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S.1787: Medicaid Managed Care Responsibility and Equity Act
About this Bill
|This bill was introduced in the||113th Congress|
|This bill is primarily about||health|
|You can||read the bill|
|Sponsor||John D. Rockefeller IV, D-W.Va.|
|Introduced||Dec. 10, 2013|
|Latest Major Action||Dec. 10, 2013|
|See it on||GovTrack|
|See it on||C-SPAN|
- Bill introduced in the Senate
- Bill passed in the Senate
- Bill passed in the House
- Bill signed into law
Medicaid Managed Care Responsibility and Equity Act - Amends titles XIX (Medicaid) and XXI (Children's Health Insurance) (CHIP) of the Social Security Act (SSA) with respect to managed care requirements.
Requires a minimum medical loss ratio of at least 85% for Medicaid and CHIP managed care plans under contracts between a state and a managed medical care entity (health maintenance organization), but a minimum ratio of only 80% for an entity in which at least 10% of the enrollees are optional targeted low-income children.
Prescribes administrative penalties for failure to maintain such ratios.
Applies the same minimum medical loss ratios to a state child health (CHIP) plan, except for a medical loss ratio of at least 80% for managed care organizations.
(Source: Congressional Research Service)
|Dec. 10, 2013||Read twice and referred to the Committee on Finance.|