```

[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5093 Introduced in House (IH)]

106th CONGRESS
  2d Session
                                H. R. 5093

   To amend title XVIII of the Social Security Act and the Internal 
Revenue Code of 1986 to improve the ability of medical professionals to 
  practice medicine and provide quality care to patients by providing 
        reimbursement and a tax deduction for patient bad debt.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             July 27, 2000

Mr. Thornberry introduced the following bill; which was referred to the 
                      Committee on Ways and Means

_______________________________________________________________________

                                 A BILL

 
   To amend title XVIII of the Social Security Act and the Internal 
Revenue Code of 1986 to improve the ability of medical professionals to 
  practice medicine and provide quality care to patients by providing 
        reimbursement and a tax deduction for patient bad debt.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Patient Fairness and Indigent Care 
Promotion Act of 2000''.

SEC. 2. RESTORATION OF BBA REDUCTION AND REIMBURSEMENT OF HOSPITALS FOR 
              100 PERCENT OF MEDICARE BENEFICIARY BAD DEBT.

    Section 1861(v)(1)(T)(iii) of the Social Security Act (42 U.S.C. 
1395x(v)(1)(T)(iii)), as added by section 4451 of the Balanced Budget 
Act of 1997, is amended by striking ``during a subsequent fiscal year'' 
and inserting ``during fiscal year 2000''.

SEC. 3. BAD DEBT DEDUCTION FOR CASH BASIS HEALTH CARE PROVIDERS FOR 
              UNPAID SERVICES PROVIDED TO LOW-INCOME INDIVIDUALS.

    (a) In General.--Section 166 of the Internal Revenue Code of 1986 
(relating to bad debts) is amended by redesignating subsection (f) as 
subsection (g) and by inserting after subsection (e) the following new 
subsection:
    ``(f) Unpaid Medical Care Provided to Low-Income Individuals.--
            ``(1) In general.--In the case of a taxpayer to whom this 
        subsection applies, the deduction under subsection (a) for 
        worthless qualified medical care debt shall not be less than 75 
        percent of the taxpayer's charge for such care.
            ``(2) Taxpayer to whom subsection applies.--This subsection 
        shall apply to any taxpayer who is engaged in the trade or 
        business of providing medical care other than as an employee 
        and who used the cash receipts and disbursements method of 
        accounting.
            ``(3) Qualified medical care debt.--For purposes of this 
        subsection, the term `qualified medical care debt' means any 
        debt for medical care provided by the taxpayer to a low-income 
        individual.
            ``(4) Determination of charge.--The amount of the 
        taxpayer's charge which may be taken into account--
                    ``(A) shall not exceed the amount of the charge 
                that would be recognized for purposes of title XVIII of 
                the Social Security Act, and
                    ``(B) shall not include any amount for which the 
                taxpayer is not entitled to reimbursement from the low-
                income individual.
            ``(5) Low-income individual.--For purposes of this 
        subsection, the term `low-income individual' means an 
        individual with a modified adjusted gross income (as defined in 
        section 34(c)(5)) below 135 percent of the income official 
        poverty line (as defined by the Office of Management and 
        Budget, and revised annually in accordance with section 673(2) 
        of the Omnibus Budget Reconciliation Act of 1981) applicable to 
        a family of the size involved.
            ``(6) Medical care.--For purposes of this subsection, the 
        term `medical care' has the meaning given to such term by 
        section 213(d).''
    (b) Effective Date.--The amendment made by this section shall apply 
to taxable years beginning after the date of the enactment of this Act.
                                 <all>
```