House Approves Medicare Access and CHIP Reauthorization Act

Repeals SGR Formula, Adopts Medicare and Other Policy Changes

Today the U.S. House of Representatives approved a major Medicare package, the Medicare Access and CHIP Reauthorization Act (MACRA), which would reform Medicare reimbursement policy for physician fee schedule services and adopt a series of policy changes affecting a wide range of providers and suppliers.

Most notably, the bill would repeal the statutory Sustainable Growth Rate (SGR) formula, which has called for deep cuts in Medicare rates in recent years, but Congress has routinely stepped in to override the full application of the formula. Instead, after a period of stable payment updates, MACRA would link physician payment updates to quality and value measurements and participation in alternative payment models. MACRA also would extend certain expiring Medicare and other health policy provisions, including a two-year extension of the Children’s Health Insurance Program.

To finance these provisions, MACRA would reduce Medicare market basket updates for post-acute care providers, revise Medicare inpatient hospital payment rate updates, restructure Medicaid disproportionate share hospital (DSH) reductions, require additional income-related adjustments for Medicare Part B and part D premiums, and bar first-dollar Medigap coverage policies.

Finally, the bill includes a number of other health policy provisions, including: new program integrity policies (including eliminating civil money penalties for inducements to physicians to limit services that are not medically necessary); a requirement that suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) that bid in a competitive bidding program obtain a bid surety bond that would be forfeited if the supplier does not accept a contract under certain circumstances; a delay in enforcement of the “two midnight” inpatient status policy; and revisions to Medicare payment for global surgical packages (including blocking a CMS decision to eliminate 10- and 90-day global surgical packages).

President Obama has promised to sign the bill if approved by the Senate. Timing is critical given that the latest short-term SGR “fix” expires at the end of the month, and physicians face a 21% across-the-board cut on April 1, 2015 in the absence of Congressional action.

Congressional Health Policy Hearings

Congressional committees have held several hearings this week on health policy issues. On March 24, the Energy and Commerce Health Subcommittee held a hearing on the 340B drug pricing program. Also on March 24, the House Ways and Means Subcommittee on Oversight examined CMS’s use of the Fraud Prevention System (FPS) to identify and stop Medicare fraud, and the Senate Health, Education, Labor and Pensions Committee held a hearing entitled “Continuing America's Leadership: Advancing Research and Development for Patients.” On March 25, the Senate Special Committee on Aging examined “The Fight Against Alzheimer's Disease: Are We on Track to a Treatment by 2025.” 

Ways & Means Committee Schedules March 24 Hearing on Use of Data Analysis to Stop Medicare Fraud

On March 24, the House Ways and Means Subcommittee on Oversight is holding a hearing on CMS’s use of the Fraud Prevention System (FPS) to identify and stop Medicare fraud. Government and non-governmental witnesses will discuss the progress that the FPS has made and how data analysis is being used to identify and stop Medicare fraud and waste.

House Approves Medicare DMEPOS Competitive Bidding, Hospital Observation, Controlled Substances, & Trauma Care Bills

Yesterday the House of Representatives approved the following health policy bills:

