SGR Repeal and Medicare Provider Payment Modernization Act of 2015

1/11/2023, 1:28 PM

Congressional Summary of HR 1470

SGR Repeal and Medicare Provider Payment Modernization Act of 2015

Amends title XVIII (Medicare) of the Social Security Act (SSAct) to: (1) remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services, and (2) revise the update in rates for 2015 and subsequent years.

Directs the Secretary of Health and Human Services to establish a Merit-based Incentive Payment (MIP) system under which eligible professionals (including physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists) shall receive annual payment increases or decreases based on their performance.

Requires specified incentive payments to eligible participants in an alternative payment model.

Requires the Secretary to: (1) draft a plan for development of quality measures to assess professionals, including non-patient-facing professionals; and (2) make payments for chronic care management services.

Expands the kinds of uses of Medicare data available to qualified entities. Directs the Secretary to provide Medicare data to qualified clinical data registries to facilitate quality improvement or patient safety.

Declares it a national objective to achieve widespread exchange of health information through interoperable certified electronic health records technology nationwide by December 31, 2018.

Current Status of Bill HR 1470

Bill HR 1470 is currently in the status of Bill Introduced since March 19, 2015. Bill HR 1470 was introduced during Congress 114 and was introduced to the House on March 19, 2015.  Bill HR 1470's most recent activity was Referred to the Subcommittee on the Constitution and Civil Justice. as of March 31, 2015

Bipartisan Support of Bill HR 1470

Total Number of Sponsors
1
Democrat Sponsors
0
Republican Sponsors
1
Unaffiliated Sponsors
0
Total Number of Cosponsors
21
Democrat Cosponsors
7
Republican Cosponsors
14
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 1470

Primary Policy Focus

Health

Potential Impact Areas

Advisory bodiesChild healthCongressional oversightFraud offenses and financial crimesGovernment information and archivesGovernment studies and investigationsHealth care costs and insuranceHealth care coverage and accessHealth care qualityHealth information and medical recordsHealth personnelHealth promotion and preventive careHealth technology, devices, suppliesMedicaidMedical researchMedicareMinority healthPerformance measurementPoverty and welfare assistanceRight of privacyRural conditions and developmentUser charges and fees

Alternate Title(s) of Bill HR 1470

SGR Repeal and Medicare Provider Payment Modernization Act of 2015To amend title XVIII of the Social Security Act to repeal the Medicare sustainable growth rate and improve Medicare payments for physicians and other professionals, and for other purposes.SGR Repeal and Medicare Provider Payment Modernization Act of 2015
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