More Doctors, More Choices Act 0f 2010 - Requires the Secretary of Health and Human Services (HHS), if a Medicare SGR extension law is enacted during the 111th Congress, to permit a non-participating physician or supplier who furnishes (or may furnish) services for which payment is made under the Medicare physician fee schedule (or would be so made but for a private contract with a Medicare beneficiary) to elect during a certain period to become a Medicare participating physician or supplier.
Defines Medicare SGR extension law as one that extends or revises for at least one year the amount of the conversion factor used in updating payments under the physicians fee schedule so that it is not lower than the conversion factor for May 2010.
[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5290 Introduced in House (IH)]
111th CONGRESS
2d Session
H. R. 5290
To permit physicians and suppliers a new election to become Medicare
participating physicians and suppliers if Medicare physician fee
schedule rates are extended.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 12, 2010
Ms. Giffords (for herself, Mr. Burgess, and Mr. Larson of Connecticut)
introduced the following bill; which was referred to the Committee on
Energy and Commerce, and in addition to the Committee on Ways and
Means, 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 permit physicians and suppliers a new election to become Medicare
participating physicians and suppliers if Medicare physician fee
schedule rates are extended.
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 ``More Doctors, More Choices Act of
2010''.
SEC. 2. ADDITIONAL ELECTION OPPORTUNITY FOR PHYSICIANS AND SUPPLIERS TO
BECOME MEDICARE PARTICIPATING PHYSICIANS AND SUPPLIERS IF
MEDICARE PHYSICIAN FEE SCHEDULE RATES ARE EXTENDED.
(a) In General.--Notwithstanding any other provision of law, if a
Medicare SGR extension law is enacted during the 111th Congress, the
Secretary of Health and Human Services shall permit a physician or
supplier who furnishes (or may furnish) services for which payment is
made under the Medicare physician fee schedule (or would be so made but
for a contract under section 1802(b) of the Social Security Act) and is
not a Medicare participating physician or supplier to elect to become
such a Medicare participating physician or supplier.
(b) Election Process.--The election under subsection (a)--
(1) shall occur during a period specified by the Secretary
of not less than 30 days beginning not later than 30 days after
the date of the enactment of the Medicare SGR extension law;
(2) shall be made through a process that is consistent with
the existing open enrollment process under which physicians and
suppliers otherwise make a participation election; and
(3) shall become effective for items and services furnished
on or after the date that is 15 days after the last date of the
election period under paragraph (1).
(c) Treatment of Private Contracts.--In the case of a physician or
practitioner who has entered into a contract under section 1802(b) of
the Social Security Act (42 U.S.C. 1395a(b)) that is in effect as of
the date of the enactment of the Medicare SGR extension law (or this
Act, if later) and who makes an election to be a Medicare participating
physician or supplier under this section during the election period
under subsection (b)(1)--
(1) such election shall not apply to the contract until the
date of the contract would otherwise terminate without regard
to this subsection, unless the medicare beneficiary involved
terminates the contract through timely notice to the physician
or practitioner; and
(2) notwithstanding such section 1802(b), the 2-year
limitation imposed under the affidavit described in paragraph
(3)(B)(i) of such section shall not apply to services furnished
as a participating physician or supplier pursuant to such
election.
(d) Definitions.--In this section:
(1) Medicare participating physician or supplier.--The term
``Medicare participating physician or supplier'' has the
meaning given the term participating physician or supplier in
section 1842(h)(1) of the Social Security Act (42 U.S.C.
1395u(h)(1)).
(2) Medicare physician fee schedule.--The term ``Medicare
physician fee schedule'' means the payment schedule under
section 1848 of the Social Security Act (42 U.S.C. 1395w-4).
(3) Medicare sgr extension law.--The term ``Medicare SGR
extension law'' means a law that extends or revises for at
least 1 year the amount of the conversion factor under section
1848(d) of the Social Security Act (42 U.S.C. 1395w-4(d)) so
that it is not lower than the conversion factor for May 2010.
(4) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
<all>
Introduced in House
Introduced in House
Referred to House Energy and Commerce
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Referred to House Ways and Means
Referred to the Subcommittee on Health.
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