No UPCODE Act has not moved since its introduction on Mar 25, 2025, with one cosponsor, a Democrat
Written by the Congressional Research Service [2]. 111 words.
No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act or the No UPCODE Act This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data. Specifically, the bill requires the Centers for Medicare & Medicaid Services (CMS) to use two years of diagnostic data in its risk adjustment methodology for MA payments. It also prohibits the CMS from using diagnoses that are collected from chart reviews or health risk assessments when adjusting payments based on health status. The CMS must also take into account any differences in coding patterns between MA and traditional Medicare when determining MA payment adjustments.
- Committees
- Senate Finance Committee
- Policy area
- Health: 122 of 9,357 bills became law, 113th–118th (1.3%)
- Sponsor
- 8 of 422 bills enacted since 2013
- Text versions
- 1: introduced in senate · 381 words
- Latest action
- Mar 25, 2025: Read twice and referred to the Committee on Finance.
- Records
- Congress.gov · Bill text
Each bill appears once, under its strongest link. 1 in all.
Related, per CRS or House · 1
- 119th H.R. 6010 To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and for other purposes. D · Introduced