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Introduced in House	Passed House	Introduced in Senate	Passed Senate	To President	Became Law
11/21/2019

Accountable Care in Rural America Act

Date	Version	PDF	TXT
12/05/2019	Introduced in House	Open
11/21/2019	Introduced in House	Open

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116th CONGRESS
1st Session

H. R. 5212

To amend title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program.

IN THE HOUSE OF REPRESENTATIVES

November 21, 2019

Mr. Arrington (for himself, Ms. DelBene, Mr. Marshall, and Mr. Bera) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

A BILL

To amend title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Short title.

This Act may be cited as the “Accountable Care in Rural America Act”.

SEC. 2. Exclusion of Medicare fee-for-service beneficiaries assigned to an ACO from aspects of other payment models in certain circumstances including determination of regional adjustments.

Section 1899(i)(3) of the Social Security Act (42 U.S.C. 1395jjj(i)(3)) is amended—

(1) in subparagraph (A), by striking “subparagraph (B)” and inserting “subparagraphs (B) and (C)”; and

(2) by adding at the end the following new subparagraph:

“(C) EXCLUSION OF ASSIGNED BENEFICIARIES IN CERTAIN CIRCUMSTANCES INCLUDING DETERMINATION OF REGIONAL ADJUSTMENTS.—For performance periods beginning on or after the date of the enactment of this subparagraph, in determining any shared savings for any ACO under a model described in this paragraph, the Secretary shall—

“(i) remove Medicare fee-for-service beneficiaries who are assigned to that ACO from the methodology for calculating regional expenditures used to establish, update, and adjust the benchmark expenditures; and

“(ii) otherwise ensure that no such ACO is in a less favorable financial position due to differences between the share of Medicare fee-for-service beneficiaries assigned to the ACO of all such beneficiaries in the counties an ACO operates in compared to the share of such beneficiaries assigned to other ACOs.”.

Name	From	Date	Type
Jodey Arrington	R-TX	11/21/2019	Sponsor
W Steube	R-FL	01/28/2020	Cosponsor
David Schweikert	R-AZ	03/10/2020	Cosponsor
Mark Meadows	R-NC	12/18/2019	Cosponsor
Roger Marshall	R-KS	11/21/2019	Cosponsor
Darin LaHood	R-IL	02/07/2020	Cosponsor
Mike Kelly	R-PA	12/18/2019	Cosponsor
Dusty Johnson	R-SD	03/10/2020	Cosponsor
George Holding	R-NC	01/29/2020	Cosponsor
Kevin Hern	R-OK	11/16/2020	Cosponsor
Lance Gooden	R-TX	02/12/2020	Cosponsor
Suzan DelBene	D-WA	11/21/2019	Cosponsor

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Date	Branch	Action
11/22/2019	President	Referred to the Subcommittee on Health.Action By: Committee on Energy and Commerce
11/21/2019	President	Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Action By: House of Representatives
11/21/2019	President	Introduced in HouseAction By: House of Representatives

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Summary
There is one summary for H.R.5212. View summaries Shown Here:Introduced in House (11/21/2019) Accountable Care in Rural America Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to exclude certain components from a methodology used under the Medicare Shared Savings Program. The program enables accountable care organizations (ACOs) to receive payments for savings stemming from care coordination and management. Specifically, the bill requires the CMS to exclude an ACO's assigned Medicare fee-for-service beneficiaries from certain regional adjustments to the ACO's benchmark for savings determinations, and to otherwise ensure that an ACO is not in a less favorable financial position due to its share of assigned beneficiaries in the region.
Shown Here:Introduced in House (11/21/2019) Accountable Care in Rural America Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to exclude certain components from a methodology used under the Medicare Shared Savings Program. The program enables accountable care organizations (ACOs) to receive payments for savings stemming from care coordination and management. Specifically, the bill requires the CMS to exclude an ACO's assigned Medicare fee-for-service beneficiaries from certain regional adjustments to the ACO's benchmark for savings determinations, and to otherwise ensure that an ACO is not in a less favorable financial position due to its share of assigned beneficiaries in the region.

Summary

There is one summary for H.R.5212. View summaries Shown Here:Introduced in House (11/21/2019) Accountable Care in Rural America Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to exclude certain components from a methodology used under the Medicare Shared Savings Program. The program enables accountable care organizations (ACOs) to receive payments for savings stemming from care coordination and management. Specifically, the bill requires the CMS to exclude an ACO's assigned Medicare fee-for-service beneficiaries from certain regional adjustments to the ACO's benchmark for savings determinations, and to otherwise ensure that an ACO is not in a less favorable financial position due to its share of assigned beneficiaries in the region.

Shown Here:Introduced in House (11/21/2019) Accountable Care in Rural America Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to exclude certain components from a methodology used under the Medicare Shared Savings Program. The program enables accountable care organizations (ACOs) to receive payments for savings stemming from care coordination and management. Specifically, the bill requires the CMS to exclude an ACO's assigned Medicare fee-for-service beneficiaries from certain regional adjustments to the ACO's benchmark for savings determinations, and to otherwise ensure that an ACO is not in a less favorable financial position due to its share of assigned beneficiaries in the region.

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H.R.5212

Accountable Care in Rural America Act

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