U.S. Senate Finance Committee Chairman Orrin Hatch, R-Utah; Finance Committee Ranking Democratic Member Ron Wyden, D-Ore.; Sen. Johnny Isakson, R-Ga.; and Sen. Mark Warner, D-Va., introduced S. 870, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act. Sens. Isakson and Warner are co-chairs of the Senate Finance Committee Chronic Care Working Group.

The legislation reflects proposals included in the Bipartisan Chronic Care Working Group Policy Options Document released at the end of 2015 and the CHRONIC Care Act of 2016. The CHRONIC Care Act of 2017 would:

  • extend the Affordable Care Act’s Independence at Home Model of Care
  • expand access to home dialysis therapy
  • provide sustained access to Medicare Advantage special needs plans for certain vulnerable populations
  • adjust Medicare Advantage benefits to meet the needs of chronically ill beneficiaries
  • expand supplemental benefits for chronically ill Medicare Advantage beneficiaries
  • expand telehealth benefits for chronically ill Medicare Advantage beneficiaries
  • provide enhanced flexibility for individuals to participate in accountable care organizations (ACOs)
  • enhance coordination of care in ACOs
  • direct the Government Accountability Office to study and issue reports on
    • serious or life-threatening illnesses that affect Medicare beneficiaries
    • medication synchronization
    • the impact of obesity drugs on health and spending 

According to Senate Finance Committee staff, the Committee may mark-up the legislation this month