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H.R. 4559IntroducedHouse · nowSenatePresidentLawIn committee
Sec. 2 · H.R. 4559

Establishing payment parity between Medicare Advantage and fee-for-service Medicare

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Section 1857(e) of the Social Security Act (42 U.S.C. 1395w–27(e)) is amended by adding at the end the following new paragraph: (6) Payment parity with fee-for-service Medicare Beginning with plan years beginning on or after January 1, 2027, a contract under this part shall require an MA organization to provide, in any contract between the organization and a provider or supplier, that payment for items and services furnished to an enrollee by such provider or supplier shall be in an amount that is not less than the amount of payment applicable on the date of service for such items and services under the original Medicare fee-for-service program under parts A and B, including cost-based payment methodologies..

Sec. 2: Establishing payment parity between Medicare Advantage and fee-for-service Medicare · Public Law Tracker