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H.R.5601
Beginning
October 30, 2000
- SECTION 1. SHORT TITLE; AMENDMENTS TO SOCIAL SECURITY ACT; REFERENCES TO OTHER ACTS; TABLE OF CONTENTS.
- Sec. 1. Short title; amendments to Social Security Act; references to other Acts; table of contents.
- Sec. 601. Increase in minimum payment amount.
- Sec. 612. Restriction on implementation of significant new regulatory requirements mid-year.
- Sec. 921. Increase in authorization of appropriations for the maternal and child health services block grant.
Subtitle A--Improved Preventive Benefits
- SEC. 101. COVERAGE OF BIENNIAL SCREENING PAP SMEAR AND PELVIC EXAMS.
- SEC. 102. COVERAGE OF SCREENING FOR GLAUCOMA.
- SEC. 103. COVERAGE OF SCREENING COLONOSCOPY FOR AVERAGE RISK INDIVIDUALS.
- SEC. 104. MODERNIZATION OF SCREENING MAMMOGRAPHY BENEFIT.
- SEC. 105. COVERAGE OF MEDICAL NUTRITION THERAPY SERVICES FOR BENEFICIARIES WITH DIABETES OR A RENAL DISEASE.
- SEC. 106. EXTENSION OF PART A COVERAGE FOR WORKERS WITH DISABILITIES.
- SEC. 107. MEDICAID RECOGNITION FOR SERVICES OF PHYSICIAN ASSISTANTS.
- SEC. 111. ACCELERATION OF REDUCTION OF BENEFICIARY COPAYMENT FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES.
- SEC. 112. PRESERVATION OF COVERAGE OF DRUGS AND BIOLOGICALS UNDER PART B OF THE MEDICARE PROGRAM.
- SEC. 113. ELIMINATION OF TIME LIMITATION ON MEDICARE BENEFITS FOR IMMUNOSUPPRESSIVE DRUGS.
- SEC. 114. IMPOSITION OF BILLING LIMITS ON DRUGS.
- SEC. 115. IMPROVING AVAILABILITY OF QMB/SLMB APPLICATION FORMS.
- SEC. 121. DEMONSTRATION PROJECT FOR DISEASE MANAGEMENT FOR SEVERELY CHRONICALLY ILL MEDICARE BENEFICIARIES.
- SEC. 122. CANCER PREVENTION AND TREATMENT DEMONSTRATION FOR ETHNIC AND RACIAL MINORITIES.
- SEC. 123. STUDY ON MEDICARE COVERAGE OF ROUTINE THYROID SCREENING.
- SEC. 124. MEDPAC STUDY ON CONSUMER COALITIONS.
- SEC. 127. STUDIES ON PREVENTIVE INTERVENTIONS IN PRIMARY CARE FOR OLDER AMERICANS.
- SEC. 128. MEDPAC STUDY AND REPORT ON MEDICARE COVERAGE OF CARDIAC AND PULMONARY REHABILITATION THERAPY SERVICES.
Subtitle A--Critical Access Hospital Provisions
- SEC. 202. ASSISTANCE WITH FEE SCHEDULE PAYMENT FOR PROFESSIONAL SERVICES UNDER ALL-INCLUSIVE RATE.
- SEC. 203. EXEMPTION OF CRITICAL ACCESS HOSPITAL SWING BEDS FROM SNF PPS.
- SEC. 204. PAYMENT IN CRITICAL ACCESS HOSPITALS FOR EMERGENCY ROOM ON-CALL PHYSICIANS.
- SEC. 205. TREATMENT OF AMBULANCE SERVICES FURNISHED BY CERTAIN CRITICAL ACCESS HOSPITALS.
- SEC. 206. GAO STUDY ON CERTAIN ELIGIBILITY REQUIREMENTS FOR CRITICAL ACCESS HOSPITALS.
- SEC. 211. EQUITABLE TREATMENT FOR RURAL DISPROPORTIONATE SHARE HOSPITALS.
- SEC. 213. EXTENSION OF OPTION TO USE REBASED TARGET AMOUNTS TO ALL SOLE COMMUNITY HOSPITALS.
- SEC. 214. MEDPAC ANALYSIS OF IMPACT OF VOLUME ON PER UNIT COST OF RURAL HOSPITALS WITH PSYCHIATRIC UNITS.
