Sec. 4001. Limiting Federal Medicaid reimbursement to States for durable medical equipment (DME) to Medicare payment rates
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/bill/114/hr/6/rh/section-4001A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1903(i) of the Social Security Act ( 42 U.S.C. 1396b(i) ) is amended— in paragraph (25), by striking or at the end; in paragraph (26), by striking the period at the end and inserting ; or ; and by inserting after paragraph
(26)the following new paragraph: with respect to any amounts expended by the State on the basis of a fee schedule for items described in section 1861(n), as determined in the aggregate with respect to each class of such items as defined by the Secretary, in excess of the aggregate amount, if any, that would be paid for such items within such class on a fee-for-service basis under the program under part B of title XVIII, including, as applicable, under a competitive acquisition program under section 1847 in an area of the State. . The amendments made by this subsection shall be effective with respect to payments for items furnished on or after January 1, 2020. Section 1808(c) of the Social Security Act ( 42 U.S.C. 1395b(c) ), as amended by section 3101, is further amended by adding at the end the following new paragraph: The ombudsmen under each of paragraphs
(1)and
(4)shall evaluate the impact of the competitive acquisition program under section 1847, including as applied under section 1903(i)(27), on beneficiary health status and health outcomes. .
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Sec. 4001
Limiting Federal Medicaid reimbursement to States for durable medical equipment (DME) to Medicare payment rates
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