F:\P\H14\CMS\MEDCR\TRILEADEXT\SGREXT-PKGE_01.XML 3/24/2015 8:16 03/19/2015 14:09 595585|18 [Discussion Draft] (Original Signature of Member) [DISCUSSION DRAFT]

I 114th CONGRESS 1st Session H. R. __ IN THE HOUSE OF REPRESENTATIVES Mr. Burgess (for himself, Mr. Levin, Mr. Pallone, Mr. Ryan of Wisconsin, and Mr. Upton) introduced the following bill; which was referred to the Committee on _______________ A BILL To amend title XVIII of the Social Security Act to repeal the Medicare sustainable growth rate and strengthen Medicare access by improving physician payments and making other improvements, to reauthorize the Children’s Health Insurance Program, and for other purposes.

1.

Short title; table of contents

(a)

Short title

This Act may be cited as the Medicare Access and CHIP Reauthorization Act of 2015. (b)

Table of contents

The table of contents of this Act is as follows: Sec. 1. Short title; table of contents. Title I—SGR Repeal and Medicare Provider Payment Modernization Sec. 101. Repealing the sustainable growth rate (SGR) and improving Medicare payment for physicians’ services. Sec. 102. Priorities and funding for measure development. Sec. 103. Encouraging care management for individuals with chronic care needs. Sec. 104. Empowering beneficiary choices through continued access to information on physicians’ services. Sec. 105. Expanding availability of Medicare data. Sec. 106. Reducing administrative burden and other provisions. Title II—Medicare and Other Health Extenders Subtitle A—Medicare Extenders Sec. 201. Extension of work GPCI floor. Sec. 202. Extension of therapy cap exceptions process. Sec. 203. Extension of ambulance add-ons. Sec. 204. Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals. Sec. 205. Extension of the Medicare-dependent hospital (MDH) program. Sec. 206. Extension for specialized Medicare Advantage plans for special needs individuals. Sec. 207. Extension of funding for quality measure endorsement, input, and selection. Sec. 208. Extension of funding outreach and assistance for low-income programs. Sec. 209. Extension and transition of reasonable cost reimbursement contracts. Sec. 210. Extension of home health rural add-on. Subtitle B—Other Health Extenders Sec. 211. Permanent extension of the qualifying individual (QI) program. Sec. 212. Permanent extension of transitional medical assistance (TMA). Sec. 213. Extension of special diabetes program for type I diabetes and for Indians. Sec. 214. Extension of abstinence education. Sec. 215. Extension of personal responsibility education program (PREP). Sec. 216. Extension of funding for family-to-family health information centers. Sec. 217. Extension of health workforce demonstration project for low-income individuals. Sec. 218. Extension of maternal, infant, and early childhood home visiting programs. Sec. 219. Tennessee DSH allotment for fiscal years 2015 through 2025. Sec. 220. Delay in effective date for Medicaid amendments relating to beneficiary liability settlements. Sec. 221. Extension of funding for community health centers, the National Health Service Corps, and teaching health centers. Title III—CHIP Sec. 301. 2-year extension of the Children's Health Insurance Program. Sec. 302. Extension of express lane eligibility. Sec. 303. Extension of outreach and enrollment program. Sec. 304. Extension of certain programs and demonstration projects. Sec. 305. Report of Inspector General of HHS on use of express lane option under Medicaid and CHIP. Title IV—Offsets Subtitle A—Medicare Beneficiary Reforms Sec. 401. Limitation on certain medigap policies for newly eligible Medicare beneficiaries. Sec. 402. Income-related premium adjustment for parts B and D. Subtitle B—Other Offsets Sec. 411. Medicare payment updates for post-acute providers. Sec. 412. Delay of reduction to Medicaid DSH allotments. Sec. 413. Levy on delinquent providers. Sec. 414. Adjustments to inpatient hospital payment rates. Title V—Miscellaneous Subtitle A—Protecting the Integrity of Medicare Sec. 501. Prohibition of inclusion of Social Security account numbers on Medicare cards. Sec. 502. Preventing wrongful Medicare payments for items and services furnished to incarcerated individuals, individuals not lawfully present, and deceased individuals. Sec. 503. Consideration of measures regarding Medicare beneficiary smart cards. Sec. 504. Modifying Medicare durable medical equipment face-to-face encounter documentation requirement. Sec. 505. Reducing improper Medicare payments. Sec. 506. Improving senior Medicare patrol and fraud reporting rewards. Sec. 507. Requiring valid prescriber National Provider Identifiers on pharmacy claims. Sec. 508. Option to receive Medicare Summary Notice electronically. Sec. 509. Renewal of MAC contracts. Sec. 510. Study on pathway for incentives to States for State participation in medicaid data match program. Sec. 511. Guidance on application of Common Rule to clinical data registries. Sec. 512. Eliminating certain civil money penalties; gainsharing study and report. Sec. 513. Modification of Medicare home health surety bond condition of participation requirement. Sec. 514. Oversight of Medicare coverage of manual manipulation of the spine to correct subluxation. Sec. 515. National expansion of prior authorization model for repetitive scheduled non-emergent ambulance transport. Sec. 516. Repealing duplicative Medicare secondary payor provision. Sec. 517. Plan for expanding data in annual CERT report. Sec. 518. Removing funds for Medicare Improvement Fund added by IMPACT Act of 2014. Sec. 519. Rule of construction. Subtitle B—Other provisions Sec. 521. Extension of two-midnight PAMA rules on certain medical review activities. Sec. 522. Requiring bid surety bonds and State licensure for entities submitting bids under the Medicare DMEPOS competitive acquisition program. Sec. 523. Payment for global surgical packages. Sec. 524. Extension of Secure Rural Schools and Community Self-Determination Act of 2000. Sec. 525. Exclusion from PAYGO scorecards.