- SEC. 221. ASSISTANCE FOR PROVIDERS OF AMBULANCE SERVICES IN RURAL AREAS.
- SEC. 222. PAYMENT FOR CERTAIN PHYSICIAN ASSISTANT SERVICES.
- SEC. 223. REVISION OF MEDICARE REIMBURSEMENT FOR TELEHEALTH SERVICES.
- SEC. 224. EXPANDING ACCESS TO RURAL HEALTH CLINICS.
- SEC. 225. MEDPAC STUDY ON LOW-VOLUME, ISOLATED RURAL HEALTH CARE PROVIDERS.
Subtitle A--Inpatient Hospital Services
- SEC. 301. ELIMINATING REDUCTION IN PPS HOSPITAL PAYMENT UPDATE.
- SEC. 302. ADDITIONAL MODIFICATION IN TRANSITION FOR INDIRECT MEDICAL EDUCATION (IME) PERCENTAGE ADJUSTMENT.
- SEC. 303. DECREASE IN REDUCTIONS FOR DISPROPORTIONATE SHARE HOSPITAL (DSH) PAYMENTS.
- SEC. 304. WAGE INDEX IMPROVEMENTS.
- SEC. 305. PAYMENT FOR INPATIENT SERVICES OF REHABILITATION HOSPITALS.
- SEC. 306. PAYMENT FOR INPATIENT SERVICES OF PSYCHIATRIC HOSPITALS.
- SEC. 307. PAYMENT FOR INPATIENT SERVICES OF LONG-TERM CARE HOSPITALS.
- SEC. 308. INCREASE IN BASE PAYMENT TO PUERTO RICO ACUTE CARE HOSPITALS.
- SEC. 311. ELIMINATION OF REDUCTION IN SKILLED NURSING FACILITY (SNF) MARKET BASKET UPDATE IN 2001.
- SEC. 312. INCREASE IN NURSING COMPONENT OF PPS FEDERAL RATE.
- SEC. 313. APPLICATION OF SNF CONSOLIDATED BILLING REQUIREMENT LIMITED TO PART A COVERED STAYS.
- SEC. 314. ADJUSTMENT OF REHABILITATION RUGS TO CORRECT ANOMALY IN PAYMENT RATES.
- SEC. 315. ESTABLISHMENT OF PROCESS FOR GEOGRAPHIC RECLASSIFICATION.
- SEC. 321. FULL MARKET BASKET INCREASE FOR 2001 AND 2002.
- SEC. 322. CLARIFICATION OF PHYSICIAN CERTIFICATION.
- SEC. 323. MEDPAC REPORT ON ACCESS TO, AND USE OF, HOSPICE BENEFIT.
- SEC. 331. RELIEF FROM MEDICARE PART A LATE ENROLLMENT PENALTY FOR GROUP BUY-IN FOR STATE AND LOCAL RETIREES.
- SEC. 332. HOSPITAL GEOGRAPHIC RECLASSIFICATION FOR LABOR COSTS FOR OTHER PPS SYSTEMS.
Subtitle A--Hospital Outpatient Services
- SEC. 401. REVISION OF HOSPITAL OUTPATIENT PPS PAYMENT UPDATE.
- SEC. 403. APPLICATION OF OPD PPS TRANSITIONAL CORRIDOR PAYMENTS TO CERTAIN HOSPITALS THAT DID NOT SUBMIT A 1996 COST REPORT.
- SEC. 404. APPLICATION OF RULES FOR DETERMINING PROVIDER-BASED STATUS FOR CERTAIN ENTITIES.
- SEC. 405. TREATMENT OF CHILDREN'S HOSPITALS UNDER PROSPECTIVE PAYMENT SYSTEM.
- SEC. 411. GAO STUDIES RELATING TO PHYSICIANS' SERVICES.
- SEC. 412. PHYSICIAN GROUP PRACTICE DEMONSTRATION.
`PROVISIONS FOR ADMINISTRATION OF DEMONSTRATION PROGRAM
- SEC. 413. STUDY ON ENROLLMENT PROCEDURES FOR GROUPS THAT RETAIN INDEPENDENT CONTRACTOR PHYSICIANS.
