Legis Daily

REAL Health Providers Act

USA118th CongressS-3059| Senate 
| Updated: 10/17/2023
Michael F. Bennet

Michael F. Bennet

Democratic Senator

Colorado

Cosponsors (2)
Thomas Tillis (Republican)Ron Wyden (Democratic)

Finance Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Requiring Enhanced & Accurate Lists of Health Providers Act or the REAL Health Providers Act This bill requires Medicare Advantage (MA) organizations to maintain directories of in-network providers and continually ensure their accuracy. Specifically, MA organizations must publish on their websites an accurate directory of in-network providers and regularly update these directories. The bill additionally specifies that if a provider is listed as in-network in this directory when a beneficiary selects and makes an appointment with the provider, but the provider is not actually in-network, the beneficiary is still only responsible for paying in-network cost-sharing requirements. MA organizations must annually evaluate and report on the accuracy of their directories; the Centers for Medicare & Medicaid Services and MA organizations must publish this information on their websites. The bill provides funds for these purposes. The Government Accountability Office must report on the bill's implementation.
View Full Text

Suggested Questions

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

Timeline
Oct 17, 2023
Introduced in Senate
Oct 17, 2023
Read twice and referred to the Committee on Finance.
  • October 17, 2023
    Introduced in Senate


  • October 17, 2023
    Read twice and referred to the Committee on Finance.

Health

Related Bills

  • HR 118-7708: To amend title XVIII of the Social Security Act to require MA organizations offering network-based plans to maintain an accurate provider directory, and for other purposes.
  • S 118-3430: Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023

REAL Health Providers Act

USA118th CongressS-3059| Senate 
| Updated: 10/17/2023
Requiring Enhanced & Accurate Lists of Health Providers Act or the REAL Health Providers Act This bill requires Medicare Advantage (MA) organizations to maintain directories of in-network providers and continually ensure their accuracy. Specifically, MA organizations must publish on their websites an accurate directory of in-network providers and regularly update these directories. The bill additionally specifies that if a provider is listed as in-network in this directory when a beneficiary selects and makes an appointment with the provider, but the provider is not actually in-network, the beneficiary is still only responsible for paying in-network cost-sharing requirements. MA organizations must annually evaluate and report on the accuracy of their directories; the Centers for Medicare & Medicaid Services and MA organizations must publish this information on their websites. The bill provides funds for these purposes. The Government Accountability Office must report on the bill's implementation.
View Full Text

Suggested Questions

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

Timeline
Oct 17, 2023
Introduced in Senate
Oct 17, 2023
Read twice and referred to the Committee on Finance.
  • October 17, 2023
    Introduced in Senate


  • October 17, 2023
    Read twice and referred to the Committee on Finance.
Michael F. Bennet

Michael F. Bennet

Democratic Senator

Colorado

Cosponsors (2)
Thomas Tillis (Republican)Ron Wyden (Democratic)

Finance Committee

Health

Related Bills

  • HR 118-7708: To amend title XVIII of the Social Security Act to require MA organizations offering network-based plans to maintain an accurate provider directory, and for other purposes.
  • S 118-3430: Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted