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H.R. 4726

To amend title XVIII of the Social Security Act to reduce the maximum financial risk permitted for physicians participating in Medicare+Choice plans.

Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act with regard to limitations on physician incentive plans. Prohibits any Medicare+Choice organization from operating a physician incentive plan in a manner that places a physician or physician group at a financial risk exceeding specified percentages of the maximum payments possible, including those for services furnished directly, as well as certain additional payments based on use and costs of referral services.

Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

Rep. Stark, Fortney Pete [D-CA-13](D-CA)Sponsor
2committees6actions8subjects
  1. CommitteeH11000

    Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

    Health and Environment Subcommittee
  2. IntroReferralH11100

    Referred to House Commerce

    Energy and Commerce Committee
  3. IntroReferralH11100-A

    Referred to the Committee on Ways and Means, and in addition to the Committee on 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.

  4. IntroReferralH11100

    Referred to House Ways and Means

    Ways and Means Committee
  5. IntroReferralIntro-H

    Introduced in House

  6. IntroReferral1000

    Introduced in House