1. Short title
This Act may be cited as the “Chronic Care Management Improvement Act”.
Chronic Care Management Improvement Act
A BILL
To amend title XVIII of the Social Security Act to remove cost-sharing responsibilities for chronic care management services under the Medicare program.
2. Removing cost-sharing responsibilities for chronic care management services under part B of the Medicare program
in subsection (a)(1), by striking subparagraph (Z) and inserting the following: “(Z) with respect to chronic care management services (as described in section 1848(b)(8)) furnished on or after January 1, 2021, the amount paid shall be an amount equal to 100 percent of the lesser of the actual charge for such services or the amount determined under section 1848,”; and
in subsection (b)—
in paragraph (9), by striking “and” at the end; and
in paragraph (10), by striking the period at the end and inserting the following: “, and (11) such deductible shall not apply with respect to chronic care management services (as described in section 1848(b)(8)) furnished on or after January 1, 2021.”.
Technical amendments—
in paragraph (3)—
in subparagraph (A)—
by striking “subparagraph (B)” and inserting “subparagraphs (B), (C), and (D)”; and
by striking “or” at the end; and
by adding at the end the following new subparagraphs:
“(C) with respect to Federally qualified health center services (other than such services that are described in clause (i) or (ii) of subparagraph (D)) furnished on or after the implementation date of the prospective payment system under section 1834(o) for which payment is made under such section, the amounts paid shall be 80 percent of the lesser of the actual charge or the amount determined under such section; and
“(D) with respect to Federally qualified health center services and rural health clinic services that are—
“(i) personalized prevention plan services (as described in paragraph (1)(X)) or preventive services (as described in paragraph (1)(Y)) furnished on or after January 1, 2011; or
“(ii) chronic care management services (as described in paragraph (1)(Z)) furnished on or after January 1, 2021;”
by striking the matter following paragraph (9).
in paragraph (1)(A), by inserting “(other than such services described in clause (i) or (ii) of section 1833(a)(3)(D))” after “Federally qualified health center services”; and
in paragraph (2)—
in subparagraph (A), by inserting “(other than such services described in clause (i) or (ii) of section 1833(a)(3)(D))” after “services”; and
in subparagraph (B)(i)—
by inserting “(other than such services described in clause (i) or (ii) of section 1833(a)(3)(D))” after “Federally qualified health center services”; and
by striking “section 1833(a)(1)(Z)” and inserting “subparagraphs (C) and (D) of section 1833(a)(3)”.