,i #aaeth ,,congress #b;d ,session ,h4 ,r4 #dihg ,,in ,,the ,,house ,,of ,,representatives ,february #h1 #bjah,mr4 ,burgess 7for himself1 ,mr4 ,gene ,green of ,texas1 ,mr4 ,roskam1 and ,mr4 ,levin7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 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 technical amendments to the ,merit-based ,incentive ,payment ,system under ,medicare4 #a4 ,technical amendments to ,public ,law #aad-aj 7a7 ,,mips transition ,section #ahdh of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is amended-- 7#a7 in subsection 7q7-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,b71 by striking items and services and inserting covered professional services 7as defined in subsection 7k77#c77;,a772 and 7ii7 in subparagraph 7,c77iv7-- 7,i7 by amending subclause 7,i7 to read as follows3 7,i7 ,the minimum number 7as determined by the ,secretary7 of-- 7aa7 for performance periods beginning before ,january #a1 #bjah1 individuals enrolled under this part who are treated by the eligible professional for the performance period involved2 and 7bb7 for performance periods beginning on or after ,january #a1 #bjah1 individuals enrolled under this part who are furnished covered professional services 7as defined in subsection 7k77#c77;,a77 by the eligible professional for the performance period involved4 2 7,,ii7 in subclause 7,,ii71 by striking items and services and inserting covered professional services 7as defined in subsection 7k77#c77;,a772 and 7,,iii7 by amending subclause 7,,iii7 to read as follows3 7,,iii7 ,the minimum amount 7as determined by the ,secretary7 of-- 7aa7 for performance periods beginning before ,january #a1 #bjah1 allowed charges billed by such professional under this part for such performance period2 and 7bb7 for performance periods beginning on or after ,january #a1 #bjah1 allowed charges for covered professional services 7as defined in subsection 7k77#c77;,a77 billed by such professional for such performance period4 2 7,b7 in paragraph 7#e77;,d7-- 7i7 in clause 7i77,i71 by inserting subject to clause 7iii71 after clauses 7i7 and 7ii7 of paragraph 7#b77;,a712 and 7ii7 by adding at the end the following new clause3 7iii7 ,transition years ,for each of the second1 third1 fourth1 and fifth years for which the ,,mips applies to payments1 the performance score for the performance category described in paragraph 7#b77;,a77ii7 shall not take into account the improvement of the professional involved4 2 7,c7 in paragraph 7#e77;,e7-- 7i7 in clause 7i77,i77bb7-- 7,i7 in the heading by striking ,first #b years and inserting ,first #e years2 and 7,,ii7 by striking the first and second years and inserting each of the first through fifth years2 and 7ii7 in clause 7i77,,ii77bb7-- 7,i7 in the heading1 by striking #b years and inserting #e years2 and 7,,ii7 by striking the second sentence and inserting the following new sentences3 ,for each of the second1 third1 fourth1 and fifth years for which the ,,mips applies to payments1 not less than #aj percent and not more than #cj percent of such score shall be based on performance with respect to the category described in clause 7ii7 of paragraph 7#b77;,a74 ,nothing in the previous sentence shall be construed1 with respect to a performance period for a year described in the previous sentence1 as preventing the ,secretary from basing #cj percent of such score for such year with respect to the category described in such clause 7ii71 if the ,secretary determines1 based on information posted under subsection 7r77#b77;,i7 that sufficient resource use measures are ready for adoption for use under the performance category under paragraph 7#b77;,a77ii7 for such performance period42 7,d7 in paragraph 7#f77;,d7-- 7i7 in clause 7i71 in the second sentence1 by striking ,such performance threshold and inserting ,subject to clauses 7iii7 and 7iv71 such performance threshold2 7ii7 in clause 7ii7-- 7,i7 in the first sentence1 by inserting 7beginning with #bjai and ending with #bjbd7 after for each year of the ,,mips2 and 7,,ii7 in the second sentence1 by inserting subject to clause 7iii71 after ,for each such year12 7iii7 in clause 7iii7-- 7,i7 in the heading1 by striking #b and inserting #e2 and 7,,ii7 in the first sentence1 by striking two years and inserting five years2 and 7iv7 by adding at the end the following new clause3 7iv7 ,additional special rule for third1 fourth and fifth years of ,,mips ,for purposes of determining ,,mips adjustment factors under subparagraph 7,a71 in addition to the requirements specified in clause 7iii71 the ,secretary shall increase the performance threshold with respect to each of the third1 fourth1 and fifth years to which the ,,mips applies to ensure a gradual and incremental transition to the performance threshold described in clause 7i7 7as estimated by the ,secretary7 with respect to the sixth year to which the ,,mips applies4 2 7,e7 in paragraph 7#f77;,e7-- 7i7 by striking ,in the case of items and services and inserting ,in the case of covered professional services 7as defined in subsection 7k77#c77;,a772 and 7ii7 by striking under this part with respect to such items and services and inserting under this part with respect to such covered professional services2 and 7,f7 in paragraph 7#g71 in the first sentence1 by striking items and services and inserting covered professional services 7as defined in subsection 7k77#c77;,a772 7#b7 in subsection 7r77#b71 by adding at the end the following new subparagraph3 7,i7 ,information ,the ,secretary shall1 not later than ,december #cast of each year 7beginning with #bjah71 post on the ,internet website of the ,centers for ,medicare ,medicaid ,services information on resource use measures in use under subsection 7q71 resource use measures under development and the time-frame for such development1 potential future resource use measure topics1 a description of stakeholder engagement1 and the percent of expenditures under part ,a and this part that are covered by resource use measures4 2 and 7#c7 in subsection 7s77#e77;,b71 by striking section #ahcc7z77#b77;,c7 and inserting section #ahcc7z77#c77;,d74 7b7 ,physician-,focused payment model technical advisory committee provision of initial proposal feedback ,section #ahfh7;c77#b77;,c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;ee7c77#b77;,c77 is amended to read as follows3 7,c7 ,committee review of models submitted ,the ,committee1 on a periodic basis-- 7i7 shall review models submitted under subparagraph 7,b72 7ii7 may provide individuals and stakeholder entities who submitted such models with-- 7,i7 initial feedback on such models regarding the extent to which such models meet the criteria described in subparagraph 7,a72 and 7,,ii7 an explanation of the basis for the feedback provided under subclause 7,i72 and 7iii7 shall prepare comments and recommendations regarding whether such models meet the criteria described in subparagraph 7,a7 and submit such comments and recommendations to the ,secretary4 4