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United States · Law · HR

H.R. 4994 (113th)

IMPACT Act of 2014

enactedUnited States· United States Congress· EN

Introduced

26 June 2014

Last action

6 October 2014 · Became law

Status

Became Public Law No: 113-185.

Sponsors

Rep. Camp, Dave [R-MI-4], Rep. Levin, Sander M. [D-MI-12], Rep. Brady, Kevin [R-TX-8], Rep. McDermott, Jim [D-WA-7], Rep. Blumenauer, Earl [D-OR-3], Rep. Kind, Ron [D-WI-3], Rep. Tiberi, Patrick J. [R-OH-12], Rep. Black, Diane [R-TN-6], Rep. Sánchez, Linda T. [D-CA-38]

Subjects

Healthcare

Source updated

20 January 2026

Healthcare

Official sourceDownload fileView documentsShare

Summary

Improving Medicare Post-Acute Care Transformation Act of 2014 or the IMPACT Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to: (1) require post-acute care (PAC) providers to report standardized patient assessment data, data on quality measures, and data on resource use and other measures; (2) require the data to be interoperable to allow for its exchange among PAC and other providers to give them access to longitudinal information so as to facilitate coordinated care and improve Medicare beneficiary outcomes; and (3) modify PAC assessment instruments applicable to PAC providers for the submission of standardized patient assessment data on such providers and enable assessment data comparison across all such providers. Directs the Secretary to: (1) provide confidential feedback reports to PAC providers on their performance with respect to required measures; and (2) arrange for public reporting of PAC provider performance on quality, resource use, and other measures. Directs the Medicare Payment Advisory Commission (MEDPAC) to: (1) evaluate and recommend to Congress features of PAC payment systems that establish, or a unified PAC payment system that establishes, payment rates according to characteristics of individuals instead of according to the PAC setting where the Medicare beneficiary involved is treated; and (2) recommend to Congress a technical prototype for a PAC prospective payment system. Directs the Secretary to reduce by 2% the update to the market basket percentage for skilled nursing facilities which do not report assessment and quality data. Directs the Secretary to study: (1) the effect of individuals' socioeconomic status on quality, resource use, and other measures for individuals under the Medicare program; and (2) the impact on such measures of specified risk factors.

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Timeline

  1. 26 June 2014

    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. 26 June 2014

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 26 June 2014

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 27 June 2014

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

  5. 16 September 2014

    Passed

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

    Source: Floor

  6. 16 September 2014

    Passed

    On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H7605-7610)

    Source: Floor

  7. 16 September 2014

    Passed

    Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H7605-7610)

    Source: Floor

  8. 16 September 2014

    Floor

    DEBATE - The House proceeded with forty minutes of debate on H.R. 4994.

    Source: Floor

  9. 16 September 2014

    Floor

    Considered under suspension of the rules. (consideration: CR H7605-7612)

    Source: Floor

  10. 16 September 2014

    Floor

    Mr. Brady (TX) moved to suspend the rules and pass the bill, as amended.

    Source: Floor

  11. 17 September 2014

    Introduced

    Received in the Senate, read twice.

    Source: IntroReferral

  12. 18 September 2014

    Passed

    Passed Senate without amendment by Unanimous Consent. (consideration: CR S5862)

    Source: Floor

  13. 18 September 2014

    Passed

    Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.(consideration: CR S5862)

    Source: Floor

  14. 19 September 2014

    Floor

    Message on Senate action sent to the House.

    Source: Floor

  15. 26 September 2014

    Floor

    Presented to President.

    Source: Floor

  16. 26 September 2014

    President

    Presented to President.

    Source: President

  17. 6 October 2014

    President

    Signed by President.

    Source: President

  18. 6 October 2014

    Became law

    Became Public Law No: 113-185.

    Source: President

  19. 6 October 2014

    Became law

    Signed by President.

    Source: BecameLaw

Votes

No vote records are attached yet.

Versions

Documents

14 official files

Enrolled Bill (text)

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Leesvertaling

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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 · 7 October 2014

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  • Public Law (PDF)

    Public Law · EN · 7 October 2014

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  • Public Law

    summary · EN · 6 October 2014

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  • Passed Senate without amendment

    summary · EN · 18 September 2014

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  • Received in Senate (text)

    Received in Senate · EN · 17 September 2014

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  • Received in Senate (PDF)

    Received in Senate · EN · 17 September 2014

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  • Engrossed in House (text)

    Engrossed in House · EN · 16 September 2014

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  • Engrossed in House (PDF)

    Engrossed in House · EN · 16 September 2014

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  • Introduced in House (text)

    Introduced in House · EN · 26 June 2014

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  • Introduced in House (PDF)

    Introduced in House · EN · 26 June 2014

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  • Passed House amended

    summary · EN · 26 June 2014

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  • Introduced in House

    summary · EN · 26 June 2014

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Sponsors

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Related across the Repo ecosystem

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Direct relationships

  • Identifier matchPROJECTS_FROM

    Same us record 113-hr-4994 projected from PoliticalRepo US row.

    IMPACT Act of 2014

Sources

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