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Strengthening Medicare and Medicaid Innovation: New Rules for Care Model Testing

This act modifies how new payment and service delivery models are tested within Medicare and Medicaid programs. The goal is to enhance oversight of experiments, protect patients and providers from negative impacts, and increase transparency and public involvement in decision-making. Citizens can expect more carefully considered and safer healthcare innovations.
Key points
Limits on the duration and number of participants in initial phases of new healthcare model testing, aiming to protect patients and providers from unforeseen issues.
Introduction of a hardship waiver for providers if model requirements cause undue financial burden or loss of access to care for vulnerable populations.
Increased Congressional oversight over model expansion and mandatory public input and expert consultation before changes are implemented, giving citizens more say in healthcare design.
Enhanced monitoring of models' impact on health disparities and quality of care, with a focus on patient outcomes and safety.
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Additional Information
Print number: 118_HR_6732
Sponsor: Rep. Smith, Adrian [R-NE-3]
Process start date: 2023-12-12