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H.R. 373: Fairness for Medical Providers Act of 2019


The text of the bill below is as of Jan 9, 2019 (Introduced).


I

116th CONGRESS

1st Session

H. R. 373

IN THE HOUSE OF REPRESENTATIVES

January 9, 2019

introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

A BILL

To amend title XVIII of the Social Security Act to provide for certain administrative or judicial review respecting the identification of primary care practitioners under part B of the Medicare program.

1.

Short title

This Act may be cited as the Fairness for Medical Providers Act of 2019.

2.

Providing for certain administrative or judicial review respecting the identification of primary care practitioners under part B of the Medicare program

(a)

In general

Section 1833(x)(4) of the Social Security Act (42 U.S.C. 1395l(x)(4)) is amended to read as follows:

(4)

Limitation on review

(A)

In general

Subject to subparagraph (B), there shall be no administrative or judicial review under section 1869, 1878, or otherwise, respecting the identification of primary care practitioners under this subsection.

(B)

Exception

Subparagraph (A) shall not apply in the case of administrative or judicial review under section 1869, 1878, or otherwise, of the issue of whether the Secretary (or an entity contracting with the Secretary) failed to identify an individual described in clause (i) of paragraph (2)(A) as a primary care practitioner by reason of coding error with respect to items and services furnished by such individual during an applicable prior period (as described in clause (ii) of such paragraph).

.

(b)

Effective date

The amendment made by subsection (a) shall apply as if included in the enactment of the Patient Protection and Affordable Care Act (Public Law 111–148).