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United States · Law · HR

H.R. 2 (114th)

Medicare Access and CHIP Reauthorization Act of 2015

enactedUnited States· United States Congress· EN

Introduced

24 March 2015

Last action

16 April 2015 · President

Status

Became Public Law No: 114-10.

Sponsors

Rep. Burgess, Michael C. [R-TX-26], Rep. Upton, Fred [R-MI-6], Rep. Levin, Sander M. [D-MI-12], Rep. Ryan, Paul [R-WI-1], Rep. Pallone, Frank [D-NJ-6], Rep. Pitts, Joseph R. [R-PA-16], Rep. Green, Gene [D-TX-29], Rep. Brady, Kevin [R-TX-8], Rep. McDermott, Jim [D-WA-7], Rep. Boustany, Charles W., Jr. [R-LA-3], Rep. Sessions, Pete [R-TX-17], Rep. Courtney, Joe [D-CT-2], Rep. Perlmutter, Ed [D-CO-7], Rep. Heck, Joseph J. [R-NV-3]

Subjects

Healthcare, Education

Source updated

4 March 2026

Healthcare · Education

Official sourceDownload fileView documentsShare

Summary

Medicare Access and CHIP Reauthorization 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. Extends through calendar 2017 specified elements of Medicare funding. Prescribes requirements for reasonable cost reimbursement contracts that may no longer be extended or renewed. Amends SSAct title XIX (Medicaid) to extend permanently the qualifying individual program and the transitional medical assistance program. Amends the Public Health Service Act to extend certain special diabetes programs. Amends SSAct title V (Maternal and Child Health Services) to extend: (1) abstinence education; (2) personal responsibility education program; (3) family-to-family health information centers; and (4) maternal, infant, and early childhood home visiting programs. Amends SSAct title XXI (State Children's Health Insurance Program) (CHIP) to extend the CHIP program through FY2017. Amends SSA title XVIII to: (1) deny Medigap policies to Medicare beneficiaries newly eligible on or after January 1, 2020; and (2) set 1% market basket percentage increases or annual updates for hospice, long-term care hospital, and other providers. Revises or sets the aggregate reductions in Medicaid disproportionate share hospital allotments for FY2018-FY2025. Prohibits the inclusion of Social Security numbers on Medicare cards. Directs the Secretary to establish procedures to ensure that Medicare payments are not furnished to incarcerated individuals, individuals not lawfully present in the United States, and deceased individuals. Requires the use of Medicare beneficiary smart cards, subject to certain conditions. Requires valid prescriber national provider identifiers on pharmacy claims. Requires medical review of spinal subluxation services by a chiropractor. Eliminates the availability of certain funds for the Medicare Improvement Fund. Amends the Protecting Access to Medicare Act of 2014 to extend through FY2015 the two-midnight rule regarding certain medical patient status review activities. (The two-midnight rule allows Medicare coverage of only hospital stays for which a physician admits to a hospital a beneficiary expected to require care that crosses two midnights, but generally denies coverage of care expected to require less than a two-midnight stay.) Requires bid surety bonds and state licensure for entities submitting bids under a competitive durable medical equipment and prosthetics, orthotics, and supplies acquisition program. Prohibits the Secretary from implementing the final rule requiring the transition of all 10-day and 90-day global surgical packages to 0-day global periods. Extends through FY2015 the Secure Rural Schools and Community Self-Determination Act of 2000.

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

Timeline

  1. 24 March 2015

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

  2. 24 March 2015

    Introduced

    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, the Judiciary, Agriculture, Natural Resources, and the Budget, 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

  3. 24 March 2015

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 24 March 2015

    Introduced

    Introduced in House

    Source: IntroReferral

  5. 25 March 2015

    Reported

    Rules Committee Resolution H. Res. 173 Reported to House. Rule provides for consideration of H.R. 2 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Bill is closed to amendments.

    Source: Floor

  6. 25 March 2015

    Referred

    Referred to the Subcommittee on Federal Lands.

    Source: Committee

  7. 26 March 2015

    Introduced

    Received in the Senate, read twice.

    Source: IntroReferral

  8. 26 March 2015

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

  9. 26 March 2015

    Vote

    On passage Passed by the Yeas and Nays: 392 - 37 (Roll no. 144). (text: CR H2045-2070)

    Source: Floor

  10. 26 March 2015

    Vote

    Passed/agreed to in House: On passage Passed by the Yeas and Nays: 392 - 37 (Roll no. 144).(text: CR H2045-2070)

    Source: Floor

  11. 26 March 2015

    Floor

    Rule provides for consideration of H.R. 2 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Bill is closed to amendments.

    Source: Floor

  12. 26 March 2015

    Floor

    Considered under the provisions of rule H. Res. 173. (consideration: CR H2045-2083)

    Source: Floor

  13. 26 March 2015

    Floor

    The previous question was ordered pursuant to the rule. (consideration: CR H2083)

    Source: Floor

  14. 26 March 2015

    Passed

    Rule H. Res. 173 passed House.

    Source: Floor

  15. 14 April 2015

    Vote

    Passed/agreed to in Senate: Passed Senate without amendment by Yea-Nay Vote. 92 - 8. Record Vote Number: 144.

    Source: Floor

  16. 14 April 2015

    Floor

    Measure laid before Senate by unanimous consent. (consideration: CR S2156-2161)

    Source: Floor

  17. 15 April 2015

    Floor

    Message on Senate action sent to the House.

    Source: Floor

  18. 16 April 2015

    Became law

    Became Public Law No: 114-10.

    Source: President

  19. 16 April 2015

    Became law

    Signed by President.

    Source: BecameLaw

  20. 16 April 2015

    President

    Signed by President.

    Source: President

  21. 16 April 2015

    Floor

    Presented to President.

    Source: Floor

  22. 16 April 2015

    President

    Presented to President.

    Source: President

Votes

14 April 2015 · Bill Passed · On Passage of the Bill H.R. 2 · Bill Passed · Official source

Yes 92 · No 8 · Abstain — · Absent/not voting 0

Showing the first 4 recorded positions. Vote totals above are complete.

Versions

Documents

14 official files

Enrolled Bill (text)

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  • Enrolled Bill (text)

    Enrolled Bill · EN

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  • Enrolled Bill (PDF)

    Enrolled Bill · EN

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  • Public Law (text)

    Public Law · EN · 16 April 2015

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  • Public Law (PDF)

    Public Law · EN · 16 April 2015

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  • Public Law

    summary · EN · 16 April 2015

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  • Passed Senate without amendment

    summary · EN · 14 April 2015

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  • Received in Senate (text)

    Received in Senate · EN · 26 March 2015

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  • Received in Senate (PDF)

    Received in Senate · EN · 26 March 2015

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  • Engrossed in House (text)

    Engrossed in House · EN · 26 March 2015

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  • Engrossed in House (PDF)

    Engrossed in House · EN · 26 March 2015

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  • Passed House without amendment

    summary · EN · 26 March 2015

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  • Introduced in House (text)

    Introduced in House · EN · 24 March 2015

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  • Introduced in House (PDF)

    Introduced in House · EN · 24 March 2015

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  • Introduced in House

    summary · EN · 24 March 2015

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