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<?xml version="1.0" encoding="UTF-8"?><BillSummaries>
    <item congress="118" measure-type="s" measure-number="1002" measure-id="id118s1002" originChamber="SENATE" orig-publish-date="2023-03-28" update-date="2023-10-10">
        <title>No UPCODE Act</title>
        <summary summary-id="id118s1002v00" currentChamber="SENATE" update-date="2023-10-10">
            <action-date>2023-03-28</action-date>
            <action-desc>Introduced in Senate</action-desc>
            <summary-text><![CDATA[ <p><b>No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act or the No UPCODE Act</b></p> <p>This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data. </p> <p>Specifically, the bill requires the Centers for Medicare &amp; 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.</p>]]></summary-text>
        </summary>
    </item>
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        <dc:language>EN</dc:language>
        <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
        <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
        <dc:description>This file contains bill summaries for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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</BillSummaries>