Medicare Secondary Payer Bill Would Ease Employer Burden: Coalition

WASHINGTON—Legislation introduced in the U.S. House would streamline the Medicare secondary payer system, according to a coalition of employers, insurers and third-party administrators.

Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 requires insurers, employers, and other entities to notify the U.S. Centers for Medicare & Medicaid Services when any workers compensation, liability or no-fault claim that has a medical component also involves Medicare-eligible beneficiaries.

The legislation introduced Monday, H.R. 1063, would help parties to settle claims faster by allowing them to obtain government information about the amount of Medicare payments owed before settling a workers comp case rather than after a settlement, the Washington-based Medicare Advocacy Recovery Coalition said in a statement.

Among other provisions, the bill would improve an “onerous reporting process” by eliminating a requirement that companies collect claimants’ Social Security numbers to report payments, MARC said. The legislation also would set a threshold amount for reporting a claim to ensure that the government does not spend more money collecting small claims than it would recover.

Reps. Tim Murphy, R-Pa., and Ron Kind, D-Wis., introduced the Strengthening Medicare and Repaying Taxpayers Act, or SMART Act, which has been referred to committee.

Supporters of reforming the Medicare secondary payer system introduced similar legislation last year but failed to win passage. 


Featured News

  • MARC Celebrates Bicameral and Bipartisan Introduction of the RAMP Act in Congress

    Washington, DC (May 17, 2023) Today the Medicare Advocacy Recovery Coalition (MARC) applauded Senators Tim Scott (R-SC) and Maggie Hassan (D-NH) and Representatives Brad Schneider (D-IL) and Gus Bilirakis (R-FL) for introducing the Repair Abuses of MSP Payments Act (RAMP Act, S.1607/H.R.3388) in the U.S. Senate and the U.S. House of Representatives, respectively.

    Read Article
  • Letter to CMS ORM

    The MARC Coalition recently submitted a letter to the Center for Medicare and Medicaid Services, outlining three specific requests for how the ORM program could be reformed in a beneficial manner for all stakeholders.

    Read Article
  • Medicare Advocacy Recovery Coalition (MARC) Urges Beneficiaries to Support Legislative Reforms to Improve Medicare Secondary Payer (MSP) Program

    WASHINGTON, DC – February 22, 2023 – Established in 2008 with a mission to improve the Medicare Secondary Payer (MSP) program, the Medicare Advocacy Recovery Coalition (MARC) has unveiled a new website aimed at improving their critically important work.

    Read Article