I 
110TH CONGRESS 
1ST SESSION H. R. 4848 
To extend for one year parity in the application of certain limits to mental 
health benefits, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 19, 2007 
Mr. PALLONE (for himself and Mr. STARK) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committees on Ways and Means and Education and 
Labor, 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 extend for one year parity in the application of certain 
limits to mental health benefits, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. PARITY IN APPLICATION OF CERTAIN LIMITS 
TO MENTAL HEALTH BENEFITS. 
(a) AMENDMENT TO THE INTERNAL REVENUE CODE 
OF 1986.—Section 9812(f)(3) of the Internal Revenue 
Code of 1986 is amended by striking ‘‘2007’’ and inserting 
‘‘2008’’. 
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(b) AMENDMENT TO THE EMPLOYEE RETIREMENT 
INCOME SECURITY ACT OF 1974.—Section 712(f) of the 
Employee Retirement Income Security Act of 1974 (29 
U.S.C. 1185a(f)) is amended by striking ‘‘2007’’ and in-
serting ‘‘2008’’. 
(c) AMENDMENT TO THE PUBLIC HEALTH SERVICE 
ACT.—Section 2705(f) of the Public Health Service Act 
(42 U.S.C. 300gg–5(f)) is amended by striking ‘‘2007’’ 
and inserting ‘‘2008’’. 
SEC. 2. INCLUSION OF MEDICARE PROVIDERS IN FEDERAL 
PAYMENT LEVY AND ADMINISTRATIVE OFF-
SET PROGRAM. 
(a) IN GENERAL.—Part E of title XVIII of the Social 
Security Act (42 U.S.C. 1395x et seq.) is amended by add-
ing at the end the following new section: 
‘‘INCLUSION OF MEDICARE PROVIDER PAYMENTS IN 
FEDERAL PAYMENT LEVY PROGRAM 
‘‘SEC. 1898. (a) IN GENERAL.—The Centers for 
Medicare & Medicaid Services shall take all necessary 
steps to participate in the Federal Payment Levy Program 
under section 6331(h) of the Internal Revenue Code of 
1986 as soon as possible and shall ensure that— 
‘‘(1) at least 50 percent of all payments under 
parts A and B are processed through such program 
beginning within 1 year after the date of the enact-
ment of this section; 
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‘‘(2) at least 75 percent of all payments under 
parts A and B are processed through such program 
beginning within 2 years after such date; and 
‘‘(3) all payments under parts A and B are 
processed through such program beginning not later 
than September 30, 2011. 
‘‘(b) 
ASSISTANCE.—The 
Financial 
Management 
Service and the Internal Revenue Service shall provide as-
sistance to the Centers for Medicare & Medicaid Services 
to ensure that all payments described in subsection (a) 
are included in the Federal Payment Levy Program by 
the deadlines specified in that subsection.’’. 
(b) APPLICATION OF ADMINISTRATIVE OFFSET PRO-
VISIONS TO MEDICARE PROVIDER PAYMENTS.—Section 
3716 of title 31, United States Code, is amended— 
(1) by inserting ‘‘the Department of Health and 
Human Services,’’ after ‘‘United States Postal Serv-
ice,’’ in subsection (c)(1)(A); and 
(2) by adding at the end of subsection (c)(3) 
the following new subparagraph: 
‘‘(D) This section shall apply to payments 
made after the date which is 90 days after the 
enactment of this subparagraph (or such earlier 
date as designated by the Secretary of Health 
and Human Services) with respect to claims or 
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debts, and to amounts payable, under title 
XVIII of the Social Security Act.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date of the enactment 
of this Act. 
SEC. 3. DEPOSIT OF EXCESS SAVINGS IN PAQI FUND. 
(a) IN GENERAL.—In addition to any amounts other-
wise made available to the Physician Assistance and Qual-
ity Initiative Fund under section 1848(l)(2) of the Social 
Security Act (42 U.S.C. 1395w–4(l)(2)), there shall be 
made available to such Fund— 
(1) $98,000,000 for expenditures on or after 
October 1, 2008; and 
(2) $212,000,000 for expenditures during or 
after 2013. 
(b) OBLIGATION.—The Secretary of Health and 
Human Services shall provide for expenditures from the 
Fund specified in subsection (a) in a manner designed to 
provide (to the maximum extent feasible) for the obliga-
tion of the entire amount specified in— 
(1) subsection (a)(1) for payment with respect 
to physicians’ services furnished on or after October 
1, 2008; and 
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(2) subsection (a)(2) for payment with respect 
to physicians’ services furnished on or after January 
1, 2013. 
Æ 
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