,,ii  #aahth ,,congress  #ast ,session  
,s4 #ccjg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,november #ae1 
#bjbc,ms4 ,cortez ,masto 7for herself1  
,mr4 ,cassidy1 ,ms4 ,warren1 and ,mrs4  
,blackburn7 introduced the following    
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xviii of the ,social
 ,security ,act to require the inclusion
 of certain information in encounter    
data under ,medicare ,advantage4  #a4   
,short title ,this ,act may be cited as 
the ,encounter ,data ,enhancement ,act4 
#b4 ,inclusion of certain information in
 encounter data under ,medicare         
,advantage ,section #ahei of the ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciew-#bh7 is amended by adding at the 
end the following new subsection3  7j7  
,inclusion of certain information in    
encounter data  7#a7 ,in general ,in the
 case of any encounter data submitted by
 a ,medicare ,advantage plan with       
respect to an item or service furnished 

to an individual under such plan during 
a plan year beginning on or after       
,january #a1 #bjbf1 the ,secretary shall
 require that such data include-- 7,a7  
the type of payment from the plan to the
 provider1 such as1 but not limited to  
capitation1 value-based1 or             
fee-for-service2  7,b7 the allowed      
amount for such item or service2  7,c7  
the amount of cost sharing 7including   
deductibles1 copayments1 and            
coinsurance7 imposed for such item or   
service2  7,d7 an indicator identifying 
encounter records including the         
provision of an at-home health risk     
assessment by a specified assessment    
entity2  7,e7 an indicator identifying  
encounter records including the         
provision of an at-home health risk     
assessment by an assessment entity not  
described in subparagraph 7,d72  7,f7 an
 indicator identifying encounter records
 including the provision of an at-home  
health risk assessment by an entity not 
described in subparagraph 7,d7 or 7,e72 

7,g7 an indicator identifying encounter 
records including the provision of a    
health risk assessment outside of the   
home by any entity2  7,h7 an indicator  
of whether the item or service was      
provided in-network for the plan2 and   
7,i7 the standard unique health         
identifier 7described in section        
#aagc7;b77 of the ordering provider1 in 
the case of data submitted with respect 
to-- 7i7 durable medical equipment1     
prosthetics1 orthotics1 and supplies2   
7ii7 laboratory tests2  7iii7 imaging   
services2  7iv7 home health services2   
and  7v7 other items or services as     
determined by the ,secretary4  7#b7     
,definitions ,for purposes of this      
subsection3 7,a7 ,assessment entity ,the
 term assessment entity means an entity 
with a focus on furnishing in-home      
health risk assessments1 as specified by
 the ,secretary4  7,b7 ,specified       
assessment entity ,the term specified   
assessment entity means1 with respect to
 an ,,ma organization and a plan year1  

an assessment entity with respect to    
which such organization 7or any person  
with an ownership or control interest   
7as defined in section #aabd7;a77#c77 in
 such organization7 is a person with an 
ownership or control interest 7as so    
defined74  4