Sec. 443. Development and testing of disparity reducing delivery and payment models
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The Center for Medicare and Medicaid Innovation established under section 1115A of the Social Security Act ( 42 U.S.C. 1315a ) (in this section referred to as the CMI ) shall establish a dedicated fund to identify, test, evaluate, and scale delivery and payment models under the applicable titles (as defined in subsection (a)(4)(B) of such section) that target health disparities among racial and ethnic minorities, including models that support high-value non-medical services that address socially determined barriers to health, including English proficiency status, low health literacy, case management, transportation, enrollment assistance needs, stable and affordable housing, utility assistance, employment and career development, and nutrition and food security which will help to reduce disparities and impact the overall cost of care.
Section 1115A(a)(1) of the Social Security Act ( 42 U.S.C. 1315a(a)(1) ) is amended as follows: The purpose of the CMI is to test innovative payment and service delivery models to reduce program expenditures and improve health equity under the applicable titles while preserving or enhancing the quality of care furnished to individuals under such titles. . The CMI shall prioritize the testing of models under such section 1115A that include partnerships with entities, including community-based organizations or other nonprofit entities, to help address socially determined barriers to health and health care.
Any model tested by the CMI under such 1115A shall include measures to assess and track the impact of the model on health disparities, using existing measures such as the Healthcare Disparities and Cultural Competency Measures endorsed by the entity with a contract under section 1890(a) of the Social Security Act ( 42 U.S.C. 1395aaa(a) ), and stratified by race, ethnicity, English proficiency, gender identity, sexual orientation, and disability status.
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Sec. 443
Development and testing of disparity reducing delivery and payment models
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