Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008

To amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other purposes.

6/9/2008--Introduced.
Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for coverage of additional preventive services.
Provides for gradual elimination of copayment rates for Medicare psychiatric services.
Places prohibitions and limitations on certain sales and marketing activities under Medicare Advantage (MA) plans and prescription drug plans.
Requires offering of a range of Medicare supplemental policies.
Extends the qualifying individual program. Provides for application of a full low-income subsidy assets test under the Medicare Savings Program.
Eliminates Medicare part D (Voluntary Prescription Drug Benefit Program) late enrollment penalties paid by subsidy-eligible individuals.
Directs the Secretary of Health and Human Services to make grants to states for state health insurance assistance programs, area agencies on aging, and aging and disability resource centers. Authorizes the Secretary to award grants to states for increasing the delivery of mental health services or other health care services to meet the needs of veterans of Operation Iraqi Freedom and Operation Enduring Freedom living in rural areas. Permits rebasing for sole community hospitals.
Directs the Secretary to establish a demonstration project for development and testing of new community health integration models in certain rural counties.
Amends the Tax Relief and Health Care Act of 2006, as amended by the Medicare, Medicaid, and SCHIP Extension Act of 2007, to extend through FY2009 the reclassification of certain hospitals.
Increases physicians' payments. Revises requirements for and extends the quality reporting system, including incentive payments.
Directs the Secretary to establish a Physician Feedback Program. Provides for:
(1) incentives for electronic prescribing of medicine;
(2) expanded access to primary care services;
(3) extension of the floor on Medicare work geographic adjustment under the Medicare physician fee schedule; and
(4) an accreditation requirement for advanced diagnostic imaging services.
Revises requirements for Medicare anesthesia teaching programs. Makes permanent the exception to the 60-day limit on Medicare reciprocal billing arrangements between two physicians over a longer continuous period during all of which one of them is ordered to active duty as a member of a reserve component of the armed forces.
Provides for coverage of pulmonary and cardiac rehabilitation.
Revises payment rules for power-driven wheelchairs.
Extends increased Medicare payments for ground ambulance services. Amends the Public Health Services Act to direct the Secretary to establish pilot projects with respect to chronic kidney disease.
Revises requirements for renal dialysis.
Provides for phase-out of indirect costs of medical education from capitation rates.
Revises requirements for MA private fee-for-service plans as well as MA plans for special needs individuals.
Modifies requirements for quality improvement programs.
Requires prompt payment of clean claims by prescription drug plans and MA-Prescription Drug plans under Medicare part D. Revises the definition of medically accepted indication for drugs.
Directs the Secretary to:
(1) contract with a consensus-based entity for certain activities relating to health care performance measurement; and
(2) evaluate and report to Congress on approaches for the collection of data regarding health care disparities.
Creates the Medicare Improvement Fund. Extends the transitional medical assistance (TMA) and allotments for disproportionate share hospitals (DSHs) under SSA title XIX (Medicaid). Amends the Deficit Reduction Act of 2005 to extend supplemental grants under SSA title IV part D (Temporary Assistance for Needy Families) (TANF), as well as special diabetes grant programs. Directs the Secretary to submit to Congress an effective plan to increase the number of primary care physicians, particularly in locations classified as underserved or with a disproportionate number of Medicare beneficiaries.


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Sponsor

• Rep. Sheila Jackson-Lee [D, TX-18]
• and 3 Co-Sponsors
  • Rep. Danny Davis [D, IL-7]
  • Rep. Ciro Rodriguez [D, TX-23]
  • Rep. Edolphus Towns [D, NY-10]
  close

Committees

• House Energy and Commerce
• 2 more
  • House Ways and Means
  • House Ways and Means
  close

Amendments

This bill has no amendments.

Amendments to H.R.6212

Number	Status	Purpose

Bill Status

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Introduced		Voted on by House		Voted on by Senate		Considered By President		Bill Becomes Law
June 09, 2008

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All Bill Actions

• Jun 17, 2008: Referred to the Subcommittee on Health.
• Jun 09, 2008: Referred to House Ways and Means
• Jun 09, 2008: Referred to House Energy and Commerce
• Jun 09, 2008: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
• Introduced on Jun 09, 2008.

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Related Bills:

• S.3101
• H.R.6331

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• Welfare
• Veterans' medical care
• Veterans
• Telecommunication
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• Technology
• Subsidies
• State and local government
• South Asia
• Self-help devices for the disabled
• Rural health
• Rural affairs
• Quality of care
• Public contracts
• Preventive medicine
• Prescription pricing
• Physicians
• Performance measurement
• Minority health
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• Military operations
• Middle East and North Africa
• Mental health services
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• Imaging systems in medicine
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• Business
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• Armed forces
• Anesthetics
• Ambulatory care
• Ambulances
• Aid to dependent children
• Aged
• Afghanistan
• Accreditation (Medical care)
• Access to health care
• Health policy
• Iraq compilation

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Blog Coverage

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June 08, 2008 Introduced Bill: HR6212

To amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, ...

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Source: Open Congress : Rep. Sheila Jackson-Lee [D, TX-18]

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June 08, 2008 Bill Action: Introduced: HR 6212: To amend titles XVIII and XIX of ...

Sheila Jackson-Lee [D-TX] introduced HR 6212: To amend titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, ...

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