HR 4998 · 113th Congress 2013โ€“2015, ended

Medicare Advantage Participant Bill of Rights Act of 2014

Latest action · Jun 26, 2014 Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

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.

  1. IntroducedJun 26, 2014
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

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.

Cosponsors 10

Members who signed on, in the order they did. Signatures ran from Jul 31, 2014 to Nov 13, 2014.

SeatCosponsorSigned on
D-CTElizabeth H. EstyJul 31, 2014
D-CAMark TakanoJul 31, 2014
D-NYTimothy H. BishopAug 1, 2014
D-NYCharles B. RangelSep 10, 2014
D-TNSteve CohenSep 10, 2014
D-NYJerrold NadlerSep 18, 2014
D-CAAdam B. SchiffNov 12, 2014
D-OREarl BlumenauerNov 12, 2014
D-CAJared HuffmanNov 12, 2014
D-CADoris O. MatsuiNov 13, 2014

Committees 2

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseWays and Means Committee
Referred Jun 26, 2014
HouseEnergy and Commerce Committee
Referred Jun 26, 2014

Actions 2

Everything that happened, newest first.

  1. Jun 26, 2014Introduced in House
  2. Jun 26, 2014Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Constitutional authority

Congress has the power to enact this legislation pursuant to the following: Article I, Section 8, Clause 3 of the United States Constitution

The sponsor’s statement, as printed in the page H5819.

Related bills 1

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
S 2552Medicare Advantage Participant Bill of Rights Act of 2014Identical billJun 26, 2014

Titles 2

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To enhance beneficiary and provider protections and improve transparency in the Medicare Advantage market, and for other purposes.
Short Titles as Introduced
Medicare Advantage Participant Bill of Rights Act of 2014

Subjects

Assigned by the Library of Congress. Policy area: Health.

Text 1

Each version as it was printed, newest first.

  1. Jun 26, 2014Introduced in House

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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; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.