This bill amends section 1115A of the Social Security Act to require the Center for Medicare and Medicaid Innovation to test a new model called the "Specialty Health Care Services Access Model." Under the model, the Secretary would make agreements with one or more provider networks to provide specialty health services to eligible Medicare, Medicaid, and CHIP beneficiaries using digital tools (for example, telehealth) coordinated with the beneficiaries' primary care providers.
Selected provider networks must include at least 50 sites such as Federally Qualified Health Centers, rural health clinics, critical access hospitals, or rural emergency hospitals, with at least half located in rural areas. Each network must be a nonprofit (501(c)(3)), have experience supporting care in rural and underserved communities across multiple regions, and be able to collect, exchange, and evaluate data for the model. "Eligible individuals" are people with Medicare Part A or B, or people enrolled in Medicaid or CHIP who meet program eligibility rules, and who are located in rural or underserved areas as defined by the Secretary. The bill also says any appropriated or allocated funds to carry out these changes are subject to requirements in Public Law 117-328 for certain public health program funds.
No publicly available information on total costs, estimated savings, or specific funding amounts. The bill states that any amounts appropriated or allocated to carry out these changes must meet the requirements in Public Law 117-328 that apply to certain public health program funds.
No publicly available information.
No publicly available information.