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Titles Actions Overview All Actions Cosponsors Committees Related Bills Subjects Latest Summary All Summaries

Titles (5)

Short Titles

Short Titles as Enacted

Patient Access and Medicare Protection Act

Short Titles - House of Representatives

Short Titles as Passed House

Patient Access and Medicare Protection Act

Short Titles - Senate

Short Titles as Passed Senate

Patient Access and Medicare Protection Act

Short Titles as Introduced

Patient Access and Medicare Protection Act

Official Titles

Official Titles - Senate

Official Titles as Introduced

A bill to amend titles XVIII and XIX of the Social Security Act to improve payments for complex rehabilitation technology and certain radiation therapy services, to ensure flexibility in applying the hardship exception for meaningful use for the 2015 EHR reporting period for 2017 payment adjustments, and for other purposes.


Actions Overview (6)

Date
12/28/2015Became Public Law No: 114-115. (TXT | PDF)
12/28/2015Signed by President.
12/23/2015Presented to President.
12/18/2015Passed/agreed to in House: On passage Passed without objection.(text: CR H10706-10707)
12/18/2015Passed/agreed to in Senate: Introduced in the Senate, read twice, considered, read the third time, and passed without amendment by Voice Vote.(consideration: CR S8859-8861; text as passed Senate: CR S8859-8861)
12/18/2015Introduced in Senate

All Actions (10)

Date Chamber
12/28/2015Became Public Law No: 114-115. (TXT | PDF)
12/28/2015Signed by President.
12/23/2015SenatePresented to President.
12/18/2015-1:02pmHouseMotion to reconsider laid on the table Agreed to without objection.
12/18/2015-1:01pmHouseOn passage Passed without objection. (text: CR H10706-10707)
12/18/2015-1:01pmHouseConsidered by unanimous consent. (consideration: CR H10706-10707)
12/18/2015-1:01pmHouseMr. Price, Tom asked unanimous consent to take from the Speaker's table and consider.
12/18/2015-1:01pmHouseReceived in the House.
12/18/2015SenateMessage on Senate action sent to the House.
12/18/2015SenateIntroduced in the Senate, read twice, considered, read the third time, and passed without amendment by Voice Vote. (consideration: CR S8859-8861; text as passed Senate: CR S8859-8861)

Committees (0)

As of 08/21/2018 text has not been received for S.2425 - Patient Access and Medicare Protection Act

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Latest Summary (4)

There are 4 summaries for S.2425. View summaries

Shown Here:
Public Law No: 114-115 (12/28/2015)

(This measure has not been amended since it was introduced. The summary has been expanded because action occurred on the measure.)

Patient Access and Medicare Protection Act

(Sec. 2) This bill temporarily exempts from certain Medicare payment adjustments wheelchair accessories and seat and back cushions furnished in connection with Group 3 complex rehabilitative power wheelchairs. (Group 3 power wheelchairs are those that meet the highest performance requirements with regard to speed, range, and climbing capability.)

The Government Accountability Office must study wheelchair accessories and seat and back cushions furnished in connection with Group 3 complex rehabilitative power wheelchairs.

(Sec. 3) The bill amends title XVIII (Medicare) of the Social Security Act (SSAct) to prohibit specified adjustments to the Medicare fee schedule for certain radiation therapy services in 2017 or 2018.

Under current law, the Centers for Medicare & Medicaid Services (CMS) must periodically identify, review, and make adjustments to potentially misvalued services under Medicare. The bill specifies that certain radiation therapy services shall not be considered as potentially misvalued services for these purposes in 2017 or 2018.

(Sec. 4) For 2017, CMS may exempt categories of eligible professionals from requirements for meaningful use of electronic health records (EHR) technology. Under current law, CMS may, on a case-by-case basis, exempt an eligible professional from certain negative payment adjustments that would otherwise apply due to the professional's failure to comply with those requirements.

(Sec. 5) The bill eliminates funding for the Medicare Improvement Fund. (The fund was established to make improvements under the original Medicare fee-for-service program.)

(Sec. 6) The bill amends title XIX (Medicaid) of the SSAct to make changes related to the Medicaid Integrity Program (MIP). The bill: (1) specifies that program appropriations may cover the costs of equipment, travel, training, and salaries and benefits; and (2) allows CMS flexibility in determining the number of additional staff necessary to carry out the program. (MIP is a federal program aimed at preventing and reducing provider fraud, waste, and abuse in the Medicaid program.)

(Sec. 7) Under current law, CMS may contract with Medicare administrative contractors (MACs), which are private insurers that process Medicare claims within specified geographic jurisdictions. The bill requires CMS to provide specified incentives for MACs to reduce improper payment error rates within their jurisdictions.

(Sec. 8) The bill establishes criminal penalties of up to 10 years imprisonment and up to $500,000 ($1,000,000 for corporations) in fines for illegally purchasing or distributing Medicare, Medicaid, or Children's Health Insurance Program (CHIP) beneficiary identification or billing privileges.

(Sec. 9) The bill increases the scope of the Medicare-Medicaid Data Match Program (Medi-Medi Program), an existing program through which contractors and participating governmental agencies collaboratively analyze Medicare and Medicaid billing trends. CMS must establish a plan to encourage states to participate in the Medi-Medi Program.

CMS shall implement a plan to allow states to access relevant data on improper or fraudulent payments made under the Medicare program on behalf of individuals dually eligible for both Medicare and Medicaid.