,,ii #aagth ,,congress #b;d ,session ,s4 #djfg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #g1 #bjbb,mr4 ,booker 7for himself1 ,mr4 ,brown1 and ,mr4 ,padilla7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xi of the ,social ,security ,act to improve access to care for all ,medicare and ,medicaid beneficiaries through models tested under the ,center for ,medicare and ,medicaid ,innovation1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,john ,lewis ,equality in ,medicare and ,medicaid ,treatment ,act of #bjbb4 #b4 ,improving access to care for ,medicare and ,medicaid beneficiaries ,section #aaae;,a of the ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#a71 by inserting advance health equity and before improve the coordination2 and 7,b7 in paragraph 7#c7-- 7i7 by inserting 7including the ,office of ,minority ,health of the ,centers for ,medicare ,medicaid ,services1 the ,office of ,rural ,health ,policy of the ,health ,resources and ,services ,administration1 and the ,office on ,women's ,health of the ,department of ,health and ,human ,services7 after relevant ,federal agencies2 and 7ii7 by striking experts with expertise in medicine and inserting experts with expertise in medicine1 the causes of health disparities and the social determinants of health1 and2 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#b7-- 7i7 in subparagraph 7,a7-- 7,i7 by inserting the following after the first sentence3 ,prior to selecting a model under this paragraph1 the ,secretary shall consult with the ,office of ,minority ,health of the ,centers for ,medicare ,medicaid ,services1 the ,office of ,rural ,health ,policy of the ,health ,resources and ,services ,administration1 and the ,office on ,women's ,health of the ,department of ,health and ,human ,services to ensure that models under consideration address health disparities and social determinants of health as appropriate for populations to be cared for under the model42 7,,ii7 by inserting and1 for models for which testing begins on or after ,january #a1 #bjbc1 address health equity as well as improving access to care received by individuals receiving benefits under such title after applicable title2 and 7,,iii7 by adding at the end the following3 ,the models selected under this subparagraph shall include the social determinants of health payment model described in subsection 7h71 the testing of which shall begin not later than ,december #ca1 #bjbc42 and 7ii7 in subparagraph 7,c71 by adding at the end the following new clauses3 7ix7 ,whether the model will affect access to care from providers and suppliers caring for high risk patients or operating in underserved areas4 7x7 ,whether the model has the potential to reduce health disparities1 including minority and rural health disparities4 2 7,b7 in paragraph 7#c77;,b7-- 7i7 in clause 7i71 by inserting or health equity after quality of care2 7ii7 in clause 7ii71 by inserting or increasing health inequities after quality of care2 and 7iii7 in clause 7iii71 by inserting or health equity after quality of care2 and 7,c7 in paragraph 7#d77;,a7-- 7i7 in clause 7i71 by striking 2 and and inserting a semicolon2 7ii7 in clause 7ii71 by striking the period and inserting 2 and2 and 7iii7 by adding at the end the following new clause3 7iii7 for models for which testing begins on or after ,january #a1 #bjbc1 the extent to which the model improves health equity4 2 7#c7 in subsection 7c7-- 7,a7 in paragraph 7#a7-- 7i7 in subparagraph 7,a71 by inserting or1 beginning on or after ,january #a1 #bjbc1 increasing health inequities before the semicolon2 and 7ii7 in subparagraph 7,b71 by inserting or1 beginning on or after ,january #a1 #bjbc1 health equity after patient care2 and 7,b7 in paragraph 7#c71 by inserting or increase health disparities experienced by beneficiaries1 including low-income1 minority1 or rural beneficiaries1 or that such expansion would improve health equity before the period2 7#d7 in subsection 7g71 by adding at the end the following3 ,for reports submitted after the date of enactment of the ,john ,lewis ,equality in ,medicare and ,medicaid ,treatment ,act of #bjbb1 each such report shall include information on the following3 7#a7 ,the interventions that address social determinants of health1 health disparities1 or health equity in payment models selected by the ,,cmi for testing under this section4 7#b7 ,estimated ,federal savings achieved through reducing disparities1 including rural and minority health disparities1 improving health equity1 or addressing social determinants of health4 7#c7 ,the effectiveness of interventions in mitigating negative health outcomes and higher costs associated with social determinants of health within models selected by the ,center for ,medicare and ,medicaid ,innovation for testing4 7#d7 ,other areas determined appropriate by the ,secretary4 2 and 7#e7 by adding at the end the following new subsection3 7h7 ,social determinants of health payment model 7#a7 ,in general ,the social determinants of health payment model described in this subsection is a payment model that tests each of the payment and service delivery innovations described in paragraph 7#b7 in a region determined appropriate by the ,secretary4 7#b7 ,payment and service delivery innovations described ,for purposes of paragraph 7#a71 the payment and service delivery innovations described in this clause are the following3 7,a7 ,payment and service delivery innovations for behavioral health services1 focusing on gathering actionable data to address the higher costs associated with beneficiaries with diagnosed behavioral conditions4 7,b7 ,payment and service delivery innovations targeting conditions or comorbidities of individuals entitled or enrolled under the ,medicare program under title ,,xviii and enrolled under a ,state plan under the ,medicaid program under title ,,xix to increase capacity in underserved areas4 7,c7 ,payment and service delivery innovations targeting conditions or comorbidities of applicable individuals to increase capacity in underserved areas4 7,d7 ,payment and service delivery innovations targeted on ,medicaid eligible pregnant and postpartum women1 up to one year after delivery4 4