United States 112th Congress Status: Died 1 R cosponsors

HR 1063 — Strengthening Medicare And Repaying Taxpayers Act of 2012

Last action — Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 112-715, Part I.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. Died in session

This bill died with 112th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Strengthening Medicare And Repaying Taxpayers Act of 2012 - (Sec. 2) Amends title XVIII (Medicare) of the Social Security Act with respect to reimbursement to the Secretary of Health and Human Services (HHS) by a health plan for any conditional Medicare payment made by the Secretary for items and services on behalf of a claimant. Authorizes a claimant or applicable plan, at any time within 120 days before the reasonably expected date of a settlement, judgment, award, or other payment, to notify the Secretary that such a payment is reasonably expected as well as its expected date. Directs the Secretary to maintain and make available to individuals to whom items and services are furnished under Medicare (and their representatives) access through a password-requiring website to information for claims (including payment amounts), including those attributable to a specific injury or incident forming the basis for a settlement, judgment, award, or other payment. Specifies requirements for such information on the website. Requires the Secretary to update the website for any payment or claims information within 15 days of receiving a claim or making a payment. Prescribes requirements for: (1) the use of a timely web download as the basis for a final conditional amount, and (2) resolution of discrepancies with the statement of reimbursement amount. Grants the Secretary, upon notice of intent to settle, a protected period of between 65 and 95 days (except for exceptional circumstances) in which to post on the website claims received or payments made. Requires parties subject to repayment to draw down the final conditional payment amount from the website after conclusion of the protected period, but no more than three days before the date of settlement, judgment, award, or other payment. Requires the Secretary also to: (1) respond promptly when notified of a discrepancy related to repayment amounts posted on the website; and (2) create a right of appeals, through regulation, for determinations made with respect to reimbursement. (Sec. 3) Exempts a primary plan, and an entity receiving payment from a primary plan, from any obligation to reimburse the appropriate Trust Fund for a Medicare payment by the Secretary with respect to any settlement, judgment, award, or other payment by an applicable plan constituting a total payment obligation to a claimant of not more than the single threshold amount calculated by the Secretary. Requires the Secretary to calculate and publish annually the single threshold amount for settlements, judgments, awards, or other payments for conditional payment obligations arising from liability insurance (including self-insurance) and for alleged physical trauma-based incidents (excluding alleged ingestion, implantation, or exposure cases). (Sec. 4) Makes discretionary rather than mandatory the current civil money penalty for an applicable plan's noncompliance with requirements to submit insurance information about a claimant. Prescribes requirements for the specification of practices for which sanctions will and will not be imposed on a plan (safe harbors). (Sec. 5) Directs the Secretary to modify insurance information reporting requirements so that a plan, in complying with them, is permitted but not required to access or report beneficiary Social Security account numbers or health identification claim numbers. (Sec. 6) Sets a three-year statute of limitations on a Medicare secondary payer claim by the Secretary for reimbursement against an applicable plan that becomes a Medicare primary payer pursuant to a settlement, judgment, award, or other judicial action.

Bill Text

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Read HR 1063 on the official United States source →

Action History

  1. Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 112-715, Part I.

  2. Ordered to be Reported (Amended) by Voice Vote.

  3. Committee Consideration and Mark-up Session Held.

  4. Forwarded by Subcommittee to Full Committee (Amended) .

  5. Subcommittee Consideration and Mark-up Session Held.

  6. Referred to the Subcommittee on Health.

  7. Referred to the Subcommittee on Health.

  8. Referred to House Energy and Commerce

  9. Referred to House Ways and Means

  10. Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 546 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (546)

546 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Subjects

taxation healthcare health-insurance
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Frequently asked questions

What does HR 1063 do?
Strengthening Medicare And Repaying Taxpayers Act of 2012 - (Sec. 2) Amends title XVIII (Medicare) of the Social Security Act with respect to reimbursement to the Secretary of Health and Human Services (HHS) by a health plan for any conditional Medicare payment made by the Secretary for items and services on behalf of a claimant. Authorizes a claimant or applicable plan, at any time within 120 days before the reasonably expected date of a settlement, judgment, award, or other payment, to notify the Secretary that such a payment is reasonably expected as well as its expected date. Directs the Secretary to maintain and make available to individuals to whom items and services are furnished under Medicare (and their representatives) access through a password-requiring website to information for claims (including payment amounts), including those attributable to a specific injury or incident forming the basis for a settlement, judgment, award, or other payment. Specifies requirements for such information on the website. Requires the Secretary to update the website for any payment or claims information within 15 days of receiving a claim or making a payment. Prescribes requirements for: (1) the use of a timely web download as the basis for a final conditional amount, and (2) resolution of discrepancies with the statement of reimbursement amount. Grants the Secretary, upon notice of intent to settle, a protected period of between 65 and 95 days (except for exceptional circumstances) in which to post on the website claims received or payments made. Requires parties subject to repayment to draw down the final conditional payment amount from the website after conclusion of the protected period, but no more than three days before the date of settlement, judgment, award, or other payment. Requires the Secretary also to: (1) respond promptly when notified of a discrepancy related to repayment amounts posted on the website; and (2) create a right of appeals, through regulation, for determinations made with respect to reimbursement. (Sec. 3) Exempts a primary plan, and an entity receiving payment from a primary plan, from any obligation to reimburse the appropriate Trust Fund for a Medicare payment by the Secretary with respect to any settlement, judgment, award, or other payment by an applicable plan constituting a total payment obligation to a claimant of not more than the single threshold amount calculated by the Secretary. Requires the Secretary to calculate and publish annually the single threshold amount for settlements, judgments, awards, or other payments for conditional payment obligations arising from liability insurance (including self-insurance) and for alleged physical trauma-based incidents (excluding alleged ingestion, implantation, or exposure cases). (Sec. 4) Makes discretionary rather than mandatory the current civil money penalty for an applicable plan's noncompliance with requirements to submit insurance information about a claimant. Prescribes requirements for the specification of practices for which sanctions will and will not be imposed on a plan (safe harbors). (Sec. 5) Directs the Secretary to modify insurance information reporting requirements so that a plan, in complying with them, is permitted but not required to access or report beneficiary Social Security account numbers or health identification claim numbers. (Sec. 6) Sets a three-year statute of limitations on a Medicare secondary payer claim by the Secretary for reimbursement against an applicable plan that becomes a Medicare primary payer pursuant to a settlement, judgment, award, or other judicial action.
Who sponsors HR 1063?
HR 1063 is sponsored by Tim Murphy (R).
What is the current status of HR 1063?
This bill died with 112th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HR 1063?
Track HR 1063 free on One Click Politics — get push/email alerts when it moves.

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