STATEMENT OF ADMINISTRATION POLICY
H.R. 3716 – Ensuring Removal of Terminated Providers from Medicaid and CHIP Act
(Rep. Bucshon, R-IN, and 2 cosponsors)
The Administration supports House
passage of H.R. 3716 because it improves program integrity for Medicaid and the
Children's Health Insurance Program (CHIP).
H.R. 3716 would improve the ability of
States to identify health care providers who have been terminated from
participating in Medicare or in another State's Medicaid or CHIP program.
The Affordable Care Act requires that State Medicaid programs terminate
participation of health care providers that have been terminated by Medicare or
another State Medicaid program. This legislation would improve States'
ability to fulfill this requirement by codifying this requirement in CHIP,
requiring providers participating in Medicaid and CHIP managed care to enroll
with the State, and increasing required reporting, sharing of information, and
standardization of documentation of reasons for termination. Because the
bill would reduce the likelihood that terminated providers could continue to
participate in these programs, the Congressional Budget Office estimates that
H.R. 3716 would reduce Federal spending by $28 million over 10 years.
Source: The Executive Office of
the President, Office of Management and Budget
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