John Lewis Equality in Medicare and Medicaid Treatment Act of 2023
April 3, 2025
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Where This Stands
Currently in_committee. The next step in the legislative lifecycle is Floor Vote.
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →The Frame
The bill requires the Center for Medicare and Medicaid Innovation to launch a new payment model by December 31, 2024, that specifically targets health disparities and for Medicare and Medicaid beneficiaries.
Potentially affected actors named in the source documents. Mention is not a position.
Medicare and Medicaid beneficiaries
The bill mandates that healthcare models prioritize their access to care and address health disparities affecting them.
Healthcare providers and suppliers
Providers caring for high-risk patients or operating in underserved areas will be subject to new evaluation criteria regarding their impact on health equity.
Department of Health and Human Services
The agency is required to consult with specific internal offices and include new data points in their reporting on innovation models.
Current stage: in_committee.
Floor Vote.
Summary
Key Facts
- Requires the Secretary of Health and Human Services to consult with the Office of Minority Health, the Office of Rural Health Policy, and the Office on Women’s Health before selecting new healthcare models.
- Mandates the testing of a 'social determinants of health' payment model to begin no later than December 31, 2024.
- Requires all new healthcare innovation models starting on or after January 1, 2024, to explicitly address health equity and access to care.
- Adds new criteria for evaluating healthcare models, specifically whether they affect access for high-risk patients or those in underserved areas.
- Requires federal reports to include data on interventions addressing social determinants of health and estimated federal savings from reducing health disparities.
- Defines specific payment and service delivery innovations to be tested, including those for behavioral health, capacity building in underserved areas, and care for pregnant and postpartum Medicaid-eligible women.
Why It Matters
The bill requires the Center for Medicare and Medicaid Innovation to launch a new payment model by December 31, 2024, that specifically targets health disparities and for Medicare and Medicaid beneficiaries.
Frequently Asked Questions
What are 'social determinants of health'?
When does this bill require the new payment model to start?
Who will be consulted when creating these new healthcare models?
News Coverage
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Mandatory Equity Integration
The bill shifts the role of health equity from a potential consideration to a mandatory requirement for all new Medicare/Medicaid innovation models starting in 2024.
Connected Entities
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy20Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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