HR 4579 · 115th Congress 2017–2019, ended

Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017

Latest action · Dec 8, 2017 Referred to the Subcommittee on Health.

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. IntroducedDec 6, 2017
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017

This bill amends title XVIII (Medicare) of the Social Security Act to:

  • extend the Independence at Home demonstration program;
  • modify provisions regarding access to home dialysis therapy under Medicare and special needs plans under Medicare Advantage (MA);
  • expand testing of the MA Value-Based Insurance Design test model;
  • allow an MA plan to provide additional telehealth benefits to enrollees and, to chronically ill enrollees, certain supplemental health care benefits;
  • modify other provisions regarding the use of telehealth services;
  • allow prospective, voluntary assignment of Medicare fee-for-service beneficiaries to accountable care organizations (ACOs);
  • allow ACOs to operate beneficiary incentive programs;
  • require the Centers for Medicare & Medicaid Services (CMS) to establish a process for Medicare prescription-drug plan sponsors to request certain claims data from the CMS;
  • require the CMS to study and report to Congress on long-term risk factors for chronic conditions among Medicare beneficiaries; and
  • eliminate annual funding available to the Medicare Improvement Fund and the Medicaid Improvement Fund beginning in FY2021.

The Government Accountability Office shall conduct studies on:

  • the establishment of a payment code for a visit for longitudinal comprehensive care planning services,
  • the extent to which Medicare prescription drug plans and private payors use programs that synchronize pharmacy dispensing to facilitate comprehensive counseling and promote medication adherence, and
  • the use of prescription drugs to manage the weight of obese patients and the impact of such drug coverage on patient health and health care spending.

Cosponsors 1

Members who signed on, in the order they did. All signed on Dec 6, 2017.

SeatCosponsorSigned on
D-ORKurt SchraderOriginalDec 6, 2017

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 Dec 6, 2017
HouseEnergy and Commerce Committee
Referred Dec 6, 2017
Health Subcommittee
Referred Dec 8, 2017

Actions 3

Everything that happened, newest first.

  1. Dec 8, 2017Referred to the Subcommittee on Health.
  2. Dec 6, 2017Introduced in House
  3. Dec 6, 2017Referred 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 1, Section 8, Clause 18: The Congress shall have Power To . . . make all Laws which shall be necessary and proper for carrying into Execution the foregoing Powers, and all other Powers vested by this Constitution in the Government of the United States, or in any Department or Officer thereof.

The sponsor’s statement, as printed in the Congressional Record, vol. 163, no. 199, December 6, 2017, page H9709.

Printed hearings 1

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

Related bills 8

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

Titles 2

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

Official Title as Introduced
To amend title XVIII of the Social Security Act to implement Medicare payment policies designed to improve management of chronic disease, streamline care coordination, and improve quality outcomes without adding to the deficit.
Short Titles as Introduced
Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017

Subjects

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

Text 1

Each version as it was printed, newest first.

  1. Dec 6, 2017Introduced 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.