HR 4273 · 114th Congress · Health

Medicare and Medicaid Improvements and Adjustments Act of 2015

Introduced 2015-12-16· Sponsored by Rep. Green, Gene [D-TX-29]· House

Bill Progress

Introduced
2
Committee
3
House Vote
4
Senate
5
Enacted
Latest: Referred to the Subcommittee on Health.(2015-12-18)

Plain Language Summary

[AI summary unavailable — showing source text] Medicare and Medicaid Improvements and Adjustments Act of 2015 This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify payment rules and other provisions related to the Medicare and Medicaid programs. The bill includes off-campus outpatient department (OPD) services in Medicare's prospective payment system (in which predetermined amounts form the basis of payment) with respect to departments that are under development. The existing Medicare payment adjustment for cancer hospitals shall apply to off-campus OPDs. The bill temporarily prohibits specified Medicare payment adjustments related to competitive acquisition programs for certain wheelchair accessories. In addition, the bill modifies provisions related to: (1) reimbursement under Medicare for certain drugs furnished through durable medical equipment (DME), (2) Medicare payment rules for certain radiation therapy services, and (3) the treatment of Medicaid supplemental needs trusts. The bill expands criminal penalties and civil monetary penalties for certain acts involving federal health care programs. With respect to negative Medicare payment adjustments for physicians and hos…

Summarized by Claude AI · Non-partisan · For informational purposes only

Cosponsors (10)

10 Democrats