H.R. 4629 · 116th Congress

Star Rating for Biosimilars Act

Stage
In committee
Sponsor
Paul Tonko
Introduced
2019-10-08
Latest action
2019-10-18 · Sponsor introductory remarks on measure.

Summary

Star Rating for Biosimilars Act

This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish quality measures regarding biosimilar biological products under the five-star performance rating system for Medicare Advantage plans. The measures must assess the level of access that plans provide to covered biosimilars, including with respect to formularies, cost-sharing, and utilization management.

The CMS must also incorporate such measures into similar rating systems for plans under the Medicare prescription drug benefit.