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Congressional Research Service
Version 00 · Introduced in Senate · Nov 16, 2007
Medicare Quality Improvement Organization Modernization Act of 2007 - Amends title XI of the Social Security Act (SSA) to require utilization and quality control peer review organizations to offer quality improvement assistance to providers, practitioners who provide health care items and services to individuals dually eligible for benefits under SSA titles XVIII (Medicare) and XIX (Medicaid), and programs that provide items and services to such individuals.
Requires the organization to establish a Medicare quality accountability program.
Directs the Secretary of Health and Human Services, acting through the Inspector General of the Department of Health and Human Services, to contract with an entity to conduct a medical review audit to evaluate whether quality improvement organizations are making appropriate noncompliance determinations and sanction recommendations to the Secretary regarding health care practitioners and providers with respect to a corrective action plan.
Showing the opening paragraphs of the official summary.
Revises requirements for the quality improvement program (QIO), including program administration, data disclosure, use of evaluation and competition, quality improvement organization program funding, and qualifications for QIOs under part B (Peer Review) of SSA title XI.
People & committees
Sen. Hatch, Orrin G. [R-UT] · R–UT
Legislative record
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Read twice and referred to the Committee on Finance.
Sponsor introductory remarks on measure. (CR S14642-14643)
Introduced in Senate
Primary sources
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Source last updated: Aug 14, 2025. Consult Congress.gov for the current record.
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