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US HR1982
US HR1982Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2013
summary
Introduced
05/15/2013
05/15/2013
In Committee
06/03/2013
06/03/2013
Crossed Over
Passed
Dead
01/03/2015
01/03/2015
Introduced Session
113th Congress
Bill Summary
Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to: (1) create an exception to Medicare secondary payer requirements for certain workers' compensation settlement agreements, and (2) provide for the satisfaction of such requirements through use of qualified Medicare set-asides under workers' compensation settlement agreements.
AI Summary
This bill, the Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2013, aims to modify how Medicare's ability to recover payments interacts with workers' compensation settlements. It introduces exceptions to Medicare's right to be reimbursed (known as Medicare Secondary Payer rules) for certain workers' compensation settlement agreements. Specifically, if a settlement is for $25,000 or less, or if the injured worker is unlikely to be eligible for Medicare benefits within 30 months, or if there are no future medical expenses covered by workers' compensation, Medicare's secondary payer rules may not apply. The bill also allows for these Medicare secondary payer requirements to be satisfied through the use of "qualified Medicare set-asides" (QMSAs) within workers' compensation settlements. A QMSA is a portion of the settlement set aside to cover future medical expenses that Medicare would otherwise pay for, and the bill outlines specific criteria for what constitutes a qualified set-aside, including considerations for the injury, claimant's age, and the workers' compensation fee schedule. This aims to provide clarity and potentially reduce the burden on claimants and payers when resolving workers' compensation claims that involve potential Medicare beneficiaries.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (15)
David Reichert (R)*,
Bruce Braley (D),
Vern Buchanan (R),
Jim Gerlach (R),
Tim Griffin (R),
Brett Guthrie (R),
John Larson (D),
David Loebsack (D),
Patrick Murphy (D),
Richard Neal (D),
Peter Roskam (R),
Aaron Schock (R),
Mike Thompson (D),
Patrick Tiberi (R),
Todd Young (R),
Last Action
Referred to the Subcommittee on Health. (on 06/03/2013)
Official Document
bill text
bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.congress.gov/bill/113th-congress/house-bill/1982/all-info | 05/16/2013 |
| BillText | http://gpo.gov/fdsys/pkg/BILLS-113hr1982ih/pdf/BILLS-113hr1982ih.pdf | 05/23/2013 |
| Bill | http://gpo.gov/fdsys/pkg/BILLS-113hr1982ih/pdf/BILLS-113hr1982ih.pdf.pdf | 05/23/2013 |
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