- SEC. 421. 1-YEAR EXTENSION OF MORATORIUM ON THERAPY CAPS; REPORT ON STANDARDS FOR SUPERVISION OF PHYSICAL THERAPY ASSISTANTS.
- SEC. 422. UPDATE IN RENAL DIALYSIS COMPOSITE RATE.
- SEC. 423. PAYMENT FOR AMBULANCE SERVICES.
- SEC. 424. AMBULATORY SURGICAL CENTERS.
- SEC. 425. FULL UPDATE FOR DURABLE MEDICAL EQUIPMENT.
- SEC. 426. FULL UPDATE FOR ORTHOTICS AND PROSTHETICS.
- SEC. 428. REPLACEMENT OF PROSTHETIC DEVICES AND PARTS.
- SEC. 429. REVISED PART B PAYMENT FOR DRUGS AND BIOLOGICALS AND RELATED SERVICES.
- SEC. 430. CONTRAST ENHANCED DIAGNOSTIC PROCEDURES UNDER HOSPITAL PROSPECTIVE PAYMENT SYSTEM.
- SEC. 431. QUALIFICATIONS FOR COMMUNITY MENTAL HEALTH CENTERS.
- SEC. 432. MODIFICATION OF MEDICARE BILLING REQUIREMENTS FOR CERTAIN INDIAN PROVIDERS.
- SEC. 433. GAO STUDY ON COVERAGE OF SURGICAL FIRST ASSISTING SERVICES OF CERTIFIED REGISTERED NURSE FIRST ASSISTANTS.
- SEC. 434. MEDPAC STUDY AND REPORT ON MEDICARE REIMBURSEMENT FOR SERVICES PROVIDED BY CERTAIN PROVIDERS.
- SEC. 435. MEDPAC STUDY AND REPORT ON MEDICARE COVERAGE OF SERVICES PROVIDED BY CERTAIN NONPHYSICIAN PROVIDERS.
- SEC. 436. GAO STUDY AND REPORT ON THE COSTS OF EMERGENCY AND MEDICAL TRANSPORTATION SERVICES.
- SEC. 437. GAO STUDIES AND REPORTS ON MEDICARE PAYMENTS.
- SEC. 438. MEDPAC STUDY ON ACCESS TO OUTPATIENT PAIN MANAGEMENT SERVICES.
Subtitle A--Home Health Services
- SEC. 501. 2-YEAR ADDITIONAL DELAY IN APPLICATION OF 15 PERCENT REDUCTION ON PAYMENT LIMITS FOR HOME HEALTH SERVICES.
- SEC. 502. RESTORATION OF FULL HOME HEALTH MARKET BASKET UPDATE FOR HOME HEALTH SERVICES FOR FISCAL YEAR 2001.
- SEC. 503. TEMPORARY TWO-MONTH EXTENSION OF PERIODIC INTERIM PAYMENTS.
- SEC. 504. USE OF TELEHEALTH IN DELIVERY OF HOME HEALTH SERVICES.
- SEC. 505. STUDY ON COSTS TO HOME HEALTH AGENCIES OF PURCHASING NONROUTINE MEDICAL SUPPLIES.
- SEC. 506. TREATMENT OF BRANCH OFFICES; GAO STUDY ON SUPERVISION OF HOME HEALTH CARE PROVIDED IN ISOLATED RURAL AREAS.
- SEC. 507. CLARIFICATION OF THE HOMEBOUND DEFINITION UNDER THE MEDICARE HOME HEALTH BENEFIT.
- SEC. 508. BONUS PAYMENTS FOR RURAL HOME HEALTH AGENCIES IN 2001 AND 2002.
- SEC. 511. INCREASE IN FLOOR FOR DIRECT GRADUATE MEDICAL EDUCATION PAYMENTS.
- SEC. 512. CHANGE IN DISTRIBUTION FORMULA FOR MEDICARE+CHOICE-RELATED NURSING AND ALLIED HEALTH EDUCATION COSTS.
- SEC. 521. REVISIONS TO MEDICARE APPEALS PROCESS.
- SEC. 522. REVISIONS TO MEDICARE COVERAGE PROCESS.
