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senate Bill S. 1362

Do Medicare and Medicaid Demonstration Programs Need More Flexibility?

Argument in favor

Giving the Center for Medicare and Medicaid Innovations more flexibility in waiving requirements would allow for demonstration projects that can lead to more efficient administration of the PACE program for the elderly.

Gwen's Opinion
Give policy makers the tools, data and resources to effect care improvement and lower cost.
Like (4)
AndrewGVN's Opinion
Helping the elderly with their medical issues should be approved.
Like (3)
Sue's Opinion
It is important to use practices that have proven to work. Too many docs get into ways they gal back on. Drug companies have to much influence on prescribers.
Like (2)

Argument opposed

It doesn’t matter if these waivers are only for limited demonstration projects, they shouldn’t be granted, and the federal government shouldn’t experiment to try to improve the efficiency of the PACE program.

Tina's Opinion
Waiving the requirements would only allow the GOP to further chip away at the program in hopes of getting rid of it altogether. The standards and requirements are there for a reason. To make sure certain things are provided, at a minimum.
Like (1)
Carol's Opinion
Smaller less power for our government. Need to see what their spending our money on.
Mart's Opinion
Should be allowed to die, no new applicants

bill Progress

  • EnactedNovember 5th, 2015
    The President signed this bill into law
  • The house Passed October 21st, 2015
    Passed by Voice Vote
      house Committees
      Committee on Energy and Commerce
      Committee on Ways and Means
  • The senate Passed August 5th, 2015
    Passed by Voice Vote
      senate Committees
      Committee on Finance
    IntroducedMay 18th, 2015

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What is Senate Bill S. 1362?

This bill would authorize the Dept. of Health and Human Services (HHS) to waive applicable Medicaid requirements of the Program of All-Inclusive Care for Elderly (PACE) to conduct demonstration projects involving PACE.

These demonstrations would be carried out through the Center for Medicare and Medicaid Innovations (CMMI). Under current law, CMMI is unable to waive Medicaid requirements and has limited flexibility in testing changes to the PACE program.

HHS would be prohibited in a CMMI demonstration from waiving:
  • The requirement to offer items and services under Medicare and Medicaid without limitation to PACE program enrollees;

  • Certain requirements regarding enrollment in and disenrollment from PACE programs.


Participants in the PACE program, CMMI, and HHS.

Cost of Senate Bill S. 1362

The CBO estimates that this legislation would have no significant impact on federal spending.

More Information

In-Depth: Sponsoring Sen. Tom Carper (D-DE) believes his bill represents an opportunity to find ways to improve the PACE program:
“One of my guiding principles is to find what works and do more of it. This legislation would give the Centers for Medicare and Medicaid (CMS) the flexibility it needs to do just that. We’ve begun to address the problem of rising health care costs, and programs like PACE will help us continue this important work to provide seniors with excellent care while also reducing costs. We need to do everything we can to ensure that all seniors have access to high-quality, cost-effective health care.”

The Senate Finance Committee reported this legislation favorably, and the Senate as a whole passed this bill by unanimous consent.


Summary by Eric Revell
(Photo Credit: Flickr user Marco-roni)

Official Title

A bill to amend title XI of the Social Security Act to clarify waiver authority regarding programs of all-inclusive care for the elderly (PACE programs).