To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program.
Impact
The modifications under HB 6366 are expected to have significant implications for both healthcare providers and patients. By extending the payment guarantees for physicians and revising the timeline for clinical lab test reimbursements, the bill addresses concerns regarding potential disruptions in service continuity and physician availability. This adjustment is crucial for rural and underserved areas where providers may face challenges due to financial constraints. However, the bill's impact could vary by region, as factors like local healthcare demands and existing Medicare rates play a role.
Summary
House Bill 6366 seeks to amend Title XVIII of the Social Security Act, specifically targeting the mechanics of physician payments under the Medicare program. The bill proposes to extend the floor for the work geographic index, pushing the deadline from 2024 to 2025. This extension is intended to provide better financial stability for physicians by adjusting how geographic factors are calculated in relation to their reimbursements. Furthermore, the legislation also aims to revise the phase-in timeline for changes related to clinical laboratory test payment adjustments. The adjustments proposed would push certain deadlines back, affording more time for stakeholders to adapt to the new payment schemes.
Contention
Potential points of contention surrounding HB 6366 include the debate over the necessity of the proposed changes. Supporters might argue that the revisions are critical for ensuring physician participation in Medicare, especially in areas where payment disparities exist. Opponents, however, could raise concerns about the long-term stability of the Medicare program and the implications for funding adequacy. Issues may also arise regarding the administrative burden on clinical laboratories to comply with the revised reporting/reporting periods and how these changes could affect overall service costs and healthcare access.
To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models under the Medicare program.
To amend title XVIII of the Social Security Act to extend eligibility for certain payment increases for biosimilar biological products under the Medicare program.
To amend title XIX of the Social Security Act to allow for the deferral or disallowance of portions of payments for certain managed care violations under Medicaid.
To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology.
A bill to amend title XVIII of the Social Security Act to provide for payment for services of radiologist assistants under the Medicare program, and for other purposes.