To amend title XVIII of the Social Security Act to require MA organizations offering network-based plans to maintain an accurate provider directory, and for other purposes.

Summary

This bill requires Medicare Advantage (MA) organizations to maintain directories of in-network providers and continually ensure their accuracy. Specifically, MA organizations must publish on their websites an accurate directory of in-network providers and regularly update these directories. The bill additionally specifies that if a provider is listed as in-network in this directory when a beneficiary selects and makes an appointment with the provider, but the provider is not actually in-network, the beneficiary is still only responsible for paying in-network cost-sharing requirements. MA organizations must annually evaluate and report on the accuracy of their directories; the Centers for Medicare & Medicaid Services and MA organizations must publish this information on their websites. The bill provides funds for these purposes. The Government Accountability Office must report on the bill's implementation.

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

Timeline

1. 15 March 2024

   Introduced

   Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.

   Source: IntroReferral

2. 15 March 2024

   Introduced

   Introduced in House

   Source: IntroReferral

3. 15 March 2024

   Introduced

   Introduced in House

   Source: IntroReferral

4. 22 March 2024

   Referred

   Referred to the Subcommittee on Health.

   Source: Committee

5. 17 December 2024

   Referred

   Referred to the Subcommittee on Health.

   Source: Committee

Votes

No vote records are attached yet.

Versions

• Introduced in House · 15 March 2024 · Download file

Documents

3 official files

• Introduced in House (text)

  Introduced in House · EN · 15 March 2024

  ViewDownloadOpen at official source

• Introduced in House (PDF)

  Introduced in House · EN · 15 March 2024

  ViewDownloadOpen at official source

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Sponsors

• Rep. Panetta, Jimmy [D-CA-19] · D · Sponsor
• Rep. Murphy, Gregory F. [R-NC-3] · R · Sponsor
• Rep. Kuster, Ann M. [D-NH-2] · D · Sponsor
• Rep. Schneider, Bradley Scott [D-IL-10] · D · Sponsor
• Rep. Fitzpatrick, Brian K. [R-PA-1] · R · Sponsor
• Rep. Miller, Carol D. [R-WV-1] · R · Cosponsor
• · hswm00 · Standing
• · hsif00 · Standing

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