  • H.R. 284, the Medicare DMEPOS Competitive Bidding Improvement Act of 2015 – which would require Medicare suppliers that bid under a DME, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program to obtain a $50,000-$100,000 bid surety bond for each competitive bidding area (CBA).  If the bidder is offered a contract for any product category in the CBA, and the supplier’s bid for the product category was at or below the median composite bid rate that was used to calculate single payment amounts, the bid bond would be forfeited if the supplier does not accept the contract.   In all other cases, the bid bond would be returned to the bidder.  The bill is intended to prevent  suppliers from submitting not-binding, “low-ball” bids that artificially drive down prices and jeopardize beneficiary access to equipment.   The bill also would codify that competitive bidding contracts can only be awarded to suppliers that meet applicable state licensure requirements.
  • H.R. 876, the “NOTICE Act” – which would require hospitals and critical access hospitals to provide written and oral notification to Medicare beneficiaries classified as being under observation status for more than 24 hours, rather than admitted as inpatients.  Such notice would include an explanation of the implications of observation status for beneficiary cost-sharing obligations and subsequent skilled nursing facility eligibility.
  • H.R. 639, Improving Regulatory Transparency for New Medical Therapies Act – to amend the Controlled Substances Act to improve the efficiency, transparency, and consistency of the Drug Enforcement Agency’s (DEA) process for scheduling new drugs.  According to the bill sponsor, the lack of predictability in the timing of DEA scheduling decisions results in uncertainty in the drug development process and delays patient access to new therapies.
  • H.R. 647, Access to Life-Saving Trauma Care for All Americans Act –  to reauthorize certain Public Health Service Act trauma care center grants.  
  • H.R. 648, Trauma Systems and Regionalization of Emergency Care Reauthorization Act – to reauthorize grants supporting state and rural development of trauma systems and authorize new regionalized emergency care model pilot projects.

The bills are now awaiting Senate consideration.

House to Vote Today on DMEPOS Competitive Bidding, Hospital Observation Policy, and Other Health Policy Bills

On March 16, 2015, the House of Representatives is scheduled to consider the following health policy legislation:

  • H.R. 284, the Medicare DMEPOS Competitive Bidding Improvement Act of 2015 -- which would require Medicare suppliers that bid under a DME, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program to submit binding bids or risk forfeiture of a surety bond;
  • H.R. 876, the “NOTICE Act” – which would require hospitals to provide certain notifications to individuals classified as being under observation status rather than admitted as inpatients;
  • H.R. 639, Improving Regulatory Transparency for New Medical Therapies Act -- to amend the Controlled Substances Act to improve the efficiency, transparency, and consistency of the Drug Enforcement Agency’s process for scheduling new drugs;
  • H.R. 647, Access to Life-Saving Trauma Care for All Americans Act -- to reauthorize language from the Public Health Service Act to fund trauma care centers; and
  • H.R. 648, Trauma Systems and Regionalization of Emergency Care Reauthorization Act -- to reauthorize grants supporting state and rural development of trauma systems and authorize new regionalized emergency care model pilot projects.

March Congressional Health Policy Hearings

On March 10, 2015, the Senate Health, Education, Labor and Pensions (HELP) Committee held a hearing on “Continuing America’s Leadership in Medical Innovation for Patients,” featuring testimony from NIH Director Francis Collins, MD, PhD, and FDA Commissioner Margaret Hamburg, MD.  

On March 17, the HELP Committee has scheduled a hearing on “America’s Health IT Transformation: Translating the Promise of Electronic Health Records into Better Care.” The Senate Finance Committee is holding a hearing on the “Affordable Care Act at Five Years” on March 19. 

The Energy and Commerce has not yet rescheduled a previously-announced hearing on the 340B drug pricing program that was cancelled due to weather.

Upcoming House Hearing on 340B Program (March 25)

The House Energy and Commerce Subcommittee on Health will hold a hearing on Thursday, March 5, 2015 on “Examining the 340B Drug Pricing Program,” focusing on the functionality of the program and the extent to which it meets its goal of improving access to prescription drugs for needy patients at facilities serving these populations. Scheduled witnesses include officials from the Health Resources and Services Administration, the Government Accountability Office, and the Office of the Inspector General. 

** Note: this hearing has been rescheduled for March 25.

Ways and Means Committee to Markup Medicare Fraud, Competitive Bidding, and other Medicare Policy Bills

On February 26, 2015, the House Ways and Means Committee is scheduled to vote on the following bills:

