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Code · BILL · 113th Congress · S. 1871 (Placed on Calendar Senate) — To amend title XVIII of the Social Security Act to repeal the Medicare sustainable growth rate formula and to improve... · Sec. 106

Sec. 106. Empowering beneficiary choices through access to information on physicians’ services

898 words·~4 min read·/bill/113/s/1871/pcs/section-106

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Section 10331 of Public Law 111–148 is transferred and redesignated as subsection
(t)of section 1848 of the Social Security Act ( 42 U.S.C. 1395w–4 ), as amended by subsections
(c)and
(h)of section 101 and by section 102. Section 1848(t) of the Social Security Act ( 42 U.S.C. 1395w–4(t) ), as transferred and redesignated by paragraph (1), is further amended— by striking the subsection heading and inserting the following new subsection heading: ; Public reporting of performance and other information on Physician Compare by redesignating subsections
(a)through
(i)as paragraphs
(1)through (9), respectively, and indenting appropriately; in paragraph (1), as redesignated by subparagraph (B)— by redesignating paragraphs
(1)and
(2)as subparagraphs
(A)and (B), respectively, and indenting appropriately; in subparagraph (B), as redesignated by clause (i), by redesignating subparagraphs
(A)through
(G)as clauses
(i)through (vii), respectively, and indenting appropriately; in paragraph (2), as redesignated by subparagraph (B), by redesignating paragraphs
(1)through
(7)as subparagraphs
(A)through (G), respectively, and indenting appropriately; and in paragraph (9), as redesignated by subparagraph (B), by redesignating paragraphs
(1)through
(4)as subparagraphs
(A)through (D), respectively, and indenting appropriately. Section 1848(t) of the Social Security Act ( 42 U.S.C. 1395w–4(t) ), as amended by paragraph (2), is further amended— in paragraph (1)— in subparagraph (A)— by striking the Medicare program under section 1866(j) of the Social Security Act ( and inserting 42 U.S.C. 1395cc(j) ) the program under this title under section 1866(j) ; and by striking of such Act ( ; and 42 U.S.C. 1395w–4 ) in subparagraph (B), in the matter preceding clause (i)— by striking subsection
(c)and inserting paragraph
(3); by striking the Medicare program under such section 1866(j) and inserting the program under this title under section 1866(j) ; and by striking this section and inserting this subsection ; in paragraph (2)— in the matter preceding subparagraph (A), by striking subsection (a)(2) and inserting paragraph (1)(B) ; in subparagraph (D), by striking the Medicare program and inserting the program under this title ; and in each of subparagraphs
(F)and (G), by striking this section and inserting this subsection ; in paragraph (3), by striking this section and inserting this subsection ; in paragraph (4)— by striking of the Social Security Act, as added by section 3014 of this Act ; and by striking this section and inserting this subsection ; in paragraph (5)— by striking this subsection (a)(2) and inserting paragraph (1)(B) ; and by striking ( ; Public Law 110–275 ) in paragraph (6), by striking subsection (a)(1) and inserting paragraph (1)(A) ; in paragraph (7)— by striking subsection
(f)and inserting paragraph
(6); and by striking title XVIII of the Social Security Act and inserting this title ; in paragraph (8)— by striking subparagraphs
(A)through
(G)of subsection (a)(2) and inserting clauses
(i)through
(vii)of paragraph (1)(B) ; by striking title XVIII of the Social Security Act and inserting this title ; and by striking such title and inserting this title ; and in paragraph (9)— in the matter preceding subparagraph (8), by striking this section and inserting this subsection ; in subparagraph (A), by striking of the Social Security Act ( ; 42 U.S.C. 1395w–4 ) in subparagraph (B), by striking of such Act ( ; 42 U.S.C. 1395x(r) ) in subparagraph (C), by striking subsection (a)(1) and inserting paragraph (1)(A) ; and by striking subparagraph (D). Section 1848(t) of the Social Security Act ( 42 U.S.C. 1395w–4(t) ), as amended by subsection (a), is further amended— by redesignating paragraph
(9)as paragraph (10); by inserting after paragraph
(8)the following new paragraph: The Secretary shall make publicly available on Physician Compare the information described in subparagraph
(B)with respect to eligible professionals. The following information, with respect to an eligible professional, is described in this subparagraph: Information on the number of services furnished by the eligible professional, which may include information on the most frequent services furnished or groupings of services. Information on submitted charges and payments for services under this part. A unique identifier for the eligible professional that is available to the public, such as a national provider identifier. The information made available under this paragraph shall be searchable by at least the following: The specialty or type of the eligible professional. Characteristics of the services furnished, such as volume or groupings of services. The location of the eligible professional. The information made available under this paragraph shall indicate, where appropriate, that publicized information may not be representative of the eligible professional’s entire patient population, the variety of services furnished by the eligible professional, or the health conditions of individuals treated. Physician Compare shall include the information described in subparagraph (B)— with respect to physicians, by not later than July 1, 2015; and with respect to other eligible professionals, by not later than July 1, 2016. The information made available under this paragraph shall be updated on Physician Compare not less frequently than on an annual basis. The Secretary shall provide for an opportunity for an eligible professional to review, and submit corrections for, the information to be made public with respect to the eligible professional under this paragraph prior to such information being made public. ; and in paragraph (10)(C), as redesignated by paragraph (1), by inserting (or a successor website) before the period at the end.
Connectionstraces to 2
4 references not yet in our index
  • Pub. L. 111-148
  • 42 USC 1395w–4
  • 42 USC 1395w–4(t)
  • Pub. L. 110-275
Citation graph
cites case law
Sec. 106
Empowering beneficiary choices through access to information on physicians’ services
U.S.C.§ 1395cc
U.S.C.§ 1395x
Pub. L.Pub. L. 111-148
Cite42 USC 1395w–4
Cite42 USC 1395w–4(t)
Pub. L.Pub. L. 110-275
Cites 6Cited by 0 across 0 sources
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