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H.R. 4579 · 115th CongressIn committee

Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017

Latest action. Referred to the subcommitteeA smaller panel inside a standing committee with jurisdiction over a slice of its subject matter. Most hearings and the first markup usually happen here.Read the full definition (opens a new tab) on Health. · December 8, 2017

Live record from Congress.gov, updated as the official record changes.
What this bill would do
Official summary · Congressional Research Service

Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017

This bill amends title XVIII (Medicare) of the Social Security Act to:

extend the Independence at Home demonstration program;

modify provisions regarding access to home dialysis therapy under Medicare and special needs plans under Medicare Advantage (MA);

expand testing of the MA Value-Based Insurance Design test model;

allow an MA plan to provide additional telehealth benefits to enrollees and, to chronically ill enrollees, certain supplemental health care benefits;

modify other provisions regarding the use of telehealth services;

allow prospective, voluntary assignment of Medicare fee-for-service beneficiaries to accountable care organizations (ACOs);

allow ACOs to operate beneficiary incentive programs;

require the Centers for Medicare & Medicaid Services (CMS) to establish a process for Medicare prescription-drug plan sponsors to request certain claims data from the CMS;

require the CMS to study and report to Congress on long-term risk factors for chronic conditions among Medicare beneficiaries; and

eliminate annual funding available to the Medicare Improvement Fund and the Medicaid Improvement Fund beginning in FY2021.

The Government Accountability Office shall conduct studies on:

the establishment of a payment code for a visit for longitudinal comprehensive care planning services,

the extent to which Medicare prescription drug plans and private payors use programs that synchronize pharmacy dispensing to facilitate comprehensive counseling and promote medication adherence, and

the use of prescription drugs to manage the weight of obese patients and the impact of such drug coverage on patient health and health care spending.

Written by analysts at the Congressional Research Service and published on Congress.gov, not by Civibrief. Summarized at the "Introduced in House" stage on December 6, 2017. It describes the bill, it is not the legal text.

Status
Introduced
December 6, 2017
In committee
December 8, 2017
Passed a chamber
Cleared Congress
Enacted
Where this sits in the process
Common questions
Composed from the official record
Where is it in the process, and what happens next?

4 steps remain before this bill could become law.

The record's latest action, on December 8, 2017: Referred to the Subcommittee on Health.

  1. Clearing the committees it was referred to, and being scheduled for a floor vote
  2. Passage by the House
  3. Passage by the Senate
  4. The President's signature. If the President vetoes it, two-thirds of both chambers must vote to override.
How likely is it to become law?

Civibrief does not forecast outcomes and this page has no opinion about this one. What the record supports is a base rate, which is a fact about the whole pile, not a prediction about this measure.

In the 115th Congress (2017-18), 442 of the 11,421 bills and joint resolutions introduced became law, about 3.9 percent. That count covers every measure at every stage, including the many that never left committee.

This one is not there yet: 4 steps are still outstanding, listed above.

Has anyone actually voted on it?

No. No roll call in this Congress cites this measure. That is the ordinary outcome: most measures never reach a recorded floor vote, and a committee ends most of them simply by not acting.

A vote is not the only thing that happens to a measure. Hearings, markups, and referrals are all recorded actions, and none of them is a vote of the full chamber.

Who is behind it?

Peter Welch (D-VT) introduced it on December 6, 2017, and 1 member has since signed on as a cosponsor.

They are 1 Democrat.

Cosponsoring is a formal signature on the text. It is not a commitment to vote for the measure, it does not bind anyone's party, and a long list of cosponsors is a measure of attention rather than of prospects.

How long has it been in play?

It was introduced on December 6, 2017, 3200 days ago. The most recent recorded action was 3198 days ago, on December 8, 2017.

Measures do not carry over. Anything the 115th Congress has not finished by January 3, 2019 dies when the term ends, and has to be introduced again from the start in the next Congress.

Every answer above is assembled from this measure's own record on Congress.gov and from published counts of what Congress has passed before. Civibrief does not predict outcomes and takes no position on any measure.

Vote history

  1. House
    In committee, no floor vote yet
  2. Senate
    Awaits House passage
  3. President
    Awaits both chambers
No recorded votes yet
No roll call in this Congress cites this bill. Most bills die in committee without ever reaching a recorded floor vote.