# 114-hr-5542: Medicaid and CHIP Quality Improvement Act of 2016

114-hr-5542, Medicaid and CHIP Quality Improvement Act of 2016, is a 114th Congress bill sponsored by Rep. DeGette, Diana [D-CO-1] (D-CO); status Referred to the House Committee on Energy and Commerce. (as of 2025-11-18).

- Canonical: https://policyrisk.com/legislation/114-hr-5542
- As of: 2025-11-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 114-hr-5542
- Congress: 114
- Title: Medicaid and CHIP Quality Improvement Act of 2016
- Status: Referred to the House Committee on Energy and Commerce.
- Introduced: 2016-06-21
- Sponsor: Rep. DeGette, Diana [D-CO-1] (D-CO)
- Cosponsors: 2
- Policy area: Health
- Touches household money: no
- Last recorded action: 2025-11-18

## Summary

Medicaid and Chip Quality Improvement Act of 2016 This bill amends titles XI (General Provisions) and XIX (Medicaid) of the Social Security Act to expand reporting requirements&nbsp;with respect to the quality of care provided&nbsp;under Medicaid and the Children's Health Insurance Program (CHIP). Current law requires a state that contracts with a Medicaid managed organization&nbsp;to develop and implement a quality assessment and improvement strategy. The bill extends this requirement to state contracts with providers of&nbsp;comparable primary care case management services&nbsp;and other&nbsp;health care services under Medicaid. With respect to adults eligible for Medicaid and children enrolled in Medicaid or&nbsp;CHIP, a state must report annually on quality measures identified by the Centers for Medicare &amp; Medicaid Services (CMS). Such reporting shall be stratified by service delivery system. CMS shall establish a Medicaid Quality Performance Bonus fund to award states for high attainment and improvement on&nbsp;a core set of quality measures. A state must designate at least 75% of any bonus funds for the development and operation of quality-related initiatives that will directly benefit providers or managed care entities participating in, or under a waiver of, the state plan for medical assistance. A state may use&nbsp;the remainder of such&nbsp;funds for activities related to the goals and purposes of the state plan.

## Cosponsors (2)

- Rep. Kennedy, Joseph P., III [D-MA-4] (D-MA), 2016-06-21T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2016-09-08T00:00:00.000Z

## Related bills

- 114-hr-5621: To posthumously award a Congressional Gold Medal to Lawrence Eugene "Larry" Doby in recognition of his achievements and contributions to American major league…
- 114-hr-5044: Making supplemental appropriations for fiscal year 2016 to respond to Zika virus.
- 114-hr-5025: 2016 Tax Day Floods Supplemental Funding Act
- 114-hr-4879: TEST for Lead Act
- 114-hr-4695: Quality Care for Moms and Babies Act
- 114-hr-4662: School-Based Asthma Management Program Act

## Sources
- [114-hr-5542 on Congress.gov](https://www.congress.gov/bill/114th-congress/house-bill/5542)

## Related
- [114-hr-5621: To posthumously award a Congressional Gold Medal to Lawrence Eugene "Larry" Dob…](https://policyrisk.com/legislation/114-hr-5621)
- [114-hr-5044: Making supplemental appropriations for fiscal year 2016 to respond to Zika viru…](https://policyrisk.com/legislation/114-hr-5044)
- [114-hr-5025: 2016 Tax Day Floods Supplemental Funding Act](https://policyrisk.com/legislation/114-hr-5025)
- [114-hr-4879: TEST for Lead Act](https://policyrisk.com/legislation/114-hr-4879)
- [114-hr-4695: Quality Care for Moms and Babies Act](https://policyrisk.com/legislation/114-hr-4695)
- [114-hr-4662: School-Based Asthma Management Program Act](https://policyrisk.com/legislation/114-hr-4662)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/114-hr-5542 (as of 2025-11-18).
