ROCR Value Based Program Act
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To President
- Became Law
Overview
This bill establishes a new Medicare payment program, the Radiation Oncology Case Rate Value Based Program (ROCR Program), for radiation therapy providers and suppliers. The program aims to provide per-episode payments based on national rates, with adjustments for geographic location, inflation, and a health equity achievement add-on payment to improve access to care. It includes provisions for mandatory participation, quality incentives, and a system for addressing transportation barriers for patients. The bill also modifies existing regulations to exempt the ROCR Program from certain budget neutrality adjustments and clarifies rules regarding civil monetary penalties related to transportation services.
Key provisions
- Establishes the ROCR Program to provide per-episode payments for radiation therapy services.
- Sets payment rates based on national base rates, adjusted for geographic location, inflation, and a health equity achievement add-on.
- Requires providers to be accredited and maintain quality standards.
- Mandates participation for Medicare providers, with exceptions for innovation models and hardship exemptions.
- Includes a provision for transportation services, offering a payment add-on for eligible entities.
- Modifies civil monetary penalties to exempt transportation services provided by eligible entities meeting specific criteria.
- Creates a reporting requirement for the Comptroller General to assess the program's impact and identify underserved areas.
- Provides a temporary increase in payment rates for participating providers to incentivize quality improvements.
Bill text
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Sponsors
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6 on record
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