  • H.R. 1021, “Protecting the Integrity of Medicare Act of 2015” – a sweeping bill to promote Medicare program integrity and efficiency. Among many other things, the bill would: eliminate civil money penalties for inducements to physicians to limit services that are not medically necessary; create a Part D drug management program for beneficiaries at risk of prescription drug abuse; require MACs to establish improper payment outreach and education programs for providers; expand the Senior Medicare Patrol program; require the HHS Secretary to issue guidance on the application of the “Common Rule” protecting individuals involved in research; and require the Secretary to issue a report on how to establish a permanent physician-hospital gainsharing program.
  • H.R. 284, “Medicare DMEPOS Competitive Bidding Improvement Act of 2015” -- which would require Medicare suppliers that bid under a durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) competitive bidding program to submit binding bids or risk forfeiture of a surety bond.
  • H.R. 876, “NOTICE Act” – which would require hospitals to provide certain notifications to individuals classified as being under observation status rather than admitted as inpatients.
  • H.R. 887, “Electronic Health Fairness Act of 2015” -- which addresses the treatment of patient encounters in ambulatory surgical centers in determining meaningful electronic health record use.

** These bills were approved with amendments

Energy & Commerce Committee Approves Bipartisan Public Health Bills

On February 11, 2015, the House Energy and Commerce Committee approved the following bipartisan public health bills:

  • H.R. 471, Ensuring Patient Access to Effective Drug Enforcement Act (to improve enforcement efforts regarding prescription drug diversion and abuse); 
  • H.R. 639, Improving Regulatory Transparency for New Medical Therapies Act, as amended (to amend the Controlled Substances Act to improve the efficiency, transparency, and consistency of the Drug Enforcement Agency’s process for scheduling new drugs); 
  • H.R. 647, Access to Life-Saving Trauma Care for All Americans Act (to reauthorize language from the Public Health Service Act to fund trauma care centers); and
  • H.R. 648, Trauma Systems and Regionalization of Emergency Care Reauthorization Act (to reauthorize grants supporting state and rural development of trauma systems and authorize new regionalized emergency care model pilot projects).

Congressional Health Policy Hearings

The following Congressional panels have held hearings recently on various health policy issues:

House Approves ACA Repeal/Replace Bill

Earlier this month, the House of Representatives approved H.R. 596, a bill to repeal the Patient Protection and Affordable Care Act (PPACA) and health care-related provisions in the Health Care and Education Reconciliation Act of 2010 and restore the laws as if the health reform provisions had never been enacted. The bill also directs the House Committees on Education and the Workforce, Energy and Commerce, Judiciary, and Ways and Means to develop alternative legislation to, among other things, lower health care premiums, ensure access to affordable health coverage for people with pre-existing conditions, and reform.  The President has promised to veto the bill if it reaches his desk.  

 

Congressional Hearings to Focus on HHS Budget, Medical Preparedness, ACA Implementation

Three health policy hearings are scheduled for February 26, 2015:

Obama Administration Releases FY 2016 Budget Proposal with Medicare/Medicaid Provisions

On February 2, 2015, the Obama Administration released its proposed federal budget for fiscal year (FY) 2016. The budget would impact all types of health care providers, health plans, and drug manufacturers if adopted as proposed – which is unlikely given Republican control of the House and Senate. Nevertheless, Congress can be expected to consider the Medicare and Medicaid savings proposals (many of which are carry-overs from prior budgets) during expected debate in the coming months on Medicare physician fee schedule (MPFS) reform legislation or during future budget negotiations.

The following is a summary of the major Medicare, Medicaid, and related policy proposals contained in the FY 2016 budget proposal.

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House to Vote on ACA Repeal/Replace Bill; CBO Won't Score It

Next week, the House is expected to take up H.R. 596, a bill to repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010 and restore the laws as if the health reform provisions had never been enacted. The bill also directs the House Committees on Education and the Workforce, Energy and Commerce, Judiciary, and Ways and Means to develop alternative legislation that meets various policy goals, including, among others:  lowering health care premiums through increased competition and choice; preserving a patient's ability to keep his or her health plan if he or she likes it; providing people with pre-existing conditions access to affordable health coverage; reforming the medical liability system; increasing the number of insured Americans; expanding state flexibility to administer the Medicaid program; and expanding incentives to encourage personal responsibility for health care coverage and costs.

