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 incor-
porated 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 medi-
care program, as incorporated in the budget submitted
by the President for fiscal year 1996.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Medicare Parts B and
C Administration Budget Savings Extension Act of
1995’’.
TITLE I—PROVISIONS RELATING TO PART B OF
THE MEDICARE PROGRAM
SEC. 101. SETTING THE PART B PREMIUM AT 25 PERCENT
OF 
PROGRAM 
EXPENDITURES 
PERMA-
NENTLY.
(a) IN GENERAL.—Section 1839(a)(3) of the Social
Security Act (42 U.S.C. 1395r(a)(3)) is amended by strik-
ing ‘‘The monthly premium’’ and all that follows through
‘‘November 1.’’ and inserting the following: ‘‘The monthly
premium shall be equal to 50 percent of the monthly actu-
arial rate for enrollees age 65 and over, as determined ac-
cording to paragraph (1), for that succeeding calendar
year.’’.
(b) CONFORMING AMENDMENTS.—Section 1839 of
such Act (42 U.S.C. 1395r) is amended—
(1) in subsection (a)(2), by striking ‘‘(b) and
(e)’’ and inserting ‘‘(b), (c), (e), and (f)’’;
(2) in the last sentence of subsection (a)(3), by
striking ‘‘and the derivation of the dollar amounts
specified in this paragraph’’; and
(3) in subsection (e)—
(A) by striking ‘‘(1)(A) Notwithstanding’’
and all that follows through ‘‘(B)’’,
(B) by striking paragraph (2), and
(C) by redesignating clauses (i) through
(v) as paragraphs (1) through (5).
TITLE II—PROVISIONS RELATING TO PARTS A
AND B OF THE MEDICARE PROGRAM
SEC. 201. PERMANENT EXTENSION OF CERTAIN SECOND-
ARY PAYER PROVISIONS.
(a) DATA MATCH.—Section 1862(b)(5)(C) of the So-
cial Security Act (42 U.S.C. 1395y(b)(5)(C)) is amended
by striking clause (iii).
(b) APPLICATION
TO DISABLED INDIVIDUALS
IN
LARGE GROUP HEALTH PLANS.—
(1) IN
GENERAL.—Section 1862(b)(1)(B) of
the Social Security Act (42 U.S.C. 1395y(b)(1)(B))
is amended—
(A) in clause (i), by striking ‘‘clause (iv)’’
and inserting ‘‘clause (iii)’’,
(B) by striking clause (iii), and
(C) by redesignating clause (iv) as clause
(iii).
(2) CONFORMING
AMENDMENTS.—Paragraphs
(1) through (3) of section 1837(i) of such Act (42
U.S.C. 1395p(i)) and the second sentence of section
1839(b) of such Act (42 U.S.C. 1395r(b)) are each
amended by striking ‘‘1862(b)(1)(B)(iv)’’ each place
it appears and inserting ‘‘1862(b)(1)(B)(iii)’’.
(c) PERIOD OF APPLICATION TO INDIVIDUALS WITH
END STAGE RENAL DISEASE.—Section 1862(b)(1)(C) of
the Social Security Act (42 U.S.C. 1395y(b)(1)(C)) is
amended—
(1) in the first sentence, by striking ‘‘12-
month’’ each place it appears and inserting ‘‘18-
month’’, and
(2) by striking the second sentence.
SEC. 202. MAINTAINING SAVINGS RESULTING FROM TEM-
PORARY FREEZE ON PAYMENT INCREASES
FOR HOME HEALTH SERVICES.
(a) BASING UPDATES
TO PER VISIT COST LIM-
ITS
ON
LIMITS
FOR
FISCAL
YEAR
1993.—Section
1861(v)(1)(L)(iii) of the Social Security Act (42 U.S.C.
1395x(v)(1)(L)(iii)) is amended by adding at the end the
following sentence: ‘‘In establishing limits under this sub-
paragraph, the Secretary may not take into account any
changes in the costs of the provision of services furnished
by home health agencies with respect to cost reporting pe-
riods which began on or after July 1, 1994, and before
July 1, 1996.’’.
(b) NO EXCEPTIONS PERMITTED BASED ON AMEND-
MENT.—The Secretary of Health and Human Services
shall not consider the amendment made by subsection (a)
in making any exemptions and exceptions pursuant to sec-
tion 1861(v)(1)(L)(ii) of the Social Security Act.
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