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This bill amends the Center for Medicare and Medicaid Innovation (CMI) authority under the Social Security Act to establish parameters and oversight for model testing and expansion. It limits Phase 1 model testing to 5 years and the lesser of 10% of beneficiaries or 500,000 individuals, caps new Phase 1 models at six per fiscal year, and restricts concurrent mandatory participation models to five. The bill requires hardship waivers for providers, continuous monitoring of model impacts including health disparities, and establishes a congressional review process where CMI model expansions proceed unless Congress passes a joint resolution of disapproval within 45 days.
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