Health Care-Related Expiring Provisions of the 115th Congress, First Session (CRS Report for Congress)
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| Release Date |
Revised Feb. 22, 2017 |
| Report Number |
R44662 |
| Report Type |
Report |
| Authors |
Joy M. Grossman,Evelyne P. Baumrucker,Cliff Binder,Kirsten J. Colello,Adrienne L. Fernandes-Alcantara,Susannah V. Gopalan,Jim Hahn,Elayne J. Heisler,Annie L. Mach,Alison Mitchell,Paulette C. Morgan,Amanda K. Sarata,Marco A. Villagrana |
| Source Agency |
Congressional Research Service |
| Older Revisions |
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Summary:
This report provides descriptions of selected health care-related provisions that are scheduled to
expire during the 115th Congress, first session (i.e., during calendar year [CY] 2017). For
purposes of this report, expiring provisions are defined as portions of law that are time limited
and will lapse once a statutory deadline is reached absent further legislative action. The expiring
provisions included in this report are those related to Medicare, Medicaid, State Children’s Health
Insurance Program (CHIP), and private health insurance programs and activities. The report also
includes other health care-related provisions that were last extended under the Medicare Access
and CHIP Reauthorization Act of 2015 (MACRA; P.L. 114-10). Additionally, this report describes
health care-related provisions within the same scope that expired during the 114th Congress,
second session (i.e., during CY2016). Although the Congressional Research Service (CRS) has
attempted to be comprehensive, it cannot guarantee that every relevant provision is included here.
This report generally focuses on two types of health care-related provisions within the scope
discussed above. The first type of provision provides or controls mandatory spending, meaning
that it provides temporary funding, temporary increases or decreases in funding (e.g., Medicare
provider bonus payments), or temporary special protections that may result in changes in funding
levels (e.g., Medicare funding provisions that establish a floor). The second type of provision
defines the authority of government agencies or other entities to act, usually by authorizing a
policy, project, or activity. Such provisions also may temporarily delay the implementation of a
regulation, requirement, or deadline, or establish a moratorium on a particular activity. Expiring
health care provisions that are predominantly associated with discretionary spending activities—
such as discretionary authorizations of appropriations and authorities for discretionary user fees—
are excluded from this report.
Certain types of provisions with expiration dates that otherwise would meet the criteria set forth
above are excluded from this report. Some of these provisions are excluded because they are
transitional or routine in nature or have been superseded by congressional action that otherwise
modifies the intent of the expiring provision. For example, statutorily required Medicare payment
rate reductions and payment rate re-basings that are implemented over a specified time period are
not considered to require the attention of Congress and are excluded.
The report provides tables listing the relevant provisions that are scheduled to expire in 2017 and
that expired in 2016. The report then describes each listed provision, including a legislative
history. An appendix lists relevant demonstration projects and pilot programs that are scheduled
to expire in 2017 and that expired in 2016