Although the Congressional Budget Office (CBO) typically releases a budget estimate for legislation scheduled for a floor vote, CBO announced today that it is unable to do so in this case. CBO explains that estimating the budget impact of this legislation would take weeks of CBO and Joint Committee on Taxation staff time “because there are hundreds of provisions in the laws that would be repealed and those provisions are in various stages of implementation.” The CBO did not point out that President Obama would undoubtedly veto the legislation if it were to reach his desk.
 

Congressional Panels Take Steps to Speed Patient Access to Medical Innovation

On January 27, 2015, the House Energy and Commerce Committee released its “21st Century Cures Act” discussion draft, the product of a year-long, bipartisan effort by the Committee to accelerate the pace of medical cures in the United States. The nearly 400-page bill addresses a wide range of topics, including, among many other things: the drug and device approval processes; clinical trials; Medicare coverage, payment, and coding; drug safety; and other proposals intended to streamline medical technology regulations across government. The Committee invites interested stakeholders to submit specific suggestions about how to improve the legislation; no deadline is specified.

In a related development, on January 29, the Senate Health, Education, Labor and Pensions (HELP) Committee launched its own initiative to examine and reform public policies in order to speed patient access to safe and effective medical products and treatments. To kick off this effort, the HELP Committee released a report entitled “Innovation for Healthier Americans: Identifying Opportunities for Meaningful Reform to Our Nation’s Medical Product Discovery and Development.” The report seeks feedback on a series of questions on ways to decrease the time and costs associated with bringing medical products to patients, including questions related to: more effectively targeting government resources; evaluating public-private partnerships; promoting biomedical research; streamlining clinical trial requirements; modernizing Food and Drug Administration medical product approval processes; and harmonizing US regulations with international standards. Feedback is requested by February 23, 2015. The Committee also intends to hold a series of hearings on issues raised in the report. 

Congressional Health Policy Hearings & Markups

On January 27, 2015, the House Energy and Commerce Subcommittee on Health held a hearing on bipartisan public health legislation, including:

  • Ensuring Patient Access to Effective Drug Enforcement Act (to improve enforcement efforts regarding prescription drug diversion and abuse);
  • Improving Regulatory Transparency for New Medical Therapies Act (to amend the Controlled Substances Act to improve the efficiency, transparency, and consistency of the Drug Enforcement Agency’s process for scheduling new drugs);
  • Veteran Emergency Medical Technician Support Act (to provide demonstration grants to states with a shortage of emergency medical technicians (EMTs) to streamline licensing requirements for military veteran EMTs);
  • Trauma Systems and Regionalization of Emergency Care Reauthorization Act (to reauthorize grants supporting state and rural development of trauma systems and authorize new regionalized emergency care model pilot projects); a bill to reauthorize language from the Public Health Service Act to fund trauma care centers; and
  • National All Schedules Prescription Electronic Reporting (NASPER) Reauthorization Act (to reauthorize programs to support state prescription drug monitoring programs).

On January 28, 2015, the Senate Finance Committee unanimously approved H.R. 22, the “Hire More Heroes Act," which is intended to allow businesses to hire veterans without them counting as a full-time employee under the Affordable Care Act (ACA) if the veteran already has medical coverage through the TRICARE program or the Veterans Administration. The House approved the legislation earlier this month.

Looking ahead, the following hearings are scheduled next week:

House E&C Committee Schedules SGR Hearing (Jan. 21 & 22)

The House Energy and Commerce Subcommittee on Health has scheduled a two-day hearing for January 21 and 22 to discuss how to pass Sustainable Growth Rate (SGR) reform legislation before the current patch expires at the end of March 2015.

House Approves Bills to Modify ACA Rules for Employers Related to Part-Time Workers, Veterans

On January 8, 2015, the House of Representatives approved H.R. 30, the “Save American Workers Act.”  The legislation would amend the ACA’s definition of “full-time employee” for purposes of the requirement that certain employers provide health care coverage for their full-time employees. Specifically, the bill, which was approved on a 252 to 172 vote, would define full-time employee as an employee who is employed on average at least 40 hours of service a week, rather than the ACA’s 30 hours.  The Administration has promised to veto the legislation if it reaches the President’s desk.