- SEC. 531. REIMBURSEMENT IMPROVEMENTS FOR NEW CLINICAL LABORATORY TESTS AND DURABLE MEDICAL EQUIPMENT.
- SEC. 532. RETENTION OF HCPCS LEVEL III CODES.
- SEC. 533. RECOGNITION OF NEW MEDICAL TECHNOLOGIES UNDER INPATIENT HOSPITAL PPS.
- SEC. 541. INCREASE IN REIMBURSEMENT FOR BAD DEBT.
- SEC. 542. TREATMENT OF CERTAIN PHYSICIAN PATHOLOGY SERVICES UNDER MEDICARE.
- SEC. 543. EXTENSION OF ADVISORY OPINION AUTHORITY.
- SEC. 544. CHANGE IN ANNUAL MEDPAC REPORTING.
- SEC. 545. DEVELOPMENT OF PATIENT ASSESSMENT INSTRUMENTS.
- SEC. 546. GAO REPORT ON IMPACT OF THE EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA) ON HOSPITAL EMERGENCY DEPARTMENTS.
- SEC. 547. APPLICATION OF BLOODBORNE PATHOGEN STANDARD TO CERTAIN HOSPITALS.
Subtitle A--Medicare+Choice Payment Reforms
- SEC. 601. INCREASED PAYMENT FOR ACCOUNTABLE MEDICARE+CHOICE PLANS.
- SEC. 602. INCREASE IN MINIMUM PERCENTAGE INCREASE.
- SEC. 603. 10-YEAR PHASE-IN OF RISK ADJUSTMENT.
- SEC. 604. TRANSITION TO REVISED MEDICARE+CHOICE PAYMENT RATES.
- SEC. 605. REVISION OF PAYMENT RATES FOR ESRD PATIENTS ENROLLED IN MEDICARE+CHOICE PLANS.
- SEC. 606. PERMITTING PREMIUM REDUCTIONS AS ADDITIONAL BENEFITS UNDER MEDICARE+CHOICE PLANS.
- SEC. 607. FULL IMPLEMENTATION OF RISK ADJUSTMENT FOR CONGESTIVE HEART FAILURE ENROLLEES FOR 2001.
- SEC. 608. EXPANSION OF APPLICATION OF MEDICARE+CHOICE NEW ENTRY BONUS.
- SEC. 611. PAYMENT OF ADDITIONAL AMOUNTS FOR NEW BENEFITS COVERED DURING A CONTRACT TERM.
- SEC. 612. RESTRICTION ON IMPLEMENTATION OF SIGNIFICANT NEW REGULATORY REQUIREMENTS MIDYEAR.
- SEC. 613. TIMELY APPROVAL OF MARKETING MATERIAL THAT FOLLOWS MODEL MARKETING LANGUAGE.
- SEC. 614. AVOIDING DUPLICATIVE REGULATION.
- SEC. 615. ELECTION OF UNIFORM LOCAL COVERAGE POLICY FOR MEDICARE+CHOICE PLAN COVERING MULTIPLE LOCALITIES.
- SEC. 616. ELIMINATING HEALTH DISPARITIES IN MEDICARE+CHOICE PROGRAM.
- SEC. 617. MEDICARE+CHOICE PROGRAM COMPATIBILITY WITH EMPLOYER OR UNION GROUP HEALTH PLANS.
- SEC. 618. SPECIAL MEDIGAP ENROLLMENT ANTIDISCRIMINATION PROVISION FOR CERTAIN BENEFICIARIES.
- SEC. 619. RESTORING EFFECTIVE DATE OF ELECTIONS AND CHANGES OF ELECTIONS OF MEDICARE+CHOICE PLANS.
- SEC. 621. PROVIDING CHOICE FOR SKILLED NURSING FACILITY SERVICES UNDER THE MEDICARE+CHOICE PROGRAM.
- SEC. 622. PROVIDING FOR ACCOUNTABILITY OF MEDICARE+CHOICE PLANS.
- SEC. 623. CIVIL MONETARY PENALTIES FOR CONTRACT DEFAULT BY A MEDICARE+CHOICE ORGANIZATION.
- SEC. 631. 1-YEAR EXTENSION OF SOCIAL HEALTH MAINTENANCE ORGANIZATION (SHMO) DEMONSTRATION PROJECT.
