H.R. 4484: Strengthening Healthcare Options for Vulnerable Populations Act
Before you vote › Federal bills
H.R. 4484: Strengthening Healthcare Options for Vulnerable Populations Act
113th Congress · introduced 2014-04-10 · Health · Latest: Referred to the Subcommittee on Health.
federal
Follow this bill, step by step
- Where it came from: introduced 2014-04-10 · official record
- Who proposed it: Rep. Sinema, Kyrsten [D-AZ-9] · what a sponsor is
- What happened next: no floor votes in our records yet. Why?
- Where it stands now: Referred to the Subcommittee on Health. Not final yet: this can still change. We check for updates every day.
- If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.
Official title
Strengthening Healthcare Options for Vulnerable Populations Act
Plain summary
Strengthening Healthcare Options for Vulnerable Populations Act - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSA) to extend permanently the authorization for certain Medicare Advantage (MA) Dual Special Needs Plans (D-SNPs). Requires MA D-SNPs by December 31, 2018, to be fully integrated, in accordance with state law, with capitated contracts with states for any benefits under SSA title XIX (Medicaid), including long-term care and behavioral health. Directs the Secretary of Health and Human Services (HHS) to develop a clearly defined role for state Medicaid agencies in contracting and oversight of plans. Directs the Secretary, in implementing requirements for the payment of Medicare+Choice organizations, to take steps necessary to ensure that the quality rating for a D-SNP: (1) does not disadvantage a plan that enrolls full-benefit dual (Medicare- and Medicaid-) eligible individuals, qualified Medicare beneficiaries, and individuals with complex health care needs; and (2) accounts for differences in socioeconomic and demographic characteristics of enrollees of such a plan that result in significant variation in health outcomes. Allows the Secretary to increase temporarily the quality rating that a specialized MA plan would otherwise receive under certain circumstances. Directs the Comptroller General (GAO) to report on steps taken for improving health outcomes, cost controls, and beneficiary satisfaction. Amends the Patient Protection and Affordable Care Act to designate the Federal Coordinated Health Care Office (FCHCO) as the dedicated point of contact within the Centers for Medicare & Medicaid Services to assist states with ongoing D-SNP administration issues. Allows the Secretary, through the FCHCO, to waive applicable Medicare requirements to promote the integration, alignment, and delivery of items and services under the Medicare program and the Medicaid program, with respect to dual eligible individuals and to ensure the seamless delivery of patient-centered services across the continuum of care with resect to such individuals. Requires D-SNPs to provide coverage during the appeals process with respect to dispute resolution for claims. Directs the Secretary to establish a streamlined process for dispute resolution for claims and appeals, with respect to items and services furnished to special needs individuals, to align the Medicare program process with the one under the Medicaid program. Amends SSA title XI to require the Secretary to report to Congress on the Integrated Data Repository and the One Program Integrity System.
Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.
What a vote does
A “Yea” vote
If it passes both chambers and is signed, it becomes law.
A “Nay” vote
If it is not passed, current law stays as it is.
PSI Sci description of the legislative step (not an opinion).
What does this mean? (plain words)
Official text
Strengthening Healthcare Options for Vulnerable Populations Act
Source: Congressional Research Service summary (Introduced in House)
AI explanation – may be wrong, check the official text
No AI explanation yet. It takes up to a minute to write and is then saved for everyone.
Limited to a few requests an hour per person.
The strongest published arguments
Arguments for (supporters)
Needs sources: no published arguments on this side yet. We only show items backed by a published source. Suggest one.
Arguments against (opponents)
Needs sources: no published arguments on this side yet. We only show items backed by a published source. Suggest one.
Alternatives
Needs sources: no published alternatives yet (for example a different bill, a law instead of an amendment, or keeping current law). We only show items backed by a published source. Suggest one.
How did my representative vote? · This bill's floor votes
Officials and money
Sponsor: Rep. Sinema, Kyrsten [D-AZ-9] · 5 cosponsors
Cost estimate: No cost estimate published yet.
Cosponsors on this site
Gus M. Bilirakis (R-FL)
No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.
Words on this page, explained (3)
- Authorization
- A law that creates or continues a government program and says what it may do, often with a suggested spending ceiling. An authorization alone does not provide money; a separate appropriation does.
- Resolution
- A formal statement or decision by a legislative body. Simple resolutions often only express an opinion or set rules for one chamber; they do not become law.
- Securities
- Financial investments that can be bought and sold, such as stocks and bonds.
Plain meanings written from linked sources. All words.
Sources
- Congressional Research Service summary (Introduced in House)
- Congress.gov
- Data: GovInfo BILLSTATUS bulk data (Library of Congress), BILLSTATUS-113hr4484.xml <https://www.govinfo.gov/bulkdata/BILLSTATUS/113/hr>
Record fed-us-cong113-hr4484 · catalog fed-us-congress-bills-cong113 · updated 2026-11-15 by psicol fed-bills-cong113