,,ii #aacth ,,congress #b;d ,session ,s4 #behf ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #aj1 #bjad ,mr4 ,kirk 7for himself and ,mr4 ,rubio7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to establish a smart card pilot program under the ,medicare program4 #a4 ,short title ,this ,act may be cited as the ,medicare ,common ,access ,card ,act of #bjad4 #b4 ,secure ,medicare card pilot program 7a7 ,pilot program implementation 7,phase ,i7 7#a7 ,in general ,not later than #ah months after the date of the enactment of this ,act1 the ,secretary shall conduct a pilot program under title ,,xviii of the ,social ,security ,act for the purpose of utilizing smart card technology for ,medicare beneficiary and provider identification cards in order to-- 7,a7 increase the quality of care furnished to ,medicare beneficiaries2 7,b7 improve the accuracy and efficiency in the billing for ,medicare items and services furnished by ,medicare providers2 7,c7 reduce the potential for identity theft and other unlawful use of ,medicare beneficiary and provider identifying information2 and 7,d7 reduce waste1 fraud1 and abuse in the ,medicare program4 7#b7 ,site requirements ,the ,secretary shall conduct the pilot program in at least #e geographic areas in which the ,secretary determines there is a high risk for waste1 fraud1 or abuse4 7#c7 ,design of pilot program ,in designing the pilot program1 the ,secretary shall provide for the following3 7,a7 ,implementation of a system that utilizes a smart card as a ,medicare identification card for ,medicare beneficiaries and ,medicare providers4 ,such a card shall contain appropriate security features and protect personal privacy4 7,b7 ,issuance of a new smart card to all ,medicare beneficiaries participating in the pilot program4 ,such card shall not have the ,social ,security number printed on the front but1 instead shall have such number stored securely on the smart card chip along with other information the ,secretary deems necessary4 7,c7 ,issuance of a new provider card to all ,medicare providers participating in the pilot program4 ,such card shall include a photograph of the provider and shall not have the ,medicare provider number printed on the front of the card but1 instead shall have such number stored securely on the smart card chip along with other information the ,secretary deems necessary4 7,d7 ,a process for enrollment of all ,medicare providers that includes-- 7i7 identity and certification verification2 and 7ii7 utilization of biometric data1 such as fingerprints1 for provider identification and authentication4 7,e7 ,a process under which the cards issued under subparagraphs 7,b7 and 7,c7 are used by both ,medicare beneficiaries and ,medicare providers to verify eligibility1 prevent fraud1 and authorize transactions4 7,f7 ,distribution of necessary equipment1 including cards1 card readers1 kiosks1 biometric readers1 and other materials or documents to ,medicare beneficiaries and providers at no cost to them4 7,g7 ,regular monitoring and review by the ,secretary of ,medicare providers' ,medicare billings and ,medicare beneficiaries' ,medicare records in order to identify and address inaccurate charges and instances of waste1 fraud1 or abuse4 7,h7 ,reporting mechanisms for measuring the cost savings to the ,medicare program by reason of the pilot program4 7,i7 ,include provisions-- 7i7 to ensure that all devices and systems utilized as part of the pilot program comply with standards for identity credentials and biometric data developed by the ,american ,national ,standards ,institute and the ,national ,institute of ,standards and ,technology and ,federal requirements relating to interoperability and information security1 including all requirements under the ,health ,insurance ,portability and ,accountability ,act of #aiif2 7ii7 to ensure that a ,medicare beneficiary's and provider's personal identifying1 health1 and other information is protected from unauthorized access or disclosure through the use of at least two-factor authentication2 7iii7 for the development of procedures and guidelines for the use of identification cards1 card readers1 kiosks1 biometric data and readers1 and other equipment to verify a ,medicare beneficiary's identity and eligibility for services2 7iv7 to ensure that each ,medicare beneficiary and provider participating in the pilot program is informed of-- 7,i7 the purpose of the program2 7,,ii7 the processes for capturing1 enrolling1 and verifying their eligibility and1 with respect to providers1 their biometric data2 7,,iii7 the manner in which the biometric data for providers will be used2 and 7,,iv7 the steps that will be taken to protect personal