summary
Introduced
04/28/2020
04/28/2020
In Committee
04/28/2020
04/28/2020
Crossed Over
Passed
Dead
12/31/2020
12/31/2020
Introduced Session
116th Congress
Bill Summary
To amend title XVIII of the Social Security Act to provide coverage for COVID-19 at no cost sharing under the medicare advantage program, and for other purposes. This bill requires Medicare Advantage (MA) plans to cover specified treatment services relating to COVID-19 (i.e., coronavirus disease 2019) without cost-sharing during the public health emergency declared on January 31, 2020. The CMS must reimburse MA plans for cost-sharing amounts that would otherwise have been received, in accordance with a specified timeline. MA plans are also prohibited from instituting prior authorization or other utilization management requirements with respect to coverage of specified critical treatment services (e.g., ventilator services and intensive care unit services).
AI Summary
This bill requires Medicare Advantage (MA) plans to cover specified COVID-19 treatment services without any cost-sharing, such as deductibles, copayments, or coinsurance, during the ongoing public health emergency. The Centers for Medicare & Medicaid Services (CMS) must reimburse the MA plans for the cost-sharing amounts that would have otherwise been required from patients. Additionally, the MA plans are prohibited from imposing prior authorization or other utilization management requirements on critical COVID-19 treatment services like ventilator and intensive care unit services. The bill provides the necessary funding and timeline for CMS to make these reimbursement payments to the MA plans.
Committee Categories
Budget and Finance
Sponsors (12)
Debbie Mucarsel-Powell (D)*,
Cindy Axne (D),
Gil Cisneros (D),
Steve Cohen (D),
Jahana Hayes (D),
Sheila Jackson-Lee (D),
Derek Kilmer (D),
Ron Kind (D),
Gwen Moore (D),
Joe Morelle (D),
Bonnie Watson Coleman (D),
Frederica Wilson (D),
Last Action
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. (on 04/28/2020)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/116th-congress/house-bill/6640/all-info |
| BillText | https://www.congress.gov/116/bills/hr6640/BILLS-116hr6640ih.pdf |
| Bill | https://www.congress.gov/116/bills/hr6640/BILLS-116hr6640ih.pdf.pdf |
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