National Coverage Determination Transparency Act

[Congressional Bills 118th Congress] [From the U.S. Government Publishing Office] [H.R. 5389 Introduced in House (IH)] <DOC> 118th CONGRESS 1st Session H. R. 5389 To amend title XVIII of the Social Security Act to ensure transparency in the national coverage determination process under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES September 12, 2023 Mr. Guthrie (for himself and Mr. Kelly of Pennsylvania) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to ensure transparency in the national coverage determination process under the Medicare program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``National Coverage Determination Transparency Act''. SEC. 2. ENSURING TRANSPARENCY IN THE NATIONAL COVERAGE DETERMINATION PROCESS UNDER THE MEDICARE PROGRAM. (a) In General.--Section 1862(l) of the Social Security Act (42 U.S.C. 1395y(l)) is amended by adding at the end the following new paragraphs: ``(7) Transparency in national coverage determinations.-- ``(A) In general.--With respect to each document (whether physical or electronic) received by the Secretary on or after the date that is 30 days after the date of the enactment of this paragraph that identifies itself as a request for a national coverage determination, the Secretary shall, not later than 30 calendar days after receipt of such document-- ``(i) determine whether such document is a complete, formal request for a national coverage det