Us Congress 2025-2026 Regular Session

Us Congress House Bill HB2533 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	I
2	2	119THCONGRESS
3	3	1
4	4	STSESSION H. R. 2533
5	5	To amend title XI of the Social Security Act to require the Center for
6	6	Medicare and Medicaid Innovation to test a model to improve access
7	7	to specialty health services for certain Medicare and Medicaid bene-
8	8	ficiaries.
9	9	IN THE HOUSE OF REPRESENTATIVES
10	10	APRIL1, 2025
11	11	Mr. A
12	12	RRINGTON(for himself, Ms. SALINAS, and Mr. LAHOOD) introduced the
13	13	following bill; which was referred to the Committee on Energy and Com-
14	14	merce, and in addition to the Committee on Ways and Means, for a pe-
15	15	riod to be subsequently determined by the Speaker, in each case for con-
16	16	sideration of such provisions as fall within the jurisdiction of the com-
17	17	mittee concerned
18	18	A BILL
19	19	To amend title XI of the Social Security Act to require
20	20	the Center for Medicare and Medicaid Innovation to test
21	21	a model to improve access to specialty health services
22	22	for certain Medicare and Medicaid beneficiaries.
23	23	Be it enacted by the Senate and House of Representa-1
24	24	tives of the United States of America in Congress assembled, 2
25	25	SECTION 1. SHORT TITLE. 3
26	26	This Act may be cited as the ‘‘Ensuring Access to 4
27	27	Specialty care Everywhere Act of 2025’’ or the ‘‘EASE 5
28	28	Act of 2025’’. 6
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31	31	•HR 2533 IH
32	32	SEC. 2. REQUIRING THE CENTER FOR MEDICARE AND MED-1
33	33	ICAID INNOVATION TO TEST A MODEL TO IM-2
34	34	PROVE ACCESS TO SPECIALTY HEALTH SERV-3
35	35	ICES FOR CERTAIN MEDICARE AND MED-4
36	36	ICAID BENEFICIARIES. 5
37	37	(a) I
38	38	NGENERAL.—Section 1115A of the Social Secu-6
39	39	rity Act (42 U.S.C. 1315a) is amended— 7
40	40	(1) in subsection (b)(2)— 8
41	41	(A) in subparagraph (A), in the third sen-9
42	42	tence, by inserting ‘‘, and shall include the 10
43	43	model described in subparagraph (B)(xxviii)’’ 11
44	44	before the period at the end; and 12
45	45	(B) in subparagraph (B), by adding at the 13
46	46	end the following new clause: 14
47	47	‘‘(xxviii) The Specialty Health Care 15
48	48	Services Access Model described in sub-16
49	49	section (h).’’; and 17
50	50	(2) by adding at the end the following new sub-18
51	51	section: 19
52	52	‘‘(h) S
53	53	PECIALTYHEALTHCARESERVICESACCESS 20
54	54	M
55	55	ODEL.— 21
56	56	‘‘(1) I
57	57	N GENERAL.—For purposes of subsection 22
58	58	(b)(2)(B)(xxviii), the Specialty Health Care Services 23
59	59	Access Model described in this subsection is a model 24
60	60	under which the Secretary enters into an agreement 25
61	61	with one or more provider networks selected in ac-26
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64	64	•HR 2533 IH
65	65	cordance with paragraph (2) for purposes of fur-1
66	66	nishing specialty health care services (as specified by 2
67	67	the Secretary) to eligible individuals through the use 3
68	68	of digital modalities (such as telehealth and other re-4
69	69	mote technologies) in coordination with such individ-5
70	70	uals’ primary care providers. 6
71	71	‘‘(2) S
72	72	ELECTION OF PROVIDER NETWORKS .— 7
73	73	The Secretary shall select one or more networks of 8
74	74	providers for purposes of furnishing services under 9
75	75	the model described in paragraph (1). Any such net-10
76	76	work so selected shall— 11
77	77	‘‘(A) be comprised of at least 50 Federally 12
78	78	qualified health centers, rural health clinics, 13
79	79	critical access hospitals, or rural emergency 14
80	80	hospitals, at least half of which are located in 15
81	81	rural areas (as defined by the Administrator of 16
82	82	the Health Resources and Services Administra-17
83	83	tion); 18
84	84	‘‘(B) be a nonprofit entity under section 19
85	85	501(c)(3) of the Internal Revenue Code of 20
86	86	1986; 21
87	87	‘‘(C) have an established record of sup-22
88	88	porting the delivery of health care in rural and 23
89	89	underserved communities in multiple regions 24
90	90	throughout the country; and 25
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93	93	•HR 2533 IH
94	94	‘‘(D) have the ability to collect, exchange, 1
95	95	and evaluate data for purposes of the model de-2
96	96	scribed in paragraph (1). 3
97	97	‘‘(3) E
98	98	LIGIBLE INDIVIDUAL DEFINED .—For 4
99	99	purposes of this subsection, the term ‘eligible indi-5
100	100	vidual’ means an individual— 6
101	101	‘‘(A) who— 7
102	102	‘‘(i) is entitled to benefits under part 8
103	103	A of title XVIII or enrolled under part B 9
104	104	of such title; or 10
105	105	‘‘(ii) is enrolled under the Medicaid 11
106	106	program under title XIX or the Children’s 12
107	107	Health Insurance Program under title XXI 13
108	108	and meets all components for eligibility for 14
109	109	medical assistance, child health assistance, 15
110	110	or pregnancy-related assistance (as appli-16
111	111	cable), including those described in sec-17
112	112	tions 1902(a)(46)(B) and 1137(d); and 18
113	113	‘‘(B) who is located in a rural or under-19
114	114	served area (as specified by the Secretary).’’. 20
115	115	(b) L
116	116	IMITATION.—Any amounts appropriated or allo-21
117	117	cated to carry out the amendments made by this section 22
118	118	shall be subject to the requirements contained in Public 23
119	119	Law 117–328 for funds for programs authorized under 24
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122	122	•HR 2533 IH
123	123	sections 330 through 340 of the Public Health Service Act 1
124	124	(42 U.S.C. 254b through 256). 2
125	125	Æ
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