H.R.4212 - Community-Based Independence for Seniors Act of 2015114th Congress (2015-2016)
|Sponsor:||Rep. Sanchez, Linda T. [D-CA-38] (Introduced 12/10/2015)|
|Committees:||House - Ways and Means; Energy and Commerce|
|Latest Action:||House - 12/11/2015 Referred to the Subcommittee on Health. (All Actions)|
This bill has the status Introduced
Here are the steps for Status of Legislation:
Summary: H.R.4212 — 114th Congress (2015-2016)All Information (Except Text)
Introduced in House (12/10/2015)
Community-Based Independence for Seniors Act of 2015
This bill amends title XVIII (Medicare) of the Social Security Act to establish a Community-Based Institutional Special Needs Plan demonstration program through which up to five eligible Medicare Advantage (MA) organizations shall provide home and community-based care to eligible Medicare beneficiaries. For purposes of the demonstration program, an eligible Medicare beneficiary is ineligible for Medicaid and unable to perform two or more activities of daily living.
The Centers for Medicare & Medicaid Services (CMS) shall establish payment rates for eligible MA plans under the demonstration program. Such payment rates are capped but shall be in addition to payments otherwise made to MA organizations with respect to such plans.
CMS shall also: (1) help to educate eligible Medicare beneficiaries on the availability of the program, and (2) provide for program evaluation by an independent third party.