identifying1 health1 and other information from unauthorized access and disclosure2 7v7 for addressing problems related to the loss1 theft1 or malfunction of or damage to equipment and any identifying documents or materials provided by the ,secretary2 7vi7 for development of a hotline1 ,web site1 or other means by which ,medicare beneficiaries and providers can contact the ,secretary for assistance2 and 7vii7 for addressing problems related to accessing care outside the pilot area and cases where the individual faces issues related to physical or other capacity limitations4 7#d7 ,privacy ,information on the smart card shall only be disclosed if the disclosure of such information is permitted under the ,federal regulations 7concerning the privacy of individually identifiable health information7 promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif4 7#e7 ,disclosure exemption ,information on the smart card shall be exempt from disclosure under section #eeb7;b77#c7 of title #e1 ,united ,states ,code4 7b7 ,expanded implementation 7,phase ,,ii7 ,taking into account the interim report under subsection 7d77#b7 the ,secretary shall1 through rulemaking1 expand the duration and the scope of the pilot program1 to the extent determined appropriate by the ,secretary4 7c7 ,waiver authority ,the ,secretary may waive such provisions of titles ,,xi and ,,xviii of the ,social ,security ,act as the ,secretary determines to be appropriate for the conduct of the pilot program4 7d7 ,reports to ,congress 7#a7 ,plan ,not later than #f months after the date of the enactment of this ,act1 the ,secretary shall submit to ,congress a report that contains a description of the design and development of the pilot program1 including the ,secretary's plan for implementation4 7#b7 ,interim report ,not later than #a year after the pilot program is first implemented1 the ,secretary shall conduct an evaluation of the pilot program and submit an interim report to ,congress4 ,such an evaluation shall include an initial analysis of the deployment of the program1 the usability of the card system1 and the measures taken to protect beneficiary and provider information4 7#c7 ,additional report ,not later than #b years after the date that the pilot program is first implemented1 the ,secretary shall submit to ,congress a report on the pilot program4 ,such report shall contain a detailed description of issues related to the expansion of the program under subsection 7b7 and recommendations for such legislation and administrative actions as the ,secretary considers appropriate for implementation of the program on a nationwide basis4 7e7 ,funding ,there are appropriated1 from amounts in the ,treasury not otherwise appropriated1 #bi1jjj1jjj for the design1 implementation1 and evaluation of the pilot program4 ,amounts appropriated under the preceding sentence shall remain available until expended4 7f7 ,definitions ,in this section3 7#a7 ,medicare beneficiary ,the term ,medicare beneficiary means an individual entitled to1 or enrolled for1 benefits under part ,a of title ,,xviii of the ,social ,security ,act or enrolled for benefits under part ,b of such title4 7#b7 ,medicare program ,the term ,medicare program means the health benefits program under title ,,xviii of the ,social ,security ,act4 7#c7 ,medicare provider ,the term ,medicare provider means a provider of services 7as defined in subsection 7u7 of section #ahfa of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex77 and a supplier 7as defined in subsection 7d7 of such section71 including a supplier of durable medical equipment and supplies4 7#d7 ,pilot program ,the term pilot program means the pilot program conducted under this section4 7#e7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7#f7 ,smart card ,the term smart card means a secure1 electronic1 machine readable1 fraud-resistant1 tamper-resistant card that includes an embedded integrated circuit chip with a secure micro-controller4 #c4 ,revision of funding for the ,center for ,medicare and ,medicaid ,innovation ,section #aaae;,a7f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7f77 is amended-- 7#a7 ,in paragraph 7#a7-- 7,a7 in subparagraph 7,b71 by striking and at the end2 7,b7 by redesignating subparagraph 7,c7 as subparagraph 7,d72 7,c7 by inserting after subparagraph 7,b7 the following new subparagraph3 7,c7 #h1ijj1jjj1jjj for the activities initiated under this section for the period of fiscal years #bjbj through #bjbi2 and 2 and 7,d7 in subparagraph 7,d71 as redesignated by subparagraph 7,b7 of this paragraph1 by striking #bjbj and inserting #bjcj2 and 7#b7 in paragraph 7#b71 by striking and 7,c7 and inserting 1 7,c71 and 7,d74