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Code · BILL · 117th Congress · S. 4486 (Introduced in Senate) — To improve the health of minority individuals, and for other purposes. · Sec. 4303

Sec. 4303. Development and testing of disparity reducing delivery and payment models

276 words·~1 min read·/bill/117/s/4486/is/section-4303·

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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 nonmedical services that address socially determined barriers to health in all stages of the life cycle through end-of-life, including English proficiency status, low health and health care literacy, lack of access to health care planning, including end-of-life care planning, 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.
The second sentence of section 1115A(a)(1) of the Social Security Act ( 42 U.S.C. 1315a(a)(1) ) is amended by inserting and improve health equity after expenditures . 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. 4303
Development and testing of disparity reducing delivery and payment models
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