I
106TH CONGRESS
1ST SESSION
H. R. 1413
To amend title XVIII of the Social Security Act to expand and make perma-
nent the Medicare demonstration project for military retirees and depend-
ents.
IN THE HOUSE OF REPRESENTATIVES
APRIL 14, 1999
Mr. HEFLEY (for himself, Mr. ACKERMAN, Mr. BALDACCI, Mr. BARTLETT of
Maryland, Mr. BEREUTER, Mr. BOEHLERT, Mr. BOUCHER, Mr. BRYANT,
Mr. CHAMBLISS, Mr. CLEMENT, Mr. COLLINS, Mr. CONDIT, Mr.
COOKSEY, Mr. DEFAZIO, Ms. DEGETTE, Mr. DEUTSCH, Mr. DIAZ-
BALART, Mr. DICKEY, Mrs. EMERSON, Mr. ENGLISH, Mr. FARR of Cali-
fornia, Mr. FILNER, Mr. FRELINGHUYSEN, Mr. FROST, Mr. GALLEGLY,
Mr. GOODLATTE, Mr. GOODLING, Mr. HANSEN, Mr. HILLEARY, Mrs.
KELLY, Mr. LAHOOD, Mr. LUCAS of Oklahoma, Mr. LUTHER, Mr.
MCCOLLUM, Mr. MCGOVERN, Mr. MCHUGH, Mr. MCKEON, Mr.
METCALF, Mr. GARY MILLER of California, Mr. NORWOOD, Mr. OBER-
STAR, Mr. OLVER, Mr. PACKARD, Mr. PALLONE, Mr. PASCRELL, Mr. PE-
TERSON of Pennsylvania, Mr. PICKERING, Mr. SAXTON, Mr. SENSEN-
BRENNER, Mr. SHOWS, Mr. SMITH of Washington, Mr. SPRATT, Mr.
TANCREDO, Mr. TANNER, Mr. TAYLOR of North Carolina, Mr. TAYLOR
of Mississippi, Mrs. THURMAN, Mr. TRAFICANT, Mr. UNDERWOOD, Mr.
WAMP, Mr. WATTS of Oklahoma, Mr. WELLER, Mr. WHITFIELD, Ms.
WOOLSEY, Mr. YOUNG of Alaska, Mr. STUPAK, Mr. STUMP, and Mr.
CAPUANO) introduced the following bill; which was referred to the Com-
mittee on Ways and Means, and in addition to the Committee on Com-
merce, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the jurisdic-
tion of the committee concerned
A BILL
To amend title XVIII of the Social Security Act to expand
and make permanent the Medicare demonstration project
for military retirees and dependents.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. MEDICARE SUBVENTION PROJECT FOR MILI-
TARY RETIREES AND DEPENDENTS.
(a) EXPANSION OF SITES.—
(1) EXPANSION TO 16 SITES.—Effective Janu-
ary 1, 2000, subsection (b)(2) of section 1896 of the
Social Security Act (42 U.S.C. 1395ggg) is amended
by striking ‘‘6’’ and inserting ‘‘16’’.
(2) FUTURE REPEAL OF LIMITATION ON NUM-
BER OF SITES.—Effective October 1, 2002, para-
graph (2) of section 1896(b) of such Act is amended
to read as follows:
‘‘(2) LOCATION OF SITES.—The program shall be
conducted in any site designated jointly by the admin-
istering Secretaries.’’.
(b) MAKING PROJECT PERMANENT; CHANGES
IN
PROJECT REFERENCES.—
(1) ELIMINATION OF TIME LIMITATION.—Para-
graph (4) of section 1896(b) of such Act is repealed.
(2) TREATMENT OF CAPS.—Subsection (i)(4) of
section 1896 of such Act is amended by adding at
the end the following:
‘‘This paragraph shall not apply after calendar
year 2000.’’.
(3) CONFORMING CHANGES OF REFERENCES TO
DEMONSTRATION PROJECT.—Section 1896 of such
Act is further amended—
(A) in the heading, by striking ‘‘DEM-
ONSTRATION
PROJECT’’ and inserting ‘‘PRO-
GRAM’’;
(B) by amending subsection (a)(2) to read
as follows:
‘‘(2) PROGRAM.—The term ‘program’ means the pro-
gram carried out under this section.’’;
(C) in the heading to subsection (b), by
striking ‘‘DEMONSTRATION PROJECT’’ and in-
serting ‘‘PROGRAM’’;
(D) by striking ‘‘demonstration project’’ or
‘‘project’’ each place either appears and insert-
ing ‘‘program’’;
(E) in subsection (k)(2)—
(i) by striking ‘‘EXTENSION AND EX-
PANSION
OF
DEMONSTRATION
PROJECT’’
and inserting ‘‘PROGRAM’’; and
(ii) by striking subparagraphs (A)
through (C) and inserting the following:
‘‘(A) whether there is a cost to the health
care program under this title in conducting the
program under this section; and
‘‘(B) whether the terms and conditions of
the program should be modified.’’.
(4) ADDITIONAL CONFORMING AMENDMENT.—
Paragraph (5) of section 1896(b) of such Act is re-
pealed.
(c) PERMITTING PAYMENT ON A FEE-FOR-SERVICE
BASIS.—
(1) IN GENERAL.—Section 1896 of the Social
Security Act is further amended by adding at the
end the following new subsection:
‘‘(l) PAYMENT ON A FEE-FOR-SERVICE BASIS.—In-
stead of the payment method described in subsection (i)(1)
and in the case of individuals who are not enrolled in the
program in the manner described in subsection (d)(1), the
Secretary may reimburse the Secretary of Defense for
services provided under the program at a rate that does
not exceed the rate of payment that would otherwise be
made under this title for such services if sections 1814(c)
and 1835(d), and paragraphs (2) and (3) of section
1862(a), did not apply.’’.
(2) CONFORMING AMENDMENTS.—Such section
is further amended—