HR-2579 : Still Just a Bill


Securing Care for Seniors Act of 2015

This bill amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSAct) to direct the Department of Health and Human Services (HHS) (in effect, the Centers for Medicare & Medicaid Services [CMS]) to revise for 2017, and periodically afterwards, the system for risk adjustments to payments to Medicare + Choice organizations so that an individual's risk score takes into account the number of chronic conditions with which the individual has been diagnosed.

HHS must, including an actuarial opinion of the CMS Chief Actuary, evaluate the impacts of:

  • including two years of data to compare the models used to determine the risk scores for 2013 and 2014,
  • removing the diagnosis codes related to chronic kidney disease in the 2014 risk adjustment model, and
  • including 10% of encounter data in computing payment for 2016 and CMS readiness to incorporate encounter data in risk scores.

HHS shall also analyze the best practices of MedicareAdvantage (MA) plans to slow disease progression related to chronic kidney disease.

HHS shall then, if appropriate, make revisions to the risk adjustment system, based on such an evaluation or analysis, to better reflect and appropriately weight for the population served.

Congress declares that the MA star rating system lacks proper accounting for the socioeconomic status of plan enrollees and the extent to which those plans serve individuals also eligible for medical assistance under SSAct title XIX (Medicaid).

Action Timeline

Action DateTypeTextSource
2015-06-16CalendarsPlaced on the Union Calendar, Calendar No. 116.House floor actions
2015-06-16DischargeCommittee on Energy and Commerce discharged.House floor actions
2015-06-16CommitteeReported (Amended) by the Committee on Ways and Means. H. Rept. 114-160, Part I.House floor actions
2015-06-05CommitteeReferred to the Subcommittee on Health.House committee actions
2015-06-03CommitteeReferred to the Subcommittee on Health.House committee actions
2015-06-02CommitteeOrdered to be Reported (Amended) by Voice Vote.House committee actions
2015-06-02CommitteeCommittee Consideration and Mark-up Session Held.House committee actions
2015-05-29IntroReferralReferred 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.House floor actions
2015-05-29IntroReferralReferred 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.House floor actions
2015-05-29IntroReferralIntroduced in HouseLibrary of Congress

Policy Area :

Health
Related Subjects
  • Accounting and auditing
  • Digestive and metabolic diseases
  • Government studies and investigations
  • Health care costs and insurance
  • Health information and medical records
  • Medicaid
  • Medical tests and diagnostic methods
  • Medicare
Related Geographic Entities
Related Organizations

Related Bills

See Related Bills