Medicaid Physician Self-Referral Act of 2015
Bill journey · stage 2 of 5
Under committee review
What it doesSummary introduced in house (Feb 25, 2015)
Medicaid Physician Self-Referral Act of 2015
Amends title XIX (Medicaid) of the Social Security Act (SSAct) with respect to physician self-referral limitations to repeal the prohibition against payment of federal funds to a state for medical assistance expenditures for a designated health service furnished to an individual on the basis of a referral (self-referral) that would result in denial of payment under SSAct title XVIII (Medicare).
Requires a state plan for medical assistance to prohibit payment for a Medicaid designated health service furnished to an individual on the basis of a physician's referral if the physician (or an immediate family member) has an ownership or investment interest or a compensation arrangement with the entity furnishing the service that would not comply with Medicare requirements.
Requires application of certain reporting requirements and sanctions to a provider of a Medicaid designated health service the same way they apply under Medicare.
Amends SSAct title XVIII to: (1) apply the False Claims Act to violations of the self-referral prohibition, and (2) declare the authority of the Secretary of Health and Human Services to issue regulations under Medicaid limited to the application of self-referral limitations to state plan requirements.
Directs the Secretary to establish a protocol consistent with the Medicare self-referral disclosure protocol required under the Patient Protection and Affordable Care Act that enables health care providers to disclose an actual or potential violation of Medicare self-referral limitations as applied to Medicaid.
What just happenedMar 27, 2015
Referred to the Subcommittee on Health.
Who’s behind it
- Introduced in HouseFeb 25, 2015
- Mar 27, 2015Committee
Referred to the Subcommittee on Health.
Health Subcommittee - Feb 27, 2015Committee
Referred to the Subcommittee on Health.
Health Subcommittee - Feb 25, 2015IntroReferralH11100
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 - Feb 25, 2015IntroReferralH11100-A
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.
- Feb 25, 2015IntroReferralH11100
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 - Feb 25, 2015IntroReferralB00100
Sponsor introductory remarks on measure. (CR E251)
- Feb 25, 2015IntroReferralIntro-H
Introduced in House
- Feb 25, 2015IntroReferral1000
Introduced in House