The House today passed these four Medicare-related bills by voice
votes…
1. H.R. 6561
The “Comprehensive Care for Seniors Act of 2018″ bill
The “Comprehensive Care for Seniors Act of 2018″ bill
This bill would make it
possible for for-profit companies to offer Program of All-Inclusive Care for
the Elderly plans, or PACE plans.
A PACE plan can use
federal Medicare money and, in many cases, state Medicaid money to provide
soup-to-nuts care for older people who need the equivalent of nursing home care
but can live safely in the community.
2. H.R. 6690
The “Fighting Fraud to Protect Care for Seniors Act of 2018″ bill
The “Fighting Fraud to Protect Care for Seniors Act of 2018″ bill
This bill calls for
Medicare program managers to test a Medicare smart card program, to see if
replacing traditional cards with smart cards could reduce Medicare program
fraud, waste and abuse.
3. H.R. 6662
The “Empowering Seniors’ Enrollment Decision Act of 2018″ bill
The “Empowering Seniors’ Enrollment Decision Act of 2018″ bill
This bill is supposed to
help Medicare enrollees cope with the winding down of the Medicare cost plan
program.
Private insurers have
been offering Medicare cost plans, or old school Medicare managed care plans,
since the 1970s. The plans resemble Medicare Advantage plans in some ways but
operate under different rules. In January, Medicare will eliminate the plans in
counties in which consumers have access to two or more Medicare Advantage
plans.
H.R. 6662 would set
formal rules for the special enrollment period a Medicare cost plan enrollee
will get when a cost plan goes away. The bill would also let the issuer of a
disappearing cost plan “deem” the enrollees into a new Medicare Advantage plan.
(Image: Thinkstock)
4. H.R. 3635
The “Local Coverage Determination Clarification Act of 2018″ bill
The “Local Coverage Determination Clarification Act of 2018″ bill
Traditional Medicare
uses private organizations, called Medicare administrative contractors (MACs),
to administer the traditional Medicare program in each region of the country.
Each regional MAC has some ability to decide what medical services it will cover,
and when.
H.R. 3635 would
establish standard procedures the regional MACs must follow when making “local
coverage determinations.”
One provision would
require a MAC to post its local coverage decisions online.
Members of the U.S. House today
passed four Medicare-related bills by voice votes.
House Republican
leaders put all of the bills on the House “consent calendar,” or list of items
viewed as noncontroversial and easy to pass.
The bills could do
things like expand options for older people who need long-term care (LTC)
services and put new types of Medicare cards in Medicare enrollees’ wallets.
Although the four
bills passed in the House by a wide margin, there is no guarantee that the
bills will reach the Senate, floor either on their own or as part of a package.
In some
cases, proposals have broad support, but they lack enough support
from the right people to come up for a vote.
In other cases,
supporters of a popular proposal may have trouble finding an acceptable way to
raise enough federal revenue, or cut enough federal spending, to offset the
effects of a proposal on the federal budget.
For a look at the
four bills that passed today, based on a list circulated by House Ways and
Means Chairman Kevin Brady, R-Texas, see the idea cards in the slideshow above.
Allison Bell, ThinkAdvisor's insurance
editor, previously was LifeHealthPro's health insurance editor. She has a
bachelor's degree in economics from Washington University in St. Louis and a
master's degree in journalism from the Medill School of Journalism at
Northwestern University. She can be reached at abell@alm.com or on Twitter at
@Think_Allison.
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