H.R. 574: Medicare Physician Payment Innovation Act of 2013

Feb 06, 2013
Referred to Committee
0% chance of being enacted
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Allyson Schwartz
Representative for Pennsylvania's 13th congressional district
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Last Updated
Feb 06, 2013
24 pages
Related Bills
H.R. 5707 (112th) was a previous version of this bill.

Referred to Committee
Last Action: May 09, 2012


This bill was assigned to a congressional committee on February 6, 2013, which will consider it before possibly sending it on to the House or Senate as a whole.

Introduced Feb 06, 2013
Referred to Committee Feb 06, 2013
Reported by Committee ...
Passed House ...
Passed Senate ...
Signed by the President ...

1% chance of getting past committee.
0% chance of being enacted.

Only 11% of bills made it past committee and only about 3% were enacted in 2011–2013. [show factors | methodology]

Full Title

To amend part B of title XVIII of the Social Security Act to reform Medicare payment for physicians' services by eliminating the sustainable growth rate system and providing incentives for the adoption of innovative payment and delivery models to improve quality and efficiency.


No summaries available.

40 cosponsors (38D, 2R) (show)

House Energy and Commerce


House Ways and Means


The committee chair determines whether a bill will move past the committee stage.

Primary Source

THOMAS.gov (The Library of Congress)

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H.R. stands for House of Representatives bill.

A bill must be passed by both the House and Senate in identical form and then be signed by the president to become law.

The bill’s title was written by its sponsor.

GovTrack’s Bill Summary

We don’t have a summary available yet.

Library of Congress Summary

The summary below was written by the Congressional Research Service, which is a nonpartisan division of the Library of Congress.

Medicare Physician Payment Innovation Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to revise requirements for payments for physician's services to eliminate the sustainable growth rate system from the formula for determination of the fee schedules for such services.
Sets at 0.0 the 2014 update to the single conversion factor in such formula.
Establishes updates for separate primary care and other service categories beginning January 1, 2015, as well as separate conversion factors and separate updates through 2018 for each service category.
Directs the Secretary, through the Center for Medicare and Medicaid Innovation, to: (1) expand testing of each innovative payment and service delivery model in at least three geographic regions; and (2) include analysis of average implementation costs, per physician, in evaluations of models in phase 1 testing.
Specifies as such a model, subject to testing, payment for outpatient therapy services and speech language pathology services on the basis of a treatment session, an episode of care, or other bundled payment methodology as a model to be tested during phase 1 testing.
Directs the Comptroller General to study the evaluations of each model tested.
Directs the Secretary to release to the public a comprehensive list of such health care delivery models identified as likely to: (1) reduce spending without reducing quality of care, or (2) improve the quality of patient care without increasing spending.
Requires the Secretary to inform physicians, nurse practitioners, group practices, and institutions employing Medicare part B (Supplementary Medical Insurance) providers on how best to transition to alternative health care delivery and payment models aimed at improving the coordination, quality, and efficiency of health care.
Freezes the physician fee schedule for 2019 by requiring 0.0 updates to the relevant conversion factors.
Directs the Secretary to:
(1) contract and agree with regional extension centers to provide guidance and assistance on how physicians may transition to implementation of alternative health care delivery models identified as represernting best practices; and
(2) make certain funding available to the Office of the National Coordinator for Health Care Technology to award grants and incentive payments under a competitive process to regional extension centers and other qualified entities for such activities.
Requires the Office to: (1) establish a process for the competitive selection of regional extension centers (and other qualified entities) in the third quarter of 2015, and (2) authorize the initial distribution of funds to such centers and entities.
Prescribes updates to conversion factors for 2020-2023, but freezes them again beginning in 2024.
Requires the Secretary to consider certain factors in determining the growth rates to be recognized beginning with 2020 for alternative payment and delivery models.
Directs the Secretary to report to Congress on the impact on spending and on access to services under Medicare resulting from changes to the Medicare delivery and payments systems, including those made by this Act.

House Republican Conference Summary

The summary below was written by the House Republican Conference, which is the caucus of Republicans in the House of Representatives.

No summary available.

House Democratic Caucus Summary

The House Democratic Caucus does not provide summaries of bills.

So, yes, we display the House Republican Conference’s summaries when available even if we do not have a Democratic summary available. That’s because we feel it is better to give you as much information as possible, even if we cannot provide every viewpoint.

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