Medicare Quality Improvement Act of 2004
Latest action · Jun 23, 2004 Read twice and referred to the Committee on Finance. (consideration: CR 6/24/2004 S7315-7320)
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedJun 23, 2004
- Passed SenateNot reached
- Passed HouseNot reached
- To the PresidentNot reached
- Became lawNot reached
Summary
Medicare Quality Improvement Act of 2004 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSA), as amended by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, to direct the Secretary of Health and Human Services to establish a quality performance incentive payment program to provide annual financial incentive payments, consisting of National Performance Quality Payments and National Quality Improvement Payments, to Medicare Advantage organizations offering Medicare Advantage plans and organizations providing benefits under a reasonable cost reimbursement contract that demonstrate superior quality health care to enrollees. Provides for a reduction in payments to such organizations in order to fund the program.
Directs the Secretary to establish a corresponding renal dialysis performance incentive payment program, also including National Performance Quality Payments and National Quality Improvement Payments.
Requires the Secretary to establish a program for award of bonus payments to Medicare providers that demonstrate innovative practices, structural improvements, or capacity enhancements that improve the quality of health care provided Medicare beneficiaries.
Directs the Secretary to conduct a three-year demonstration program of projects for pediatric dialysis facilities.
Requires the Secretary to establish a Medicare Quality Advisory Board.
Requires a Medicare Payment Advisory Commission (MEDPAC) study and report to Congress on the use of adjuster mechanisms under the Medicare quality performance incentive payment programs.
Directs the Secretary to conduct a three-year demonstration program to measure the quality of health care furnished to individuals under 18 years of age under the SSA title XIX (Medicaid) and title XXI (SCHIP) programs.
Authorizes the Secretary to hire five full-time employees within the Center for Medicaid and State Operations from among health professionals experienced in quality improvement, chronic care management, and care coordination (at least one of them also experienced with pediatric populations).
Requires the Secretary to study and report to Congress on the efforts to coordinate and integrate data from the Medicare and Medicaid programs.
Directs MEDPAC to study and report to Congress on care coordination programs for Medicare and Medicaid dual-eligibles.
Requires the Secretary to establish a five-year program of grants for demonstration projects to develop and use Medical Smart Cards and examine their impact on health care costs, quality of care, and patient safety.
Cosponsors
Members who signed on, in the order they did.
Actions 3
Everything that happened, newest first.
- Jun 23, 2004Introduced in Senate
- Jun 23, 2004Read twice and referred to the Committee on Finance. (consideration: CR 6/24/2004 S7315-7320)
- Jun 23, 2004Sponsor introductory remarks on measure. (CR 6/24/2004 S7313-7315)
Subjects
Assigned by the Library of Congress. Policy area: Health.
- Administrative procedure
- Awards, medals, prizes
- Case management
- Case mix (Medical care)
- Child health
- Chronically ill
- Coinsurance
- Commemorations
- Congress
- Congressional reporting requirements
- Department of Health and Human Services
- Economics and Public Finance
- Families
- Federal advisory bodies
- Federal aid to child health services
- Federal employees
- Finance and Financial Sector
- Government Operations and Politics
- Government paperwork
- Governmental investigations
- Health
- Health information systems
- Health insurance
- Health maintenance organizations
- Insurance premiums
- Kidney diseases
- Law
- Managed care
- Medicaid
- Medical economics
- Medical fees
- Medical records
- Medically uninsured
- Medicare
- Patient satisfaction
- Performance measurement
- Poor children
- Quality of care
- Recruiting of employees
- Science, Technology, Communications
- Smart cards
- Social Welfare
- Standards
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov.