Detailed Summary

Medicare Quality Improvement Organization Modernization Act of 2009 - 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, Medicare Advantage organizations under part C (Medicare+Choice) of title XVIII (Medicare), and prescription drug sponsors under part D (Voluntary Prescription Drug Benefit Program) of such title.

Allows an organization to provide de-identified patient data to providers treating the same population of patients for the purpose of measuring and improving the safety, quality, and effectiveness of patient transitions from one service provider to another.

Requires the organization to establish a Medicare quality accountability program.

Adds a program administration component under part B (Peer Review) of SSA title XI. Directs the Secretary to ensure that Quality Improvement Organizations (QIOs) are provided maximum freedom in designing and applying intervention strategies for local quality improvement.

Revises requirements for the quality improvement program, including use of evaluation and competition, quality improvement funding, and qualifications for QIOs.

Amends SSA title XIX (Medicaid) to require state medical assistance plans to provide for an alternative quality improvement program.

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Status of the Legislation

Latest Major Action: 10/21/2009: House committee/subcommittee actions. Status: Ordered to be Reported (Amended) by the Yeas and Nays: 29 - 18.

Points in Favor

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Points Against

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