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United States · Bill · HR

H.R. 5542 (114th)

Medicaid and CHIP Quality Improvement Act of 2016

referredUnited States· United States Congress· EN

Introduced

21 June 2016

Last action

21 June 2016 · Introduced

Status

Referred to the House Committee on Energy and Commerce.

Sponsors

Rep. DeGette, Diana [D-CO-1], Rep. Kennedy, Joseph P., III [D-MA-4], Rep. Clarke, Yvette D. [D-NY-9]

Subjects

Healthcare

Source updated

5 December 2025

Healthcare

Summary

Medicaid and Chip Quality Improvement Act of 2016 This bill amends titles XI (General Provisions) and XIX (Medicaid) of the Social Security Act to expand reporting requirements with respect to the quality of care provided under Medicaid and the Children's Health Insurance Program (CHIP). Current law requires a state that contracts with a Medicaid managed organization to develop and implement a quality assessment and improvement strategy. The bill extends this requirement to state contracts with providers of comparable primary care case management services and other health care services under Medicaid. With respect to adults eligible for Medicaid and children enrolled in Medicaid or CHIP, a state must report annually on quality measures identified by the Centers for Medicare & Medicaid Services (CMS). Such reporting shall be stratified by service delivery system. CMS shall establish a Medicaid Quality Performance Bonus fund to award states for high attainment and improvement on a core set of quality measures. A state must designate at least 75% of any bonus funds for the development and operation of quality-related initiatives that will directly benefit providers or managed care entities participating in, or under a waiver of, the state plan for medical assistance. A state may use the remainder of such funds for activities related to the goals and purposes of the state plan.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 21 June 2016

    Introduced

    Referred to the House Committee on Energy and Commerce.

    Source: IntroReferral

  2. 21 June 2016

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 21 June 2016

    Introduced

    Introduced in House

    Source: IntroReferral

Votes

No vote records are attached yet.

Versions

Documents

3 official files

Introduced in House (text)

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  • Introduced in House (text)

    Introduced in House · EN · 21 June 2016

    ViewDownloadOpen at official source

  • Introduced in House (PDF)

    Introduced in House · EN · 21 June 2016

    ViewDownloadOpen at official source

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  • Introduced in House

    summary · EN · 21 June 2016

    Open at official source

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Sponsors

Related records

Sources

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