US SB2552 | 2013-2014 | 113th Congress
Status
Spectrum: Moderate Partisan Bill (Democrat 4-1)
Status: Introduced on June 26 2014 - 25% progression, died in committee
Action: 2014-06-26 - Read twice and referred to the Committee on Finance.
Pending: Senate Finance Committee
Text: Latest bill text (Introduced) [PDF]
Status: Introduced on June 26 2014 - 25% progression, died in committee
Action: 2014-06-26 - Read twice and referred to the Committee on Finance.
Pending: Senate Finance Committee
Text: Latest bill text (Introduced) [PDF]
Summary
Medicare Advantage Participant Bill of Rights Act of 2014 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act to require a Medicare Advantage (MA) organization to remove a service provider or a supplier from a plan network only for cause, subject to completion of a fair notice and appeals process. Lists as cause for removal: (1) medical negligence, (2) violation of any legal or contractual requirement for the provider or supplier acting within the lawful scope of practice, or (3) unfitness to furnish items and services in accordance with Medicare requirements. Requires an MA organization offering an MA plan to include information on the measures used to establish or modify the plan's provider network: (1) in the annual bid information submitted about the MA plan, and (2) on the plan's Internet Web. Subjects to certain sanctions MA organizations with contracts which fail to meet these information requirements. Directs the Secretary of Health and Human Services (HHS) to: (1) seek input from patient advocacy groups and others in applying network access adequacy standards, and (2) take necessary measures to ensure that the Medicare Advantage Compare Tool takes into account the preferences and utilization needs of such individuals.
Title
Medicare Advantage Participant Bill of Rights Act of 2014
Sponsors
Sen. Sherrod Brown [D-OH] | Sen. Richard Blumenthal [D-CT] | Sen. Rand Paul [R-KY] | Sen. Mark Pryor [D-AR] |
Sen. Sheldon Whitehouse [D-RI] |
History
Date | Chamber | Action |
---|---|---|
2014-06-26 | Senate | Read twice and referred to the Committee on Finance. |
Same As/Similar To
HB4998 (Same As) 2014-06-26 - Referred to House Energy and Commerce
Subjects
Administrative law and regulatory procedures
Administrative remedies
Business ethics
Business records
Consumer affairs
Department of Health and Human Services
Health
Health care costs and insurance
Health care coverage and access
Health facilities and institutions
Health personnel
Medicare
Administrative remedies
Business ethics
Business records
Consumer affairs
Department of Health and Human Services
Health
Health care costs and insurance
Health care coverage and access
Health facilities and institutions
Health personnel
Medicare
US Congress State Sources
Type | Source |
---|---|
Summary | https://www.congress.gov/bill/113th-congress/senate-bill/2552/all-info |
Text | https://www.congress.gov/113/bills/s2552/BILLS-113s2552is.pdf |