HR 5210 · 114th Congress 2015–2017, ended

PADME Act

Introduced May 12, 2016 Originated House Sponsor Tom Price R-GA

Fact sheet Spreadsheet

Latest action · Jul 6, 2016 Received in the Senate and Read twice and referred to the Committee on Finance.

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. IntroducedMay 12, 2016
  2. Passed HouseJul 5, 2016
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Patient Access to Durable Medical Equipment Act of 2016 or the PADME Act

(Sec. 2) This bill amends titles XIX (Medicaid) and XXI (Children's Health Insurance Program [CHIP]) of the Social Security Act to prohibit federal payment under Medicaid for nonemergency services furnished by providers whose participation in Medicaid, Medicare, or CHIP has been terminated.

Under current law, a state must exclude from Medicaid participation any provider that has been terminated under any state's Medicaid program or under Medicare. The bill maintains those requirements and further requires a state to exclude from Medicaid participation any provider that has been terminated under CHIP. Furthermore, a state must exclude from CHIP participation any provider that has been terminated under Medicaid or Medicare.

The bill also revises a state's reporting requirements with respect to terminating a provider under a state plan. A state shall require each Medicaid or CHIP provider, whether the provider participates on a fee-for-service (FFS) basis or within the network of a managed care organization (MCO), to enroll with the state by providing specified identifying information. When notifying the Department of Health and Human Services (HHS) that a provider has been terminated under a state plan, the state must submit this information as well as information regarding the termination date and reason. HHS shall review such termination notifications and, if appropriate, include them in a database or similar system, as specified by the bill.

The bill prohibits federal payment under a state's Medicaid or CHIP program for services provided by an MCO unless: (1) the state has a system for notifying MCOs when a provider is terminated under Medicaid, Medicare, or CHIP; and (2) any contract between the state plan and an MCO provides that such providers be excluded from participation in the MCO provider network.

HHS shall report to Congress on this bill's implementation.

(Sec. 3) A state must publish and annually update a public directory of FFS providers participating under the state plan.

(Sec. 4) HHS shall: (1) delay by three months the full implementation of new Medicare payment rates for durable medical equipment (DME), and (2) study and report on the impact of applicable payment adjustments on the availability of DME to Medicare beneficiaries.

(Sec. 5) For purposes of eligibility determinations for federal public benefits, the bill excludes payments made under a state eugenics compensation program from classification as income or resources. A "state eugenics compensation program" is a state program intended to compensate individuals who were sterilized under the state's authority.

(Sec. 6) The bill makes available $3 million to the Medicare Improvement Fund for services furnished during and after FY2020.

Cosponsors 121

Members who signed on, in the order they did. Signatures ran from May 12, 2016 to Jul 5, 2016; 40 are original cosponsors, there from the day it was introduced.

SeatCosponsorSigned on
R-MDAndy HarrisOriginalMay 12, 2016
R-MOAnn WagnerOriginalMay 12, 2016
R-GAAustin ScottOriginalMay 12, 2016
R-TXBill FloresOriginalMay 12, 2016
R-MOBilly LongOriginalMay 12, 2016
R-MOBlaine LuetkemeyerOriginalMay 12, 2016
R-OHBob GibbsOriginalMay 12, 2016
R-ALBradley ByrneOriginalMay 12, 2016
R-KYBrett GuthrieOriginalMay 12, 2016
R-WACathy McMorris RodgersOriginalMay 12, 2016
R-LACharles W. Boustany, Jr.OriginalMay 12, 2016
R-NYChris CollinsOriginalMay 12, 2016
D-MNCollin C. PetersonOriginalMay 12, 2016
D-IADavid LoebsackOriginalMay 12, 2016
R-OHDavid P. JoyceOriginalMay 12, 2016
Show all 121 cosponsors

Committees 3

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

ChamberCommitteeWhat it did
HouseEnergy and Commerce Committee
Referred May 12, 2016
Health Subcommittee
Referred May 13, 2016
HouseWays and Means Committee
Referred May 12, 2016
Health Subcommittee
Referred May 17, 2016
SenateFinance Committee
Referred Jul 6, 2016

Actions 10

Everything that happened, newest first.

  1. Jul 6, 2016Received in the Senate and Read twice and referred to the Committee on Finance.
  2. Jul 5, 2016Mr. Pitts moved to suspend the rules and pass the bill, as amended.
  3. Jul 5, 2016Considered under suspension of the rules. (consideration: CR H4230-4235)
  4. Jul 5, 2016DEBATE - The House proceeded with forty minutes of debate on H.R. 5210.
  5. Jul 5, 2016Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4230-4232)
Show all 10 actions

In the Congressional Record 2

Days the Record’s own index lists this bill, newest first, with the pages and the members it names. Pages starting H are the House, S the Senate, E Extensions of Remarks.

WhereIn the RecordMembersDate
HouseDebate and remarks H4552Earl L. "Buddy" Carter R-GAJul 8, 2016
HouseDebate and remarks H4230–H4235Text printed H4230–H4232Frank Pallone, Jr. D-NJ, Jim McDermott D-WA, Joseph R. Pitts R-PA, Peter Welch D-VT, Tom Price R-GAJul 5, 2016

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: Consistent with the understanding and interpretation of the Commerce Clause, Congress has the authority to enact this legislation in accordance with Clause 3 of Section 8, Article 1 of the U.S. Constitution.

The sponsor’s statement, as printed in the Congressional Record, vol. 162, no. 75, May 12, 2016, page H2342.

Printed hearings 1

Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.

NumberHearingCommitteeHeld
—LEGISLATION TO IMPROVE AND SUSTAIN THE MEDICARE PROGRAM66 pagesWays and Means CommitteeJun 8, 2016

Related bills 8

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

BillTitleRelationshipLatest action
HR 3421st Century Cures ActRelated billDec 13, 2016
S 1698Treatment of Certain Payments in Eugenics Compensation ActRelated billOct 7, 2016
S 2618Medicaid DOC ActRelated billMar 2, 2016
S 2669Ensuring Removal of Terminated Providers from Medicaid and CHIP ActRelated billMar 10, 2016
S 2736Patient Access to Durable Medical Equipment Act of 2016Related billJun 29, 2016
Show all 8 related bills

Titles 5

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

Official Title as Introduced
To improve access to durable medical equipment for Medicare beneficiaries under the Medicare program, and for other purposes.
Short Titles as Introduced
PADME Act
Patient Access to Durable Medical Equipment Act of 2016
Short Titles as Passed House
PADME Act
Patient Access to Durable Medical Equipment Act of 2016

Subjects

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

Text 3

Each version as it was printed, newest first.

  1. Jul 6, 2016Referred in Senate
  2. Jul 5, 2016Engrossed in House
  3. May 12, 2016Introduced in House

Support LegiList

This page is free, carries no paywall, and is built and maintained by one person. If the record here is useful to you, a few dollars keeps it going.

$1 $5 $10

Processed by Stripe in a separate window. LegiList never sees card details.

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.