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H.R. 373

Fairness for Medical Providers Act of 2019

Fairness for Medical Providers Act of 2019

This bill allows administrative or judicial review of certain decisions by the Centers for Medicare & Medicaid Services (CMS) relating to the Medicare Primary Care Incentive Payment Program. (The program authorized additional payments to certain primary-care practitioners who provided primary-care services on or after January 1, 2011, and before January 1, 2016.)

Current law prohibits administrative or judicial review of CMS decisions regarding the eligibility of primary-care practitioners to receive incentive payments under the program. The bill authorizes review of such decisions in cases where the practitioner failed to meet eligibility criteria due to a coding error for provided items and services.

Referred to the Subcommittee on Worker and Family Support.

Rep. Brownley, Julia [D-CA-26](D-CA)Sponsor
2committees6actions4subjects
  1. Committee

    Referred to the Subcommittee on Worker and Family Support.

    Work and Welfare Subcommittee
  2. Committee

    Referred to the Subcommittee on Health.

    Health Subcommittee
  3. IntroReferralH11100

    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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
  4. IntroReferralH11100

    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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. IntroReferralIntro-H

    Introduced in House

  6. IntroReferral1000

    Introduced in House

Fairness for Medical Providers Act of 2019 — Informed