This vote followed unanimous House passage of a separate bill, H.R. 22, the “Hire More Heroes Act of 2015.” H.R. 22 is intended to encourage businesses to hire veterans by permitting an employer, for purposes of determining whether the employer is an applicable large employer and thus required to provide health care coverage to its employees under the ACA, to exclude employees who have health coverage under TRICARE or the Veterans Administration.

Both bills are awaiting Senate consideration.

President Signs Tax Bill with Medicare Provisions, Ebola Treatment/Vaccine Bill

In December 2014, President Obama signed into a law H.R. 5771, a tax extender bill that includes the “Achieving a Better Life Experience (ABLE) Act of 2014.” As discussed in a previous post, the law, P.L. 113-295, includes three Medicare provisions to finance the ABLE Act: revisions to payment adjustments for Medicare physician fee schedule misvalued services, limits on Medicare coverage of vacuum erection systems, and an additional delay in implementation of oral-only end stage renal disease (ESRD)-related drugs in the ESRD PPS.  President Obama also has signed into law S. 2917/P.L. 113-233, which adds Ebola to the FDA’s priority review voucher program.

President Signs Government Funding Bill with Health Spending/Policy Provisions

On December 16, 2014, President Obama signed a $1.1 trillion spending bill that funds most government agencies through the end of the fiscal year on September 30, 2015 (funding for the Department of Homeland Security is funded through February 27, 2015). With regard to HHS funding, the bill, among other things: holds CMS funding at FY 2014 levels; provides no new funding for Affordable Care Act implementation and blocks the use of CMS program management funds to support risk corridor payments; provides emergency funding to address the Ebola crisis; increases National Institutes of Health funding by $150 million over FY 2014 levels; provides funds to FDA to investigate counterfeit drugs within the United States and internationally; and reduces funding for the Independent Payment Advisory Board (IPAB) by $10 million.  The explanatory statement also includes a number of health policy provisions. For instance, the report: expresses concerns about a CMS proposal to eliminate critical access hospital status for certain rural facilities; requests CMS to report on the impact of competitive bidding on treatment patterns of enteral nutrition patients residing in LTC facilities; directs CMS to review billing rules regarding implantable pain pump drugs; requests that CMS develop proposals to encourage short-cycle dispensing of outpatient prescription drugs in LTC facilities; directs CMS to educate providers on how to reduce Medicare claims errors, develop procedures to reduce the Office of Medicare Hearings and Appeals (OMHA) appeals backlog, and improve the appeals and audit processes; requests that CMS reconsider changes to payment for surgical procedures included in the annual Medicare physician fee schedule rule; and directs HRSA to work with covered entities under the 340B drug program “to better understand the way these entities support direct patient benefits from 340B discounted sales.”

Older Entries

December 17, 2014 — Congress Approves "ABLE Act" with Medicare Offsets

December 15, 2014 — Congressional Panels Seek Input on Medicare Fraud & Abuse, LDT, GME Legislation

December 13, 2014 — Extension of Enforcement Moratorium on Rural Hospital Supervision Requirements

December 13, 2014 — Congressional Health Policy Hearings

December 12, 2014 — Congress Approves Bill to Incentivize Ebola Treatment/Vaccine Developments; Congressional Hearings Address Ebola Response

October 28, 2014 — Congressional Hearing on Government Response to Ebola Crisis (Nov. 6)

October 8, 2014 — President Obama Signs Post-Acute Care Transformation Act and Other Health Policy Bills

September 5, 2014 — Upcoming House Hearings to Address ACA Implementation, Accelerating Medical Innovation

September 4, 2014 — House Panel to Examine FDA Lab-Developed Test Policy

August 12, 2014 — Two Health Policy Laws Enacted, Additional Bills Advance

August 12, 2014 — Ways and Means Committee Seeks Comments on Medicare Program Integrity Bill

