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Code · BILL · 114th Congress · H.R. 5273 (Engrossed in House) — To amend title XVIII of the Social Security Act to provide for regulatory relief under the Medicare program for certa... · Sec. 301

Sec. 301. Delay in authority to terminate contracts for Medicare Advantage plans failing to achieve minimum quality ratings

189 words·~1 min read·/bill/114/hr/5273/eh/section-301·

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Consistent with the studies provided under the IMPACT Act of 2014 ( Public Law 113–185 ), it is the intent of Congress— to continue to study and request input on the effects of socioeconomic status and dual-eligible populations on the Medicare Advantage STARS rating system before reforming such system with the input of stakeholders; and pending the results of such studies and input, to provide for a temporary delay in authority of the Centers for Medicare & Medicaid Services
(CMS)to terminate Medicare Advantage plan contracts solely on the basis of performance of plans under the STARS rating system. Section 1857(h) of the Social Security Act ( 42 U.S.C. 1395w–27(h) ) is amended by adding at the end the following new paragraph: During the period beginning on the date of the enactment of this paragraph and through the end of plan year 2018, the Secretary may not terminate a contract under this section with respect to the offering of an MA plan by a Medicare Advantage organization solely because the MA plan has failed to achieve a minimum quality rating under the 5-star rating system under section 1853(o)(4). .
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  • 42 USC 1395w–27(h)
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Sec. 301
Delay in authority to terminate contracts for Medicare Advantage plans failing to achieve minimum quality ratings
Cite42 USC 1395w–27(h)
Cites 2Cited by 0 across 0 sources
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