Summary: H.R.4094 — 115th Congress (2017-2018)All Information (Except Text)

There is one summary for H.R.4094. Bill summaries are authored by CRS.

Shown Here:
Introduced in House (10/23/2017)

Medicare-X Choice Act of 2017

This bill amends the Social Security Act to create the Medicare Exchange health plan, which the Centers for Medicare & Medicaid Services (CMS) must offer in certain individual health insurance exchanges in 2020 and offer in all individual health insurance exchanges by 2023. Any individual who is a resident of a state where the plan is offered and who is not eligible for Medicare benefits may enroll in the plan. CMS must offer the plan in the small group market in all areas for 2024.

The plan must meet the same requirements, including essential health benefits, as health insurance exchange plans under the Patient Protection and Affordable Care Act.

Health care providers enrolled under Medicare or under a state Medicaid plan shall also be participating providers for the plan and shall be reimbursed at Medicare rates.

The bill eliminates the restriction on the Department of Health and Human Services to negotiate prescription drug prices for Medicare.