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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 />

VerDate 0ct 09 2002 16:58 Jul 18, 2013 Jkt 000000 PO 00000 Frm 00060 Fmt 6652 Sfmt 6201 C:\DOCUME~1\JRSHAP~1\APPLIC~1\SOFTQUAD\XMETAL\5.5\GEN\C\SGR-EC~1.XML HO

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