H.R.4676 - Medicaid Physician Self-Referral Act of 2014113th Congress (2013-2014)
|Sponsor:||Rep. McDermott, Jim [D-WA-7] (Introduced 05/19/2014)|
|Committees:||House - Energy and Commerce; Ways and Means|
|Latest Action:||House - 05/23/2014 Referred to the Subcommittee on Health. (All Actions)|
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Summary: H.R.4676 — 113th Congress (2013-2014)All Information (Except Text)
Introduced in House (05/19/2014)
Medicaid Physician Self-Referral Act of 2014 - Amends title XIX (Medicaid) of the Social Security Act (SSA) with respect to physician self-referral limitations to repeal the prohibition against payment of federal funds to a state for medical assistance expenditures for a designated health service furnished to an individual on the basis of a referral (self-referral) that would result in denial of payment under SSA title XVIII (Medicare).
Requires a state plan for medical assistance to prohibit payment for a Medicaid designated health service furnished to an individual on the basis of a physician's referral if the physician (or an immediate family member) has an ownership or investment interest or a compensation arrangement with the entity furnishing the service that would not comply with Medicare requirements.
Requires application of certain reporting requirements and sanctions to a provider of a Medicaid designated health service the same way they apply under Medicare.
Amends SSA title XVIII to: (1) apply the False Claims Act to violations of the self-referral prohibition, and (2) declare the authority of the Secretary of Health and Human Services (HHS) to issue regulations under Medicaid limited to the application of self-referral limitations to state plan requirements.
Directs the Secretary to establish a protocol consistent with the Medicare self-referral disclosure protocol required under the Patient Protection and Affordable Care Act that enables health care providers to disclose an actual or potential violation of Medicare self-referral limitations as applied to Medicaid.