POLICY BRIEFINGS


Hart Health Strategies provides a comprehensive policy briefing on a weekly basis. This in-depth health policy briefing is sent out at the beginning of each week. The health policy briefing recaps the previous week and previews the week ahead. It alerts clients to upcoming congressional hearings, newly introduced bills, regulatory announcements, and implementation activity related to the Patient Protection and Affordable Care Act (PPACA) and other health laws.


THIS WEEK'S BRIEFING - MARCH 7, 2016


House Unanimously Passes Medicaid Integrity Bill


This week, the House unanimously passed the Ensuring Access to Quality Medicaid Providers Act, bipartisan legislation aimed at making reforms to strengthen the Medicaid program and increase savings to the states and the federal government. H.R. 3716 passed by a vote of 406-0. It is a combination of two bills, the Ensuring Terminated Providers are Removed from Medicaid and CHIP Act, authored by Rep. Larry Bucshon (R-Ind.) and the Medicaid Directory of Caregivers or Medicaid DOC Act, authored by Rep. Chris Collins (R-N.Y.). The legislation would ensure that providers terminated from Medicare or a state Medicaid program due to reasons of fraud, integrity, or quality are terminated from all other state Medicaid programs as well. A report from the Office of the Inspector General (OIG) found that 12 percent of providers terminated with cause from a state Medicaid program continued participating in another state’s program for as long as two years after their termination. H.R. 3716 would also provide beneficiaries under fee-for-service or primary care case management programs with a directory of physicians participating in the programs. States would have until July 1, 2018 to comply with many of the bill’s provisions. The OIG would be required to submit to Congress an assessment of the legislation by March 31, 2020. The Ensuring Access to Quality Medicaid Providers has also received support from the Obama administration.



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