Medicare Advantage Quality Payment Relief Act of 2021

Medicare Advantage Quality Payment Relief Act of 2021

This bill requires the Centers for Medicare & Medicaid Services to disregard the application of certain percentage quality increases when calculating the maximum payment that may be made to a Medicare Advantage organization.

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4911 Introduced in House (IH)]

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117th CONGRESS
  1st Session
                                H. R. 4911

    To amend title XVIII of the Social Security Act to eliminate a 
   provision under the Medicare Advantage program that inadvertently 
 penalizes Medicare Advantage plans for providing high quality care to 
                        Medicare beneficiaries.


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                    IN THE HOUSE OF REPRESENTATIVES

                             August 3, 2021

Mr. Kind (for himself, Mr. Michael F. Doyle of Pennsylvania, Mr. Kelly 
of Pennsylvania, and Mr. Guthrie) introduced the following bill; which 
was referred to the Committee on Ways and Means, and in addition to the 
   Committee on Energy and Commerce, for a period to be subsequently 
   determined by the Speaker, 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 eliminate a 
   provision under the Medicare Advantage program that inadvertently 
 penalizes Medicare Advantage plans for providing high quality care to 
                        Medicare beneficiaries.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Advantage Quality Payment 
Relief Act of 2021''.

SEC. 2. RELIEF FROM QUALITY BONUS PENALTY IN CALCULATION OF THE 
              MEDICARE ADVANTAGE BLENDED BENCHMARK CAP.

    (a) In General.--Section 1853(n)(4) of the Social Security Act (42 
U.S.C. 1395w-23(n)(4)) is amended by striking ``determined taking into 
account'' and inserting ``determined without regard to''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to plan years beginning on or after January 1, 2022.
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