July 25, 2014 — Senate Aging Committee Calls for Medicare Audit, Local Coverage Policy Reforms

July 25, 2014 — July Congressional Health Policy Hearings

June 25, 2014 — Finance Committee Invites Comments on Health Care Data Transparency

June 25, 2014 — Congressional Hearings Examine Medicare Fraud, ACA, Digital Health, MedPAC Report, Brain Injuries

June 25, 2014 — Bipartisan Health Bills Advance

June 10, 2014 — Full Energy and Commerce Committee Approves Three Bipartisan Health Bills

June 9, 2014 — HHS Secretary Nominee Burwell Confirmed by Senate

June 2, 2014 — House Energy and Commerce Subcommittee Approves Health Bills

June 2, 2014 — Congressional Health Policy Hearings

June 2, 2014 — Finance Committee Endorses Burwell Nomination

May 19, 2014 — House Panel to Consider Bundled Post-Acute Care, Cancer Care Payment Parity Bills

May 14, 2014 — House Panel to Examine Medicare Hospital Issues (May 20)

May 13, 2014 — Senate Finance Committee Schedules Hearing on Burwell HHS Nomination

May 6, 2014 — Congressional Committees to Consider HHS Secretary Nomination, HHS Budget, ACA Implementation, Cancer Research

April 28, 2014 — Congressional Hearings this Week to Focus on Medicare Fraud, Telehealth

April 8, 2014 — April Congressional Hearings

April 8, 2014 — Children's Hospital GME Reauthorization Act Signed

April 4, 2014 — President Signs Medicare Physician Fee Schedule/SGR Patch with Numerous Health Policy Provisions

March 25, 2014 — As End of 3-Month SGR Patch Approaches, Hope Fading for Permanent Fix This Month

March 24, 2014 — March Congressional Health Policy Hearings

March 5, 2014 — Obama Administration Proposes FY 2015 Budget with Medicare, Medicaid Savings Provisions

March 4, 2014 — Congressional Health Policy Hearings

February 13, 2014 — Bipartisan/Bicameral SGR Reform Bill Released; Offsets Not Yet Identified

February 13, 2014 — House Panel, GAO Examine Drug Shortages

February 12, 2014 — Congress Approves 1-Year Extension of Medicare Sequestration

January 30, 2014 — Omnibus Government Spending Signed to Fund HHS, Other Departments

January 30, 2014 — Congressional Health Policy Hearings

January 29, 2014 — SGR Reform/IPAB Connection - Will Medicare Physician Fee Schedule Fix Trigger IPAB Provider Cuts?

January 6, 2014 — House Panel to Examine Medicare "Extenders" Policy

December 30, 2013 — President Signs 2-Year Funding Bill with Medicare SGR Patch, Sequestration Extension for Medicare Providers

December 10, 2013 — Drug Distribution Security Legislation Signed into Law

December 10, 2013 — Senate Finance Committee Schedules SGR Markup

December 10, 2013 — Congressional Hearings Examine ACA Insurance Developments and Other Health Policies

December 10, 2013 — HIV Organ Policy Equity, PREEMIE Reauthorization Acts Signed into Law

December 3, 2013 — House Approves "Keep Your Health Plan Act"

November 25, 2013 — Congressional Panels Continue Focus on ACA Insurance Enrollment, Security, and Cost Issues, and Other Health Policy Topics

November 14, 2013 — House Schedules Vote on "Keep Your Health Plan Act"

November 14, 2013 — CBO Offers Deficit Reduction Options

November 14, 2013 — Congressional Hearings Focus on HealthCare.gov Enrollment, Other Policy Issues

November 14, 2013 — Health Policy Bills Advance

November 5, 2013 — Key House and Senate Panels Invite Comments on SGR Reform Plan (Due Nov. 12)

October 30, 2013 — Congressional Hearings Focus on Rocky HealthCare.gov Rollout

October 30, 2013 — Continuing Resolution for FY 2014 Adopted; Budget Panel Could Take Up Medicare Issues

