draft bill - House of Representatives
draft bill - House of Representatives
draft bill - House of Representatives
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F:\P\H13\CMS\MEDCR\SGR-EC_16.XML<br />
[Discussion Draft]<br />
60<br />
1 sodes <strong>of</strong> care for purposes <strong>of</strong> applying such defini-<br />
2 tion under subsections (k) and (q) <strong>of</strong> section 1848<br />
3 and section 1848A <strong>of</strong> the Social Security Act, as<br />
4 added by subsections (b) and (c) <strong>of</strong> section 2.<br />
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(2) SOLICITATION FOR RECOMMENDATIONS ON<br />
PROVIDER FEE SCHEDULE PAYMENT BUNDLES.—<br />
(A) IN GENERAL.—The Administrator <strong>of</strong><br />
the Centers for Medicare & Medicaid Services<br />
shall solicit from eligible pr<strong>of</strong>essional organizations<br />
(as defined in section 1848(k)(3) <strong>of</strong> the<br />
Social Security Act recommendations for payment<br />
bundles for chronic conditions and expensive,<br />
high volume services for which payment is<br />
made under title XVIII <strong>of</strong> such Act.<br />
(B) REPORT TO CONGRESS.—Not later<br />
than 24 months after the date <strong>of</strong> the enactment<br />
<strong>of</strong> this Act, the Administrator shall submit to<br />
Congress a report proposals for such payment<br />
bundles.<br />
(3) REPORTS ON MODIFIED PFS SYSTEM AND<br />
PAYMENT SYSTEM ALTERNATIVES.—<br />
(A) BIANNUAL PROGRESS REPORTS.—Not<br />
later than January 15, 2016, and annually<br />
thereafter, the Secretary <strong>of</strong> Health and Human<br />
Services shall submit to Congress and post on<br />
f:\VHLC\071813\071813.221.xml (557498|2)<br />
July 18, 2013 (4:58 p.m.)<br />
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