Legis Daily

A bill to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes.

USA115th CongressS-2065| Senate 
| Updated: 11/2/2017
Todd Young

Todd Young

Republican Senator

Indiana

Cosponsors (9)
Dean Heller (Republican)Jeanne Shaheen (Democratic)Bill Cassidy (Republican)Cindy Hyde-Smith (Republican)Roger F. Wicker (Republican)Bill Nelson (Democratic)Martin Heinrich (Democratic)Michael F. Bennet (Democratic)Cory Gardner (Republican)

Finance Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Dialysis Patient Access to Integrated-care, Empowerment, Nephrologists, Treatment, and Services Demonstration Act of 2017 or the Dialysis PATIENTS Demonstration Act of 2017 This bill establishes a demonstration program for the provision of integrated care to Medicare beneficiaries with end-stage renal disease (ESRD). Under the voluntary program, eligible participating providers may form organizations to offer ESRD integrated care models and serve as medical homes for program-eligible beneficiaries. Such a model: (1) shall cover medical and hospital services, other than hospice care, under Medicare; (2) must include benefits for transition into transplantation, palliative care, or hospice; and (3) may cover prescription drug benefits. An organization must offer at least one open network model but may also offer one or more preferred network models. An organization shall return savings achieved under the models to program-eligible beneficiaries. A beneficiary shall have the opportunity to: (1) opt out of the program, (2) make an assignment change into an open network model offered by a different organization, or (3) elect a preferred network model. The bill establishes requirements regarding: (1) benefits for program-eligible beneficiaries who are also eligible for Medicaid benefits, (2) program quality and reporting, (2) ESRD integrated care strategy, (3) program operation and scope, (4) beneficiary notification, and (5) payment. The Medicare Payment Advisory Commission must, before 2025, submit to Congress an interim report on the program.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Oct 27, 2017

Latest Companion Bill Action

HR 115-4143
Referred to the Subcommittee on Health.
Nov 2, 2017
Introduced in Senate
Nov 2, 2017
Read twice and referred to the Committee on Finance.
  • October 27, 2017

    Latest Companion Bill Action

    HR 115-4143
    Referred to the Subcommittee on Health.


  • November 2, 2017
    Introduced in Senate


  • November 2, 2017
    Read twice and referred to the Committee on Finance.

Health

Related Bills

  • HR 115-4143: To establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes.
Digestive and metabolic diseasesGovernment information and archivesHealth care costs and insuranceHealth care coverage and accessHealth care qualityHealth information and medical recordsHealth promotion and preventive careHospital careMedicaidMedicareOrgan and tissue donation and transplantationPrescription drugs

A bill to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes.

USA115th CongressS-2065| Senate 
| Updated: 11/2/2017
Dialysis Patient Access to Integrated-care, Empowerment, Nephrologists, Treatment, and Services Demonstration Act of 2017 or the Dialysis PATIENTS Demonstration Act of 2017 This bill establishes a demonstration program for the provision of integrated care to Medicare beneficiaries with end-stage renal disease (ESRD). Under the voluntary program, eligible participating providers may form organizations to offer ESRD integrated care models and serve as medical homes for program-eligible beneficiaries. Such a model: (1) shall cover medical and hospital services, other than hospice care, under Medicare; (2) must include benefits for transition into transplantation, palliative care, or hospice; and (3) may cover prescription drug benefits. An organization must offer at least one open network model but may also offer one or more preferred network models. An organization shall return savings achieved under the models to program-eligible beneficiaries. A beneficiary shall have the opportunity to: (1) opt out of the program, (2) make an assignment change into an open network model offered by a different organization, or (3) elect a preferred network model. The bill establishes requirements regarding: (1) benefits for program-eligible beneficiaries who are also eligible for Medicaid benefits, (2) program quality and reporting, (2) ESRD integrated care strategy, (3) program operation and scope, (4) beneficiary notification, and (5) payment. The Medicare Payment Advisory Commission must, before 2025, submit to Congress an interim report on the program.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Oct 27, 2017

Latest Companion Bill Action

HR 115-4143
Referred to the Subcommittee on Health.
Nov 2, 2017
Introduced in Senate
Nov 2, 2017
Read twice and referred to the Committee on Finance.
  • October 27, 2017

    Latest Companion Bill Action

    HR 115-4143
    Referred to the Subcommittee on Health.


  • November 2, 2017
    Introduced in Senate


  • November 2, 2017
    Read twice and referred to the Committee on Finance.
Todd Young

Todd Young

Republican Senator

Indiana

Cosponsors (9)
Dean Heller (Republican)Jeanne Shaheen (Democratic)Bill Cassidy (Republican)Cindy Hyde-Smith (Republican)Roger F. Wicker (Republican)Bill Nelson (Democratic)Martin Heinrich (Democratic)Michael F. Bennet (Democratic)Cory Gardner (Republican)

Finance Committee

Health

Related Bills

  • HR 115-4143: To establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes.
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Digestive and metabolic diseasesGovernment information and archivesHealth care costs and insuranceHealth care coverage and accessHealth care qualityHealth information and medical recordsHealth promotion and preventive careHospital careMedicaidMedicareOrgan and tissue donation and transplantationPrescription drugs