Table Of Contents of the INDEX

 

Account
Sec 1166. -- Limitation Of Waiver Authority For Employer Group Plans.
(b) EFFECTIVE DATE.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1166. (b)
Automated Concept:

ACCOUNT evaluation under subsection ;   2012 Secretary implementing necessary improvements to risk adjustment system under section 1853(a)(1)(c) of Social Security Act 42 USC 1395-23(a)(1)(c), taking into

Index of Sec 1166. ...

Beneficiary data
Sec 1166. -- Limitation Of Waiver Authority For Employer Group Plans.
(a) IN GENERAL.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1166. (a)
Automated Concept:

BENEFICIARY data ;   Need and feasibility of including further gradations of diseases or conditions and multiple years of

Index of Sec 1166. ...

Chronic or co-morbid conditions
Sec 1166. -- Limitation Of Waiver Authority For Employer Group Plans.
(a) IN GENERAL.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1166. (a)
Automated Concept:

INCOME beneficiaries ;   Secretary of Health and Human Services submitting to Congress report evaluating adequacy of risk adjustment system under section 1853(a)(1)(c) of Social Security Act 42 USC 1395-23(a)(1)(c) in predicting costs for beneficiaries with chronic or co-morbid conditions, beneficiaries dually-eligible for Medicare and Medicaid and non-Medicaid eligible low-

Index of Sec 1166. ...

Feasibility: need and
Sec 1166. -- Limitation Of Waiver Authority For Employer Group Plans.
(a) IN GENERAL.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1166. (a)
Automated Concept:

BENEFICIARY data ;   Need and feasibility of including further gradations of diseases or conditions and multiple years of

Index of Sec 1166. ...

Income
Sec 1166. -- Limitation Of Waiver Authority For Employer Group Plans.
(a) IN GENERAL.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1166. (a)
Automated Concept:

INCOME beneficiaries ;   Secretary of Health and Human Services submitting to Congress report evaluating adequacy of risk adjustment system under section 1853(a)(1)(c) of Social Security Act 42 USC 1395-23(a)(1)(c) in predicting costs for beneficiaries with chronic or co-morbid conditions, beneficiaries dually-eligible for Medicare and Medicaid and non-Medicaid eligible low-

Index of Sec 1166. ...

Payments
Sec 1166. -- Limitation Of Waiver Authority For Employer Group Plans.
SEC 1166. -- LIMITATION OF WAIVER AUTHORITY FOR EMPLOYER GROUP PLANS.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1166.
Automated Concept:

PAYMENTS ;   Sec 1166 improving Risk adjustment for

Index of Sec 1166. ...

Risk adjustment system
Sec 1166. -- Limitation Of Waiver Authority For Employer Group Plans.
(b) EFFECTIVE DATE.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1166. (b)
Automated Concept:

ACCOUNT evaluation under subsection ;   2012 Secretary implementing necessary improvements to risk adjustment system under section 1853(a)(1)(c) of Social Security Act 42 USC 1395-23(a)(1)(c), taking into

Index of Sec 1166. ...

Risk adjustment system: adequacy of
Sec 1166. -- Limitation Of Waiver Authority For Employer Group Plans.
(a) IN GENERAL.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1166. (a)
Automated Concept:

INCOME beneficiaries ;   Secretary of Health and Human Services submitting to Congress report evaluating adequacy of risk adjustment system under section 1853(a)(1)(c) of Social Security Act 42 USC 1395-23(a)(1)(c) in predicting costs for beneficiaries with chronic or co-morbid conditions, beneficiaries dually-eligible for Medicare and Medicaid and non-Medicaid eligible low-

Index of Sec 1166. ...


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111th CONGRESS
1st Session


    To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.


IN THE HOUSE OF REPRESENTATIVES

July 14, 2009

    Mr. Dingell (for himself, Mr. Rangel, Mr. Waxman, Mr. George Miller of California, Mr. Stark, Mr. Pallone, and Mr. Andrews) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, 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

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SEC. 1166. Improving risk adjustment for payments.

(a) Report to Congress.—Not later than 1 year after the date of the enactment of this Act, the Secretary of Health and Human Services shall submit to Congress a report that evaluates the adequacy of the risk adjustment system under section 1853(a)(1)(C) of the Social Security Act (42 U.S.C. 1395–23(a)(1)(C)) in predicting costs for beneficiaries with chronic or co-morbid conditions, beneficiaries dually-eligible for Medicare and Medicaid, and non-Medicaid eligible low-income beneficiaries; and the need and feasibility of including further gradations of diseases or conditions and multiple years of beneficiary data.

(b) Improvements to Risk Adjustment.—Not later than January 1, 2012, the Secretary shall implement necessary improvements to the risk adjustment system under section 1853(a)(1)(C) of the Social Security Act (42 U.S.C. 1395–23(a)(1)(C)), taking into account the evaluation under subsection (a).


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