I 115th CONGRESS 1st Session H. R. 4579 IN THE HOUSE OF REPRESENTATIVES December 6, 2017 Mr. Welch (for himself and Mr. Schrader ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy and Commerce , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend title XVIII of the Social Security Act to implement Medicare payment policies designed to improve management of chronic disease, streamline care coordination, and improve quality outcomes without adding to the deficit.