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H.R. 1375

To amend title XVIII of the Social Security Act to reduce the maximum financial risk permitted for physicians participating in Medicare+Choice plans and encourage payment for quality.

Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act with regard to limitations on physician incentive plans. Prohibits any Medicare+Choice organization from operating a physician incentive plan in a manner that places a physician or physician group at a financial risk exceeding specified percentages of the maximum payments possible, including those for services furnished directly, as well as certain additional payments based on use and costs of referral services.

Sponsor introductory remarks on measure. (CR E1159-1160)

Rep. Stark, Fortney Pete [D-CA-13](D-CA)Sponsor
2committees9actions12subjects
  1. IntroReferralB00100

    Sponsor introductory remarks on measure. (CR E1159-1160)

  2. CommitteeH11000

    Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

    Health and Environment Subcommittee
  3. CommitteeH11000

    Referred to the Subcommittee on Health.

    Health Subcommittee
  4. IntroReferralH11100

    Referred to the Committee on Ways and Means, and in addition to the Committee on 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.

    Energy and Commerce Committee
  5. IntroReferralH11100-A

    Referred to the Committee on Ways and Means, and in addition to the Committee on 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.

  6. IntroReferralH11100

    Referred to the Committee on Ways and Means, and in addition to the Committee on 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.

    Ways and Means Committee
  7. IntroReferralB00100

    Sponsor introductory remarks on measure. (CR E604)

  8. IntroReferralIntro-H

    Introduced in House

  9. IntroReferral1000

    Introduced in House