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house Bill H.R. 3178

Medicare Part B Improvement Act of 2017

Bill Details

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Title

Medicare Part B Improvement Act of 2017

Official Title

To amend title XVIII of the Social Security Act to improve the delivery of home infusion therapy and dialysis and the application of the Stark rule under the Medicare program, and for other purposes.

Summary

Medicare Part B Improvement Act of 2017 TITLE I--IMPROVEMENTS IN PROVISION OF HOME INFUSION THERAPY (Sec. 101) This bill amends title XVIII (Medicare) of the Social Security Act to temporarily provide for transitional Medicare payment with respect to certain home infusion services furnished on or after January 1, 2019. Under current law, the Center for Medicare & Medicaid Services (CMS) is required to establish a permanent payment system with respect to such services furnished on or after January 1, 2021. (Sec. 102) The bill extends the Medicare Intravenous Immune Globulin demonstration project through 2020, subject to the availability of funds. A Medicare beneficiary who is enrolled in the project on September 30, 2017, shall be automatically reenrolled, subject to an existing cap on project participants. (Sec. 103)  Documentation created by an orthotist or prosthetist shall be considered part of a Medicare beneficiary's medical record for purposes of determining the reasonableness and medical necessity of orthotics and prosthetics. TITLE II--IMPROVEMENTS IN DIALYSIS SERVICES (Sec. 201) The bill allows renal dialysis facilities to be accredited by a CMS-approved accreditation body for participation in the Medicare program. The bill also establishes a  time frame with respect to initial surveys of renal dialysis facilities. (Sec. 202) A Medicare beneficiary who has end-stage renal disease (ESRD) and is receiving home dialysis may choose to receive monthly ESRD-related visits via telehealth, provided that the beneficiary also receives face-to-face visits periodically. Specified facility fees and geographic requirements shall not apply with respect to the provision of such services via telehealth. The Government Accountability Office must study and report to Congress on the further expansion of Medicare coverage of renal dialysis services furnished via telehealth. TITLE III--IMPROVEMENTS IN APPLICATION OF STARK RULE (Sec. 301) The bill codifies certain CMS rules regarding signature requirements and holdover arrangements as they relate to prohibitions against physician self-referrals. (Sec. 302) The bill reduces annual funding available to the Medicare Improvement Fund beginning in FY2021.

bill Progress


  • Not enacted
    The President has not signed this bill
  • The senate has not voted
      senate Committees
      Committee on Finance
  • The house Passed July 25th, 2017
    Passed by Voice Vote
      house Committees
      Committee on Energy and Commerce
      Health
      Committee on Ways and Means
      Health
    IntroducedJuly 11th, 2017

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    If by Medicare improvement act they mean cutting Medicare, they should start thinking of their careers as over. This is yet another attempt by Congress to kill Medicare and Medicaid and therefore kill the oldest and sickest among us.
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    Congress needs to stop making legal issues where none exist; it never improves anything for the people and more than likely cuts short citizen rights and tax payer funded programs such as Medicaire and Social Security, which we have paid into all of our lives.
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    With or without details, I still don't trust any healthcare reforms coming from the Republican-controlled legislature. It's been made clear that they only care about themselves and their short-sighted goals that do little to help the American people at large, but a LOT to harm.
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    Medicare part B is healthcare that seniors have paid in to their whole life. This is a right that all citizens earn over the course of their work careers. To remove any of the benefits from Medicare is cruel beyond words. Congress must remember 2918 is coming-- seniors VOTE.
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    Vote no please. No details and not likely to a benefit to those who have paid Medicare taxes because that doesn't appear to be something this congress is interested in. My guess is it will end up defunding Medicare in some way. Please just say no.
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    Be above partisan politics & improve all Americans' lives (& healthcare)! Do not take it away or underfunded it.
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    What's with all the secrecy? Until this legislative body becomes more transparent, I refuse to just trust their judgement.
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    No details no vote
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    Summary H.R. 3178 would modify several Medicare policies related to coverage and payment for services under Part B of the program. CBO estimates that enacting H.R. 3178 would reduce direct spending by $4 million over the 2018-2027 period. Services affected home renal care, end stage home renal care, prosthetic device recommendations and the Stark act. Because of the way the bills are written, I can tell if this is good or bad. But since it is talking about adding money to Medicare "unless all money has been spent to the tune of $270,000,000", I'm wondering about the legitimacy of the bill. Pay-as-you-go procedures apply because enacting the legislation would affect direct spending. The legislation would not affect revenues. CBO estimates that enacting the legislation would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2028. H.R. 3178 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act and would impose no costs on state, local, or tribal governments.
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    Renewing this bill will allow me to continue my IVIG infusions in my home setting. It keeps me from traveling 50 miles each way for my treatments and keeps me away v
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    The summary is not sufficient to make a determination.
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    Long overdue
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    Why do you continue to try to take needed services away from vulnerable people. You say it is in the name of cutting costs. Do you really believe you are helping America? Cutting needed health services from the sick is not helping anyone. Where are your standards as a human being? You need to stop trying to reinvent the wheel and fix what is wrong with Obamacare. Work for a by partisan solution. Fix what is wrong with the exchanges and the cost of medication. When that's done, call it a by partisan name and be proud of the fact you acted like true patriots for America.
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    There is not enough information on this.
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    There are not enough details to say yes and way too little trust in the government to administer money which is not theirs but is held in trust for us paid from my taxes. Republicans "borrowed" trillions from this trust's surplus to pay the debt. To this day not one red cent has been returned to the trust. I believe at this point it can be considered stolen. But now they want to administer the trust. "Make it better" privatize it, borrow more trillions from it though it's not theirs to borrow from. No. I won't support this bill or any other bill changing Social Security or Medicare, both paid through my working taxes.
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    The summary lacks enough information to make a decision. C'mon, Countable!!
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    So basically you're saying that poor people don't deserve to live. What kind of sick bastard thinks like this? Oh yeah, rich republicans.
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    If they are trying to reduce Medicare then He'll No!!!
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    Please do not vote for a bill that ll take health care from millions of people. In some rural areas of Colorado, fifty per cent of the people get health care from Medicaid. Others will see their premiums rise or end up with junk insurance. Thank you. Anna Bonner, Resident of Boulder CO 80302.
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    All govt health care repealed. Allow states to provide to working poor. This is not a national issue.
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