What the bill does
(This measure has not been amended since it was introduced. The expanded summary of the House passed version is repeated here.) Medicare Access and CHIP Reauthorization Act of 2015 TITLE I–SGR REPEAL AND MEDICARE PROVIDER PAYMENT MODERNIZATION (Sec. 101) Amends title XVIII (Medicare) of the Social Security Act (SSAct) to: (1) remove sustainable growth rate (SGR) methodology from the determination of annual conversion factors in the formula for payment for physicians' services, and (2) revise the update in rates for 2015 and subsequent years. Requires two separate conversion factors for each year beginning with 2026, one for items and services furnished by a qualifying alternative payment model (APM) participant (qualifying APM conversion factor), and the other for other items and services (nonqualifying APM conversion factor). Freezes the update to the single conversion factor at 0.0% for January through June 2015. Sets the same update at 0.5% for July1 through December 31, 2015, as well as for 2016 through 2019, then reduces it to 0.00% for 2020 through 2025. Sets the update to the qualifying APM conversion factor at 0.75%, and the update to the nonqualifying APM conversion factor at .0.25%, for 2026 and each subsequent year. Directs the Medicare Payment Advisory Commission (MEDPAC) to report to Congress on the relationship between: (1) physician and other health professional utilization and expenditures (and their rate of increase) of items and services for which Medicare payment is made; and (2) total utilization and expenditures (and their rate of increase) under…
Subjects: Administrative law and regulatory procedures, Administrative remedies, Advisory bodies, Alternative treatments, Border security and unlawful immigration, Child health, Civil actions and liability, Congressional oversight, Correctional facilities and imprisonment, Crime prevention