September 17, 2013 — House Approves Bill to Require Verification of ACA Individual Subsidy Eligibility

September 16, 2013 — Upcoming House Hearings on ACA Implementation (Sept. 18 & 19)

September 16, 2013 — Congressional Health Policy Hearings

August 12, 2013 — Ways and Means Committee Releases Draft Medicare Post-Acute Care Reform Legislation

August 6, 2013 — Bill Introduced to Narrow Stark Exception for In-Office Services

July 29, 2013 — House Approves Legislation to Amend ACA to Delay Insurance Mandates

July 29, 2013 — House Panel Approves Bipartisan SGR Reform Bill

July 29, 2013 — Ways and Means Committee Invites Public Comment on Medicare Cost Sharing Proposals

July 29, 2013 — July Health Policy Hearings

July 29, 2013 — HIV Organ Policy Equity Act Advances

July 3, 2013 — House Panel Invites Comments on Draft SGR Reform Legislation

June 27, 2013 — Congressional Committees Seek Input on Post-Acute Care Reforms

June 27, 2013 — Health Policy Hearings

June 11, 2013 — Health Policy Hearings

June 11, 2013 — House Approves ACA Repeal Legislation

June 5, 2013 — House Approves Drug Distribution Security Plan

June 5, 2013 — House SGR Reform Efforts Continue - Hearing Today

May 11, 2013 — Senate Finance Members Seek Physician Input on SGR Reform

May 10, 2013 — Congressional Health Policy Hearings & Markups

April 24, 2013 — Lawmakers Float Draft Drug Distribution Security Plan; Comment Opportunity

April 15, 2013 — April Congressional Health Policy Hearings & Markups

April 11, 2013 — Updated House SGR Reform Proposal

April 10, 2013 — Obama Administration's Proposed FY 2014 Budget Includes $401 Billion in Health Program Savings

March 28, 2013 — President Signs Government Funding Bill Maintaining FY 2013 Medicare Sequestration Cuts

March 28, 2013 — Congressional Health Policy Hearings

March 27, 2013 — Senate HELP Committee Approves Organ Transplant, Animal Drug User Fee Bills

March 13, 2013 — Congress Clears Pandemic and All-Hazards Preparedness Reauthorization Act

March 12, 2013 — Congressional Hearings

March 4, 2013 — Medicare and Sequestration - What Happens Now?

February 18, 2013 — House Panels Invite Comments on Medicare SGR/Physician Fee Schedule Reform

February 18, 2013 — House Approves GME, Pediatric Research, and EMT Bills

February 18, 2013 — February Congressional Health Policy Hearings & Markups

February 18, 2013 — Finance Committee Compilation of Public Recommendations to Address Health Care Fraud and Abuse

February 11, 2013 — House Panel Hearing to Focus on Physician Payment/SGR Reform (Feb. 14)

January 30, 2013 — House Passes Pandemic and All-Hazards Preparedness Reauthorization Act

January 30, 2013 — House Energy and Commerce Committee Approves GME, Pediatric Research, and EMT Bills

January 30, 2013 — Senate HELP Committee Hold Hearings on Mental Health, Primary Care

January 28, 2013 — Reed Smith Analysis of Changes to Medicare Secondary Payer (MSP) Law

January 11, 2013 — New Law Establishes IVIG Demonstration/Makes MSP Policy Revisions

January 4, 2013 — Fiscal Cliff Deal Includes Medicare Cuts and Other Health Policy Changes

December 17, 2012 — December Congressional Hearings and Markups

December 5, 2012 — House Panel Schedules Hearing on Implementation of ACA's Exchanges and Medicaid Expansion (Dec. 13)

November 29, 2012 — GAO Assesses CMS Fraud Prevention System Implementation

November 12, 2012 — November Congressional Health Policy Hearings

October 15, 2012 — Short-Term Government Funding, FDA User Fee & Safe Doses Bills Signed into Law

September 28, 2012 — Congress Clears Short-Term Government Funding Bill