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Titles (2)

Short Titles

Short Titles - House of Representatives

Short Titles as Introduced

Medicare and Medicaid Improvements and Adjustments Act of 2015

Official Titles

Official Titles - House of Representatives

Official Title as Introduced

To amend titles XVIII and XIX of the Social Security Act to improve payments for hospital outpatient department services and complex rehabilitation technology and to improve program integrity, and for other purposes.


Actions Overview (1)

Date
12/16/2015Introduced in House

All Actions (6)

Date
12/18/2015Referred to the Subcommittee on Health.
Action By: Committee on Energy and Commerce
12/16/2015Referred to the Subcommittee on Health.
Action By: Committee on Ways and Means
12/16/2015Referred 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.
Action By: House of Representatives
12/16/2015Referred 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.
Action By: House of Representatives
12/16/2015Referred 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.
Action By: House of Representatives
12/16/2015Introduced in House
Action By: House of Representatives

Committees (2)

Committees, subcommittees and links to reports associated with this bill are listed here, as well as the nature and date of committee activity and Congressional report number.

Committee / Subcommittee Date Activity Reports
House Energy and Commerce12/16/2015 Referred to
House Energy and Commerce Subcommittee on Health12/18/2015 Referred to
House Ways and Means12/16/2015 Referred to
House Ways and Means Subcommittee on Health12/16/2015 Referred to

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Latest Summary (1)

There is one summary for H.R.4273. View summaries

Shown Here:
Introduced in House (12/16/2015)

Medicare and Medicaid Improvements and Adjustments Act of 2015

This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify payment rules and other provisions related to the Medicare and Medicaid programs.

The bill includes off-campus outpatient department (OPD) services in Medicare's prospective payment system (in which predetermined amounts form the basis of payment) with respect to departments that are under development.

The existing Medicare payment adjustment for cancer hospitals shall apply to off-campus OPDs.

The bill temporarily prohibits specified Medicare payment adjustments related to competitive acquisition programs for certain wheelchair accessories.

In addition, the bill modifies provisions related to: (1) reimbursement under Medicare for certain drugs furnished through durable medical equipment (DME), (2) Medicare payment rules for certain radiation therapy services, and (3) the treatment of Medicaid supplemental needs trusts.

The bill expands criminal penalties and civil monetary penalties for certain acts involving federal health care programs.

With respect to negative Medicare payment adjustments for physicians and hospitals that fail to comply with certain requirements related to electronic health records (EHR), the bill authorizes a temporary blanket exception.

A patient encounter occurring at an ambulatory surgical center shall not be used to determine whether an eligible professional qualifies as a meaningful EHR user. This prohibition applies until a specified period has passed following a determination by the Department of Health and Human Services that certified EHR technology is applicable to that setting.

Current law limits state reimbursement for DME under Medicaid to Medicare payment rates beginning January 1, 2019. The bill accelerates this limitation such that it begins October 1, 2018.