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S. 3059

BillFederalSenateIn Committee
To amend title XVIII of the Social Security Act to establish provider directory requirements, and to provide accountability for provider directory accuracy, under Medicare Advantage.
About This Bill
Committee
Latest Action · October 17, 2023
Read twice and referred to the Committee on Finance.
Congress
118th (2023–2025)
Introduced
October 17, 2023
Cosponsors (2)
1D 1R
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Summary

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Requiring Enhanced & Accurate Lists of Health Providers Act or the REAL Health Providers Act This bill requires Medicare Advantage (MA) organizations to maintain directories of in-network providers and continually ensure their accuracy. Specifically, MA organizations must publish on their websites an accurate directory of in-network providers and regularly update these directories. The bill additionally specifies that if a provider is listed as in-network in this directory when a beneficiary selects and makes an appointment with the provider, but the provider is not actually in-network, the beneficiary is still only responsible for paying in-network cost-sharing requirements. MA organizations must annually evaluate and report on the accuracy of their directories; the Centers for Medicare & Medicaid Services and MA organizations must publish this information on their websites. The bill provides funds for these purposes. The Government Accountability Office must report on the bill's implementation.

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