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Code · BILL · 113th Congress · S. 1980 (Introduced in Senate) — To amend titles XIX and XXI of the Social Security Act to provide for 12-month continuous enrollment under the Medica... · Sec. 6

Sec. 6. Measuring and reporting on comparable health care quality measures for all persons enrolled in Medicaid

351 words·~2 min read·/bill/113/s/1980/is/section-6

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Section 1932(c)(1) of the Social Security Act ( 42 U.S.C. 1396u–2(c)(1) ) is amended in subparagraph (A), by inserting after 1903(m) the following: or comparable primary care case management services providers described in section 1905(t) as well as health care services furnished in fee-for-service settings . Title XI of the Social Security Act ( 42 U.S.C. 1301 et seq. ), as amended by section 2701 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), is amended at section 1139B (42 U.S.C. 1320b–9b)— by adding after (b)(3) the following: Beginning January 1, 2016, the Secretary shall require States to use the measures and approaches identified in paragraph
(3)of this subsection to report on the initial core set of quality measures for Medicaid eligible adults identified in paragraph (2), subject to revisions made by (5)(B) of this subsection. ; by redesignating subsection (b)(4) as (b)(5) and (b)(5) as (b)(6); in subsection (d)(1)(B) inserting after Section 1937 of this title the following: or comparable primary care case management services providers described in section 1905(t) as well as health care services furnished in fee-for-service settings ; and in subsection (d)(2) by inserting after
(1)the following: including analysis of comparable quality measures for Medicaid eligible adults who receive their health services through managed care, primary care case management, and fee-for-service settings . Title XI of the Social Security Act, is amended at section 1139A(a) (42 U.S.C. 1320b–9a(a)) by— inserting after paragraph
(4)as if it were included upon enactment: Not later than five years after the date of enactment of the Medicaid Continuous Quality Act of 2012, States shall use the procedures and approaches identified in paragraph
(4)to report information on the initial core measurement set regarding the quality of pediatric health care under titles XIX and XXI. ; redesignating paragraphs (5), (6),
(7)and
(8)as (6), (7),
(8)and (9), respectively; and in subsection (c)(1)(B), inserting after section 2103 of such Act the following: or comparable primary care case management services providers described in section 1905(t) as well as health care services furnished in fee-for-service settings .
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  • 42 USC 1396u–2(c)(1)
  • Pub. L. 111-148
  • 42 USC 1320b–9b
  • 42 USC 1320b–9a(a)
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Sec. 6
Measuring and reporting on comparable health care quality measures for all persons enrolled in Medicaid
Cite42 USC 1396u–2(c)(1)
Pub. L.Pub. L. 111-148
Cite42 USC 1320b–9b
Cite42 USC 1320b–9a(a)
Cites 5Cited by 0 across 0 sources
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