``or'' at the end;
and
(ii) by adding at the end the following new
subparagraphs:
``(C) with respect to Federally qualified health
center services (other than such services that are
described in clause (i) or (ii) of subparagraph (D))
furnished on or after the implementation date of the
prospective payment system under section 1834(o) for
which payment is made under such section, the amounts
paid shall be 80 percent of the lesser of the actual
charge or the amount determined under such section; and
``(D) with respect to Federally qualified health
center services and rural health clinic services that
are--
``(i) personalized prevention plan services
(as described in paragraph (1)(X)) or
preventive services (as described in paragraph
(1)(Y)) furnished on or after January 1, 2011;
or
``(ii) chronic care management services (as
described in paragraph (1)(Z)) furnished on or
after January 1, 2021;
the amounts paid shall be equal to 100 percent of the
lesser of the actual charge or the amount determined
under subparagraph (A), section 1834(o), or section
1848, as applicable);''; and
(B) by striking the matter following paragraph (9).
(2) Conforming amendments.--Section 1834(o) of the Social
Security Act (42 U.S.C. 1395m(o)) is amended--
(A) in paragraph (1)(A), by inserting ``(other than
such services described in clause (i) or (ii) of
section 1833(a)(3)(D))'' after ``Federally qualified
health center services''; and
(B) in paragraph (2)--
(i) in subparagraph (A), by inserting
``(other than such services described in clause
(i) or (ii) of section 1833(a)(3)(D))'' after
``services''; and
(ii) in subparagraph (B)(i)--
(I) by inserting ``(other than such
services described in clause (i) or
(ii) of section 1833(a)(3)(D))'' after
``Federally qualified health center
services''; and
(II) by striking ``section
1833(a)(1)(Z)'' and inserting
``subparagraphs (C) and (D) of section
1833(a)(3)''.
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