119th Congress Health
S. 1105: No UPCODE Act
Introduced
- Introduced (completed)
- Passed Senate (not reached)
- Passed House (not reached)
- To the President (not reached)
- Became law (not reached)
Summary
This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data.
Specifically, the bill requires the Centers for Medicare & Medicaid Services (CMS) to use two years of diagnostic data in its risk adjustment methodology for MA payments. It also prohibits the CMS from using diagnoses that are collected from chart reviews or health risk assessments when adjusting payments based on health status. The CMS must also take into account any differences in coding patterns between MA and traditional Medicare when determining MA payment adjustments.
Written by the Congressional Research Service, Library of Congress.
Roll calls
No roll call votes have been held on this bill.
Amendments
No amendments were offered to this bill.
Cosponsors
- Jeff Merkley D-OROriginal
Who scored on this bill
- 1Bill Cassidy SponsorDrew cross-party cosponsors, introduced2 events+6
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Other bills by Bill Cassidy
History
- Introduced in the Senate by Bill Cassidy.
Show the full action history (2 actions)
- Introduced in Senate
- Read twice and referred to the Committee on Finance.