Clean CLAIMS Act
The source supplies the latest action, but no lifecycle stage.
Latest action (17 Dec 2024): Referred to the Subcommittee on Health.
What this bill does
H.R. 8283, the Clean CLAIMS Act, would amend the Social Security Act to establish a Medicare demonstration project testing artificial-intelligence-based "clean claims" processing. Under the bill, the Secretary of Health and Human Services would contract with a Medicare Administrative Contractor (MAC) to recruit at least 500 physicians to voluntarily use a point-of-care platform that records patient-physician encounters, automatically generates and submits Medicare Part B claims, applies payer billing guidelines, and populates supporting medical record documentation. The project would run for three years, beginning within a year of enactment or once physicians are adequately trained.
The demonstration would primarily affect Medicare Part B beneficiaries treated by participating physicians, physicians who choose to join, and the MAC administering the project. Beneficiaries could not be charged cost-sharing for claims submitted through the program that are billed incorrectly or found not covered, and claims submitted under the project would be exempt from Medicare's Recovery Audit Program. The Secretary would be required to publish a request for proposals for the technology platform within six months of enactment and report to Congress on the project's results, physician feedback, and recommendations one year after it begins.
The bill was introduced on May 7, 2024, by Rep. David Schweikert and referred to the House Committees on Energy and Commerce and Ways and Means. It has not received a vote and would need committee action and further congressional approval before becoming law.
Plain-English summary generated by Bill100 AI from the official record. Always verify against the source below.
Timeline
17 Dec 2024
Referred to the Subcommittee on Health.
Common questions
- What does H.R. 8283 do?
- H.R. 8283, the Clean CLAIMS Act, would amend the Social Security Act to establish a Medicare demonstration project testing artificial-intelligence-based "clean claims" processing. Under the bill, the Secretary of Health and Human Services would contract with a Medicare Administrative Contractor (MAC) to recruit at least 500 physicians to voluntarily use a point-of-care platform that records patient-physician encounters, automatically generates and submits Medicare Part B claims, applies payer billing guidelines, and populates supporting medical record documentation. The project would run for three years, beginning within a year of enactment or once physicians are adequately trained. The demonstration would primarily affect Medicare Part B beneficiaries treated by participating physicians, physicians who choose to join, and the MAC administering the project. Beneficiaries could not be charged cost-sharing for claims submitted through the program that are billed incorrectly or found not covered, and claims submitted under the project would be exempt from Medicare's Recovery Audit Program. The Secretary would be required to publish a request for proposals for the technology platform within six months of enactment and report to Congress on the project's results, physician feedback, and recommendations one year after it begins. The bill was introduced on May 7, 2024, by Rep. David Schweikert and referred to the House Committees on Energy and Commerce and Ways and Means. It has not received a vote and would need committee action and further congressional approval before becoming law.
- Has H.R. 8283 become law?
- The source does not supply a confirmed lifecycle stage for H.R. 8283. Check the latest action and official source below.
- Who sponsored H.R. 8283?
- H.R. 8283 was sponsored by Rep. Schweikert, David [R-AZ-1] (R-AZ), with 1 cosponsor.
- What's the latest action on H.R. 8283?
- Referred to the Subcommittee on Health. (17 Dec 2024).
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More bills from Rep. Schweikert, David [R-AZ-1]
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