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S. 972 (113th): Cutting Costly Codes Act of 2013

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The text of the bill below is as of May 16, 2013 (Introduced). The bill was not enacted into law.

Summary of this bill

The Cutting Costly Codes Act would prevent the Department of Health and Human Services (HHS) from changing the version of the International Classification of Diseases (ICD) system that is used by the American medical industry from version 9 to the newer version 10.

Congressman Ted Poe [R-TX2] and Senator Thomas Coburn [R-OK] sponsored identical bills in both houses, citing the growing costs and administrative duties placed on physicians as an impediment to a healthy medical industry. Sen. Coburn stated that while health care providers struggle to navigate the murky waters of health care reform, HHS should halt the implementation of ICD-10.

The bill also calls for the Government Accountability Office …

II

113th CONGRESS

1st Session

S. 972

IN THE SENATE OF THE UNITED STATES

May 16, 2013

(for himself, Mr. Barrasso, Mr. Boozman, and Mr. Paul) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To prohibit the Secretary of Health and Human Services replacing ICD–9 with ICD–10 in implementing the HIPAA code set standards.

1.

Short title

This Act may be cited as the Cutting Costly Codes Act of 2013 .

2.

Prohibiting replacement of ICD–9 with ICD–10 in implementing HIPAA code set standards

(a)

In general

The Secretary of Health and Human Services may not implement, administer, or enforce the regulations issued on January 16, 2009 (74 Fed. Reg. 3328), the regulation issued on September 5, 2012 (77 Fed. Reg. 54664), or any similar regulation, insofar as any such regulation provides for the replacement of ICD–9 with ICD–10 as a standard for code sets under section 1173(c) of the Social Security Act ( 42 U.S.C. 1320d–2(c) ) and section 162.1002 of title 45, Code of Federal Regulations.

(b)

GAO report on ICD–9 replacement

(1)

Study

The Comptroller General of the United States, in consultation with stakeholders in the medical community, shall conduct a study to identify steps that can be taken to mitigate the disruption on health care providers resulting from a replacement of ICD–9 as such a standard.

(2)

Report

Not later than 6 months after the date of the enactment of this Act, the Comptroller General shall submit to each House of Congress a report on such study. Such report shall include such recommendations respecting such replacement and such legislative and administrative steps as may be appropriate to mitigate the disruption resulting from such replacement as the Comptroller General determines appropriate.