I

104TH CONGRESS

1ST SESSION H. R. 1217

To amend parts B and C of title XVIII of the Social Security Act to

extend certain savings provisions under the medicare program, as incorporated in the budget submitted by the President for fiscal year 1996.

IN THE HOUSE OF REPRESENTATIVES

MARCH 13, 1995

Mr. BLILEY introduced the following bill; which was referred to the Committee

on Commerce, and in addition to the Committee on Ways and Means,

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 parts B and C of title XVIII of the Social Security

Act to extend certain savings provisions under the medicare program, as incorporated in the budget submitted

by the President for fiscal year 1996.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled,

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘Medicare Parts B and

5 C Administration Budget Savings Extension Act of

6 1995’’.
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1 TITLE I—PROVISIONS RELATING TO PART B OF

2 THE MEDICARE PROGRAM

3 SEC. 101. SETTING THE PART B PREMIUM AT 25 PERCENT

4 OF PROGRAM EXPENDITURES PERMA5 NENTLY.

6 (a) IN GENERAL.—Section 1839(a)(3) of the Social

7 Security Act (42 U.S.C. 1395r(a)(3)) is amended by strik8 ing ‘‘The monthly premium’’ and all that follows through

9 ‘‘November 1.’’ and inserting the following: ‘‘The monthly

10 premium shall be equal to 50 percent of the monthly actu11 arial rate for enrollees age 65 and over, as determined ac12 cording to paragraph (1), for that succeeding calendar

13 year.’’.

14 (b) CONFORMING AMENDMENTS.—Section 1839 of

15 such Act (42 U.S.C. 1395r) is amended—

16 (1) in subsection (a)(2), by striking ‘‘(b) and

17 (e)’’ and inserting ‘‘(b), (c), (e), and (f)’’;

18 (2) in the last sentence of subsection (a)(3), by

19 striking ‘‘and the derivation of the dollar amounts

20 specified in this paragraph’’; and

21 (3) in subsection (e)—

22 (A) by striking ‘‘(1)(A) Notwithstanding’’

23 and all that follows through ‘‘(B)’’,

24 (B) by striking paragraph (2), and
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1 (C) by redesignating clauses (i) through

2 (v) as paragraphs (1) through (5).

3 TITLE II—PROVISIONS RELATING TO PARTS A

4 AND B OF THE MEDICARE PROGRAM

5 SEC. 201. PERMANENT EXTENSION OF CERTAIN SECOND6 ARY PAYER PROVISIONS.

7 (a) DATA MATCH.—Section 1862(b)(5)(C) of the So8 cial Security Act (42 U.S.C. 1395y(b)(5)(C)) is amended

9 by striking clause (iii).

10 (b) APPLICATION TO DISABLED INDIVIDUALS IN

11 LARGE GROUP HEALTH PLANS.—

12 (1) IN GENERAL.—Section 1862(b)(1)(B) of

13 the Social Security Act (42 U.S.C. 1395y(b)(1)(B))

14 is amended—

15 (A) in clause (i), by striking ‘‘clause (iv)’’

16 and inserting ‘‘clause (iii)’’,

17 (B) by striking clause (iii), and

18 (C) by redesignating clause (iv) as clause

19 (iii).

20 (2) CONFORMING AMENDMENTS.—Paragraphs

21 (1) through (3) of section 1837(i) of such Act (42

22 U.S.C. 1395p(i)) and the second sentence of section

23 1839(b) of such Act (42 U.S.C. 1395r(b)) are each

24 amended by striking ‘‘1862(b)(1)(B)(iv)’’ each place

25 it appears and inserting ‘‘1862(b)(1)(B)(iii)’’.
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1 (c) PERIOD OF APPLICATION TO INDIVIDUALS WITH

2 END STAGE RENAL DISEASE.—Section 1862(b)(1)(C) of

3 the Social Security Act (42 U.S.C. 1395y(b)(1)(C)) is

4 amended—

5 (1) in the first sentence, by striking ‘‘12-

6 month’’ each place it appears and inserting ‘‘18-

7 month’’, and

8 (2) by striking the second sentence.

9 SEC. 202. MAINTAINING SAVINGS RESULTING FROM TEM10 PORARY FREEZE ON PAYMENT INCREASES

11 FOR HOME HEALTH SERVICES.

12 (a) BASING UPDATES TO PER VISIT COST LIM13 ITS ON LIMITS FOR FISCAL YEAR 1993.—Section

14 1861(v)(1)(L)(iii) of the Social Security Act (42 U.S.C.

15 1395x(v)(1)(L)(iii)) is amended by adding at the end the

16 following sentence: ‘‘In establishing limits under this sub17 paragraph, the Secretary may not take into account any

18 changes in the costs of the provision of services furnished

19 by home health agencies with respect to cost reporting pe20 riods which began on or after July 1, 1994, and before

21 July 1, 1996.’’.

22 (b) NO EXCEPTIONS PERMITTED BASED ON AMEND23 MENT.—The Secretary of Health and Human Services

24 shall not consider the amendment made by subsection (a)
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1 in making any exemptions and exceptions pursuant to sec2 tion 1861(v)(1)(L)(ii) of the Social Security Act.

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