,,ib ,union ,calendar ,no4 #fgb #aahth ,,congress #b;d ,session ,h4 ,r4 #cbhd ,report ,no4 #aah-gfe1 ,parts ,i and ,,ii ,,in ,,the ,,house ,,of ,,representatives ,may #ae1 #bjbc,mr4 ,burgess 7for himself1 ,mrs4 ,dingell1 ,mr4 ,ferguson1 and ,mr4 ,bilirakis7 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 ,november #bb1 #bjbd,reported from the ,committee on ,energy and ,commerce with an amendment,strike out all after the enacting clause and insert the part printed in italic ,november #bb1 #bjbd,referral to the ,committee on ,ways and ,means extended for a period ending not later than ,december #ai1 #bjbd ,december #e1 #bjbd;,additional sponsor3 ,ms4 ,lee of ,nevada ,december #e1 #bjbd,reported from the ,committee on ,ways and ,means with an amendment1 committed to the ,committee of the ,whole ,house on the ,state of the ,union1 and ordered to be printed,strike out all after the enacting clause and insert the part printed in boldface roman,for text of introduced bill1 see copy of bill as introduced on ,may #ae1 #bjbc ,a ,,bill ,to require the ,secretary of ,health and ,human ,services to submit an annual report on the impact of certain ,medicare regulations on provider and payer consolidation4 #a4 ,short title ,this ,act may be cited as the ,providers and ,payers ,,compete ,act4 #b4 ,annual report on the impact of certain ,medicare regulations on provider and payer consolidation2 public comment on provider and payer consolidation for certain proposed rules 7a7 ,annual report ,not later than ,december #ca1 #bjbf1 and annually thereafter1 the ,secretary of ,health and ,human ,services 7in this section referred to as the ,secretary7 shall submit to ,congress a report on the impact in the aggregate on provider and payer consolidation with respect to regulations and rules for parts ,a1 ,b1 ,c1 and ,d of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq47 implemented in the calendar year immediately prior to such report4 ,such report shall include regulations and rules that-- 7#a7 implement a change to an applicable payment system1 a rate schedule1 or another payment system under parts ,a1 ,b1 ,c1 or ,d of such title2 or 7#b7 result in a significant rule effecting provider or payer consolidation4 7b7 ,public comment on impact to provider and payer consolidation ,beginning for #bjbe1 as part of any notice and comment rulemaking process that could result in a significant rule affecting provider or payer consolidation with respect to a proposed rule for parts ,a1 ,b1 ,c1 and ,d of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq471 the ,secretary shall seek public comment on the potential impact of such proposed rule on provider and payer consolidation in the aggregate4 7c7 ,definitions ,in this section3 7#a7 ,provider and payer consolidation ,the term provider and payer consolidation includes the vertical or horizontal integration among providers of services 7as defined in subsection 7u7 of section #ahfa of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex771 suppliers 7as defined in subsection 7d7 of such section71 accountable care organizations under section #ahii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;jjj71 ,medicare ,advantage organizations1 ,,pdp sponsors1 pharmacy benefit managers1 pharmacies1 and integrated delivery systems4 7#b7 ,applicable payment system ,the term applicable payment system includes-- 7,a7 with respect to outpatient hospital services1 the prospective payment system for covered ,,opd services established under section #ahcc7t7 of such ,act 7#db ,u4,s4,c4 #acie7l772 and 7,b7 with respect to physicians' services1 the physician fee schedules established under section #ahdh of such ,act 7#db ,u4,s4,c4 #aciew-#d74 #c4 ,consideration of effects on provider and payer consolidation with respect to ,,cmi models 7a7 ,in general ,section #aaae;,a7b77#d77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7b77#d77;,a77 is amended-- 7#a7 in clause 7i71 by striking at the end and2 7#b7 in clause 7ii71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following new clause3 7iii7 the extent to which1 and how1 the model has affected and could affect provider and payer consolidation1 which includes the vertical or horizontal integration among providers of services 7as defined in subsection 7u7 of section #ahfa71 suppliers 7as defined in subsection 7d7 of such section71 and accountable care organizations under section #ahii1 or pursuant to models under this section4 4 7b7 ,effective date ,the amendments made by subsection 7a7 shall apply with respect to models tested on or after ,january #a1 #bjbe4 #a4 ,short title ,this ,act may be cited as the ,providers and ,payers ,,compete ,act4 #b4 ,annual report on the impact of certain ,medicare regulations on provider and payer consolidation2 public comment on provider and payer consolidation for certain proposed rules 7a7 ,annual report ,not later than ,december #ca1 #bjbf1 and annually thereafter1 the ,secretary of ,health and ,human ,services 7in this section referred to as the ,secretary7 shall submit to ,congress a report on the impact in the aggregate on provider and payer consolidation with respect to regulations and rules for parts ,a1 ,b1 ,c1 and ,d of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq47 implemented in the calendar year immediately prior to such report4 ,such report shall include regulations and rules that-- 7#a7 implement a change to an applicable payment system1 a rate schedule1 or another payment system under parts ,a1 ,b1 ,c1 or ,d of such title2 or 7#b7 result in a significant rule effecting provider or payer consolidation4 7b7 ,public comment on impact to provider and payer consolidation ,beginning for #bjbe1 as part of any notice and comment rulemaking process that could result in a significant rule affecting provider or payer consolidation with respect to a proposed rule for parts ,a1 ,b1 ,c1 and ,d of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;c et seq471 the ,secretary shall seek public comment on the potential impact of such proposed rule on provider and payer consolidation in the aggregate4 7c7 ,definitions ,in this section3 7#a7 ,provider and payer consolidation ,the term provider and payer consolidation includes the vertical or horizontal integration among providers of services 7as defined in subsection 7u7 of section #ahfa of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex771 suppliers 7as defined in subsection 7d7 of such section71 accountable care organizations under section #ahii of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;jjj71 ,medicare ,advantage organizations1 ,,pdp sponsors1 pharmacy benefit managers1 pharmacies1 and integrated delivery systems4 7#b7 ,applicable payment system ,the term applicable payment system includes-- 7,a7 with respect to outpatient hospital services1 the prospective payment system for covered ,,opd services established under section #ahcc7t7 of such ,act 7#db ,u4,s4,c4 #acie7l772 and 7,b7 with respect to physicians' services1 the physician fee schedules established under section #ahdh of such ,act 7#db ,u4,s4,c4 #aciew-#d74 #c4 ,consideration of effects on provider and payer consolidation with respect to ,,cmi models 7a7 ,in general ,section #aaae;,a7b77#d77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7b77#d77;,a77 is amended-- 7#a7 in clause 7i71 by striking at the end and2 7#b7 in clause 7ii71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following new clause3 7iii7 the extent to which1 and how1 the model has affected and could affect provider and payer consolidation1 which includes the vertical or horizontal integration among providers of services 7as defined in subsection 7u7 of section #ahfa71 suppliers 7as defined in subsection 7d7 of such section71 and accountable care organizations under section #ahii1 or pursuant to models under this section4 4 7b7 ,effective date ,the amendments made by subsection 7a7 shall apply with respect to models tested on or after ,january #a1 #bjbe4 ,december #e1 #bjbd,reported with an amendment1 committed to the ,committee of the ,whole ,house on the ,state of the ,union1 and ordered to be printed