H.R. 10706
Strengthening Innovation in Medicare and Medicaid Act
Summary:
• The bill amends the Social Security Act to set limits on CMI model testing, including capping Phase I models at 5 years and 500,000 beneficiaries (or 10% of applicable individuals), no more than 6 new models per fiscal year, and no more than 5 concurrent mandatory participation models
• The bill requires the Secretary to transmit model testing/expansion proposals to Congress, which then has 45 days to pass a joint resolution of disapproval before the Secretary may proceed
• The bill adds accountability measures including required hardship waivers, real-time monitoring of model impacts, public notice with 45-day comment periods, and annual reporting requirements beginning in 2027
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• The bill requires the Secretary to transmit model testing/expansion proposals to Congress, which then has 45 days to pass a joint resolution of disapproval before the Secretary may proceed
• The bill adds accountability measures including required hardship waivers, real-time monitoring of model impacts, public notice with 45-day comment periods, and annual reporting requirements beginning in 2027
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