Value-Based Insurance Design Seniors Copayment Reduction Act of 2015

1/11/2023, 1:31 PM

Congressional Summary of S 1396

Value Based Insurance Design Seniors Copayment Reduction Act of 2015

Directs the Department of Health and Human Services (HHS) to establish a demonstration program to test Value-Based Insurance Design methodologies in Medicare Advantage plans under part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act for beneficiaries with chronic clinical conditions.

Defines "value-based insurance design methodology" as one for identifying specific prescription medications and clinical services for which copayments or coinsurance should be reduced or eliminated due to the high-value and effectiveness of such medications and services for specific clinical conditions.

Directs HHS to expand the demonstration program, except in certain circumstances, by issuing regulations to implement, on a permanent basis, those components that are beneficial to Medicare beneficiaries and the Medicare program.

Current Status of Bill S 1396

Bill S 1396 is currently in the status of Bill Introduced since May 20, 2015. Bill S 1396 was introduced during Congress 114 and was introduced to the Senate on May 20, 2015.  Bill S 1396's most recent activity was Read twice and referred to the Committee on Finance. as of May 20, 2015

Bipartisan Support of Bill S 1396

Total Number of Sponsors
1
Democrat Sponsors
0
Republican Sponsors
1
Unaffiliated Sponsors
0
Total Number of Cosponsors
1
Democrat Cosponsors
1
Republican Cosponsors
0
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill S 1396

Primary Policy Focus

Health

Potential Impact Areas

Administrative law and regulatory proceduresDepartment of Health and Human ServicesHealth care costs and insuranceMedicarePrescription drugs

Alternate Title(s) of Bill S 1396

Value-Based Insurance Design Seniors Copayment Reduction Act of 2015A bill to establish a demonstration program requiring the utilization of Value-Based Insurance Design in order to demonstrate that reducing the copayments or coinsurance charged to Medicare beneficiaries for selected high-value prescription medications and clinical services can increase their utilization and ultimately improve clinical outcomes, enhance beneficiary satisfaction, and lower health care expenditures.Value-Based Insurance Design Seniors Copayment Reduction Act of 2015
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