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Medicare Patient Empowerment Act of 2019

USA116th CongressS-2812| Senate 
| Updated: 11/7/2019
Rand Paul

Rand Paul

Republican Senator

Kentucky

Cosponsors (1)
Lisa Murkowski (Republican)

Finance Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Medicare Patient Empowerment Act of 2019 This bill allows any Medicare beneficiary to enter into a contract with an eligible professional, regardless of whether the professional is a participating or non-participating physician or practitioner, for any item or service covered by Medicare. Such beneficiaries may submit a claim for Medicare payment in the amount that would otherwise apply, except that, where the professional is considered to be non-participating, payment shall be paid as if the professional were participating. An eligible professional is a physician, physician assistant, nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, certified nurse-midwife, clinical social worker, clinical psychologist, registered dietitian or nutrition professional, physical or occupational therapist, qualified speech-language pathologist, or qualified audiologist. A Medicare beneficiary must agree in writing in such a contract to (1) pay the eligible professional for a Medicare-covered item or service; and (2) submit, in lieu of the eligible professional, a claim for Medicare payment. However, a beneficiary may negotiate, as a term of the contract, for the eligible professional to file such claims on the beneficiary's behalf. The bill preempts state laws from limiting the amount of charges for physician and practitioner services for which Medicare payment is made.
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Timeline
Nov 7, 2019
Introduced in Senate
Nov 7, 2019
Read twice and referred to the Committee on Finance.
  • November 7, 2019
    Introduced in Senate


  • November 7, 2019
    Read twice and referred to the Committee on Finance.

Health

Contracts and agencyFederal preemptionHealth care costs and insuranceHealth care coverage and accessHealth personnelMedicareState and local government operations

Medicare Patient Empowerment Act of 2019

USA116th CongressS-2812| Senate 
| Updated: 11/7/2019
Medicare Patient Empowerment Act of 2019 This bill allows any Medicare beneficiary to enter into a contract with an eligible professional, regardless of whether the professional is a participating or non-participating physician or practitioner, for any item or service covered by Medicare. Such beneficiaries may submit a claim for Medicare payment in the amount that would otherwise apply, except that, where the professional is considered to be non-participating, payment shall be paid as if the professional were participating. An eligible professional is a physician, physician assistant, nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, certified nurse-midwife, clinical social worker, clinical psychologist, registered dietitian or nutrition professional, physical or occupational therapist, qualified speech-language pathologist, or qualified audiologist. A Medicare beneficiary must agree in writing in such a contract to (1) pay the eligible professional for a Medicare-covered item or service; and (2) submit, in lieu of the eligible professional, a claim for Medicare payment. However, a beneficiary may negotiate, as a term of the contract, for the eligible professional to file such claims on the beneficiary's behalf. The bill preempts state laws from limiting the amount of charges for physician and practitioner services for which Medicare payment is made.
View Full Text

Suggested Questions

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

Timeline
Nov 7, 2019
Introduced in Senate
Nov 7, 2019
Read twice and referred to the Committee on Finance.
  • November 7, 2019
    Introduced in Senate


  • November 7, 2019
    Read twice and referred to the Committee on Finance.
Rand Paul

Rand Paul

Republican Senator

Kentucky

Cosponsors (1)
Lisa Murkowski (Republican)

Finance Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Contracts and agencyFederal preemptionHealth care costs and insuranceHealth care coverage and accessHealth personnelMedicareState and local government operations