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HR 2579 114th Congress House Health Accounting and auditing Digestive and metabolic diseases Government studies and investigations Health care costs and insurance Health information and medical records Medicaid Medical tests and diagnostic methods Medicare

Securing Care for Seniors Act of 2015

Introduced: May 29, 2015 See on congress.gov
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 Everywhere this bill has been 9 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 16, 2015
Placed on the Union Calendar, Calendar No. 116.
Jun 16, 2015
Committee on Energy and Commerce discharged.
Jun 16, 2015
Reported (Amended) by the Committee on Ways and Means. H. Rept. 114-160, Part I.
Jun 5, 2015
Referred to the Subcommittee on Health.
Jun 3, 2015
Referred to the Subcommittee on Health.
Jun 2, 2015
Ordered to be Reported (Amended) by Voice Vote.
Jun 2, 2015
Committee Consideration and Mark-up Session Held.
May 29, 2015
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
May 29, 2015
Introduced in House
 Plain-English summary Congressional Research Service

Securing Care for Seniors Act of 2015

(Sec. 2) This bill amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSAct) to direct the Department of Health and Human Services (HHS) (in effect, the Centers for Medicare & Medicaid Services [CMS]) to revise for 2017, and periodically afterwards, the system for risk adjustments to payments to Medicare+Choice organizations so that an individual's risk score takes into account the number of chronic conditions with which the individual has been diagnosed.

HHS must, including an actuarial opinion of the CMS Chief Actuary, evaluate the impacts of:

  • including two years of data to compare the models used to determine the risk scores for 2013 and 2014,
  • removing the diagnosis codes related to chronic kidney disease in the 2014 risk adjustment model, and
  • including 10% of encounter data in computing payment for 2016 and CMS readiness to incorporate encounter data in risk scores.

HHS shall also analyze the best practices of MedicareAdvantage (MA) plans to slow disease progression related to chronic kidney disease.

HHS shall then, if appropriate, make revisions to the risk adjustment system, based on such an evaluation or analysis, to better reflect and appropriately weight for the population served.

(Sec. 3) Congress declares that the MA star rating system lacks proper accounting for the socioeconomic status of plan enrollees and the extent to which those plans serve individuals also eligible for medical assistance under SSAct title XIX (Medicaid).

What's happening now June 16, 2015

Placed on the Union Calendar, Calendar No. 116.

 Committees of jurisdiction 4
 Cosponsors 1
All 1 Republican 1