118th Congress · SENATE BILLBILL

S. 3059REAL Health Providers Act

A bill to amend title XVIII of the Social Security Act to establish provider directory requirements, and to provide accountability for provider director accuracy, under Medicare Advantage.

Health
Introduced Oct 17, 2023
Last action Oct 17, 2023
Pipeline · Bill → Law
Step 1
Introduced
Oct 17, 2023
Step 2
Referred
Oct 17, 2023
Finance
Step 3
Committee
Step 4
Senate
Step 5
House floor
Step 6
Resolve Changes
Step 7
Signed
SummaryCRS Summary

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 M...

Provisions · 4 sectionsIntroduced in Senate
Timeline · 2 actions
Oct 17, 2023
Introduced in Senate
Oct 17, 2023
Read twice and referred to the Committee on Finance.