HR 7217 · 115th Congress · Health
IMPROVE Act
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House Vote4
Senate5
EnactedLatest: Received in the Senate.(2018-12-12)
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Plain Language Summary
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Improving Medicaid Programs and Opportunities for Eligible Beneficiaries Act or the IMPROVE Act This bill establishes a state Medicaid option to provide for medical assistance with respect to coordinated care provided through a health home (i.e., a designated provider or team of health-care professionals) for children with medically complex conditions. States must determine payment methodologies in accordance with specified requirements; payments also temporarily qualify for an enhanced federal matching rate. The bill also makes a series of reductions relating to federal Medicaid expenditures. Among other changes, the bill reduces the federal matching rate for states that do not have required asset-verification programs for determining Medicaid eligibility. Further, drug manufacturers with Medicaid rebate agreements for covered outpatient drugs must disclose drug product information. Manufacturers are subject to civil penalties for knowingly misclassifying drugs. Manufacturers are also required to compensate for rebates that were initially underpaid as a result of misclassification (whether or not such misclassification was committed knowingly). Finally, the bill excludes specified…
Summarized by Claude AI · Non-partisan · For informational purposes only
CBO Cost Estimate
Congressional Budget OfficeH.R. 7217, Improving Medicaid Programs and Opportunities for Eligible Beneficiaries Act
Dec 10, 2018As posted on the website of the House Majority Leader on December 7, 2018, G:\P\15\H\CMS\MEDCD\ACEKIDS_03.XML
Full CBO report ↗Official non-partisan budget analysis by the Congressional Budget Office