- SEC. 632. REVISED TERMS AND CONDITIONS FOR EXTENSION OF MEDICARE COMMUNITY NURSING ORGANIZATION (CNO) DEMONSTRATION PROJECT.
- SEC. 633. EXTENSION OF MEDICARE MUNICIPAL HEALTH SERVICES DEMONSTRATION PROJECTS.
- SEC. 634. SERVICE AREA EXPANSION FOR MEDICARE COST CONTRACTS DURING TRANSITION PERIOD.
- SEC. 701. DSH PAYMENTS.
- SEC. 702. NEW PROSPECTIVE PAYMENT SYSTEM FOR FEDERALLY-QUALIFIED HEALTH CENTERS AND RURAL HEALTH CLINICS.
- SEC. 703. STREAMLINED APPROVAL OF CONTINUED STATE-WIDE SECTION 1115 MEDICAID WAIVERS.
- SEC. 704. MEDICAID COUNTY-ORGANIZED HEALTH SYSTEMS.
- SEC. 705. DEADLINE FOR ISSUANCE OF FINAL REGULATION RELATING TO MEDICAID UPPER PAYMENT LIMITS.
- SEC. 706. ALASKA FMAP.
- SEC. 707. OPTIONAL COVERAGE OF LEGAL IMMIGRANTS UNDER THE MEDICAID PROGRAM.
- SEC. 708. ADDITIONAL ENTITIES QUALIFIED TO DETERMINE MEDICAID PRESUMPTIVE ELIGIBILITY FOR LOW-INCOME CHILDREN.
- SEC. 709. IMPROVING WELFARE-TO-WORK TRANSITION.
- SEC. 801. SPECIAL RULE FOR REDISTRIBUTION AND AVAILABILITY OF UNUSED FISCAL YEAR 1998 AND 1999 SCHIP ALLOTMENTS.
- SEC. 802. AUTHORITY TO PAY MEDICAID EXPANSION SCHIP COSTS FROM TITLE XXI APPROPRIATION.
- SEC. 803. OPTIONAL COVERAGE OF CERTAIN LEGAL IMMIGRANTS UNDER SCHIP.
Subtitle A--PACE Program
- SEC. 901. EXTENSION OF TRANSITION FOR CURRENT WAIVERS.
- SEC. 902. CONTINUING OF CERTAIN OPERATING ARRANGEMENTS PERMITTED.
- SEC. 903. FLEXIBILITY IN EXERCISING WAIVER AUTHORITY.
- SEC. 911. OUTREACH ON AVAILABILITY OF MEDICARE COST-SHARING ASSISTANCE TO ELIGIBLE LOW-INCOME MEDICARE BENEFICIARIES.
Subtitle C--Maternal and Child Health Block Grant
- SEC. 921. INCREASE IN AUTHORIZATION OF APPROPRIATIONS FOR THE MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT.
- SEC. 931. INCREASE IN APPROPRIATIONS FOR SPECIAL DIABETES PROGRAMS FOR TYPE I DIABETES AND INDIANS.
- SEC. 932. APPROPRIATIONS FOR RICKY RAY HEMOPHILIA RELIEF FUND.
- SEC. 941. SHORT TITLE.
- SEC. 942. GRANTS TO STATES FOR IMPROVEMENTS IN NURSING HOME STAFFING AND QUALITY.
- SEC. 943. ENHANCED NURSING FACILITY REPORTING REQUIREMENTS.
- SEC. 944. NURSING FACILITY CIVIL MONEY PENALTY COLLECTIONS.
- SEC. 951. SHORT TITLE.
- SEC. 952. OPPORTUNITY FOR FAMILIES OF DISABLED CHILDREN TO PURCHASE MEDICAID COVERAGE FOR SUCH CHILDREN.
- SEC. 954. DEMONSTRATION OF COVERAGE UNDER THE MEDICAID PROGRAM OF CHILDREN WITH POTENTIALLY SEVERE DISABILITIES.
- SEC. 955. DEVELOPMENT AND SUPPORT OF FAMILY-TO-FAMILY HEALTH INFORMATION CENTERS.
- SEC. 956. RESTORATION OF MEDICAID ELIGIBILITY FOR CERTAIN SSI BENEFICIARIES.
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