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H.R. 9544IntroducedHouse · nowSenatePresidentLawIn committee
Sec. 8 · H.R. 9544

Provider incentive contracts

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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: (7) Prohibiting percentage of premium contracts or other financial incentives for coding Beginning with plan years beginning on or after January 1, 2028, a contract under this section with an MA organization shall prohibit the use of percentage of premium contracts or other financial incentives for providers related to coding items and services furnished to enrollees under this part..

Sec. 8: Provider incentive contracts · Public Law Tracker