{
  "id": "R43962",
  "type": "CRS Report",
  "typeId": "REPORTS",
  "number": "R43962",
  "active": true,
  "source": "EveryCRSReport.com, University of North Texas Libraries Government Documents Department",
  "versions": [
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      "source": "EveryCRSReport.com",
      "id": 450964,
      "date": "2015-11-10",
      "retrieved": "2016-04-06T17:59:08.710697",
      "title": "The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA; P.L. 114-10)",
      "summary": "On April 16, 2015, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA; P.L. 114-10), as passed by the Senate on April 14, 2015, and by the House on March 26, 2015. The act repeals the sustainable growth rate (SGR) formula for calculating updates to Medicare payment rates to physicians and establishes an alternative set of annual updates. In addition, MACRA introduces a new merit-based incentive payment system and puts in place processes for developing, evaluating, and adopting alternative payment models (APMs).\nThe act also extends funding that was otherwise set to expire at the end of FY2015. These extensions include funding for the state Children\u2019s Health Insurance Program (CHIP) and for the Community Health Centers Fund (CHCF) for two additional years, through FY2017. For CHIP, MACRA maintains the current allotment formula, including a 23 percentage point increase in the enhanced federal medical assistance percentage (E-FMAP), which determines the federal government\u2019s share of CHIP expenditures.\nIn addition to repealing the SGR (Title I) and extending funding for the CHCF (Title II) and for CHIP (Title III), the act makes other health-related changes. Title II extends a number of expiring provisions in Medicare, Medicaid, and other programs, including the Qualifying Individual (QI) program and the Transitional Medical Assistance (TMA) program. Title IV includes Medicare program changes to offset the cost of repealing the SGR mechanism. These offsets include limiting certain Medigap policies and making adjustments to income-related premiums in Medicare Parts B and D and to inpatient hospital payment rates. Title V includes provisions related to program integrity in Medicare, such as a prohibition on including Social Security numbers on beneficiaries\u2019 Medicare cards. \nThis report briefly summarizes each provision of MACRA. Each summary includes a brief description of prior law and an explanation of how MACRA changed prior law.",
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      "topics": [
        {
          "source": "IBCList",
          "id": 2177,
          "name": "Medicare"
        },
        {
          "source": "IBCList",
          "id": 594,
          "name": "Medicaid and CHIP"
        }
      ]
    },
    {
      "source": "University of North Texas Libraries Government Documents Department",
      "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc822070/",
      "id": "R43962_2015Apr10",
      "date": "2015-04-10",
      "retrieved": "2016-03-19T13:57:26",
      "title": "H.R. 2: The Medicare Access and CHIP Reauthorization Act of 2015",
      "summary": null,
      "type": "CRS Report",
      "typeId": "REPORT",
      "active": false,
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      "topics": []
    }
  ],
  "topics": [
    "Domestic Social Policy",
    "Energy Policy",
    "Health Policy",
    "Legislative Process"
  ]
}