Medicare HMO/CMP Quality Improvement Act of 1986

[AI summary unavailable — showing source text] Medicare HMO/CMP Quality Improvement Act of 1986 - Amends title XVIII (Medicare) of the Social Security Act to subject an individual who has an agreement with a health maintenance organization (HMO) or competitive medical plan (CMP) to furnish services to HMO or CMP enrollees to a civil monetary penalty and suspension from the Medicare program for knowingly charging such enrollees for amounts for which the HMO or CMP is liable. Requires HMOs and CMPs to provide Medicare beneficiaries with an explanation of their rights as HMO or CMP enrollees when they enroll and at least annually thereafter. Prohibits new waivers of the requirement that no more than 50 percent of HMO or CMP enrollees be eligible for Medicare or Medicaid (title XIX of the Act), unless more than 50 percent of the population in the area served by an organization consists of Medicare or Medicaid-eligible individuals. Provides that, where a waiver has already been granted for some other purpose, such waiver may only be extended if the Secretary of Health and Human Services determines that the organization is making reasonable efforts to meet scheduled enrollment goals. Authorizes the Secretary to suspend the enrollment…