To amend title XIX of the Social Security Act to codify value-based purchasing arrangements under the Medicaid program and reforms related to price reporting under such arrangements, and for other purposes.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
The bill creates codifying value-based purchasing arrangements under Medicaid and reforms related to price reporting under such arrangements Section 1927(c)(1)(C)(ii) of the Social Security Act (42 U.S.C, requires calculation of average sales price under Medicare Section 1847A(c)(3) of the Social Security Act (42 U.S.C, and requires guidance on value-based purchasing arrangements for inpatient drugs under Medicaid. It relies on compliance mandates, reporting requirements, definition changes, and exemptions. The main policy areas are Healthcare Consumers, Healthcare, Environment, and Housing.
Who Benefits and How
Patients and health care consumers affected by the bill could face lower compliance burdens, Public beneficiaries or protected communities affected by the clause could face reduced risk, and Federal, state, or local agencies responsible for implementing the clause could face lower compliance burdens.
Who Bears the Burden and How
Federal, state, or local agencies responsible for implementing the clause would take on compliance duties, Patients and health care consumers affected by the bill would take on compliance duties, and Public beneficiaries or protected communities affected by the clause could face higher costs.
Key Provisions
- Creates codifying value-based purchasing arrangements under Medicaid and reforms related to price reporting under such arrangements Section 1927(c)(1)(C)(ii) of the Social Security Act (42 U.S.C.
- Requires calculation of average sales price under Medicare Section 1847A(c)(3) of the Social Security Act (42 U.S.C.
- Requires guidance on value-based purchasing arrangements for inpatient drugs under Medicaid.
- Requires exception under the antikickback statute Section 1128B(b)(3) of the Social Security Act (42 U.S.C.
- Requires GAO study and report on use of value-based purchasing arrangements The Comptroller General of the United States shall conduct a study on the extent to which value-based purchasing arrangements (as defined...
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill creates codifying value-based purchasing arrangements under Medicaid and reforms related to price reporting under such arrangements Section 1927(c)(1)(C)(ii) of the Social Security Act (42 U.S.C, requires calculation of average sales price under Medicare Section 1847A(c)(3) of the Social Security Act (42 U.S.C, and requires guidance on value-based purchasing arrangements for inpatient drugs under Medicaid.
Key Policy Areas
Healthcare Consumers, Healthcare, Environment, Housing
Primary Purpose
The bill creates codifying value-based purchasing arrangements under Medicaid and reforms related to price reporting under such arrangements Section 1927(c)(1)(C)(ii) of the Social Security Act (42 U.S.C, requires calculation of average sales price under Medicare Section 1847A(c)(3) of the Social Security Act (42 U.S.C, and requires guidance on value-based purchasing arrangements for inpatient drugs under Medicaid.
Policy Domains
Whole bill
Identified Gains
- Patients and health care consumers affected by the bill
- Public beneficiaries or protected communities affected by the clause
- Federal, state, or local agencies responsible for implementing the clause
- Homeowners, tenants, or housing market participants affected by the bill
- Environmental and public health interests affected by the bill
Identified Costs
- Federal, state, or local agencies responsible for implementing the clause
- Patients and health care consumers affected by the bill
- Public beneficiaries or protected communities affected by the clause
- Environmental and public health interests affected by the bill
- Homeowners, tenants, or housing market participants affected by the bill
Sponsors
Legislative Progress
IntroducedMr. Guthrie (for himself, Ms. Eshoo, Mr. Joyce of Pennsylvania, …
Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →
Bill Structure & Actor Mappings
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