ods beginning on or after October 1, 1995, may not take
into account any changes in the costs of services occurring
during cost reporting periods which began during fiscal
year 1994 or fiscal year 1995.
TITLE II—PROVISIONS RELATING TO PART B
OF THE MEDICARE PROGRAM
SEC. 201. 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 III—PROVISIONS RELATING TO PARTS A
AND B OF THE MEDICARE PROGRAM
SEC. 301. PERMANENT EXTENSION OF CERTAIN SECOND-
ARY PAYER PROVISIONS.
(a) DATA MATCH.—
(1) Section 1862(b)(5)(C) of the Social Security
Act (42 U.S.C. 1395y(b)(5)(C)) is amended by strik-
ing clause (iii).
(2) Section 6103(l)(12) of the Internal Revenue
Code of 1986 is amended by striking subparagraph
(F).
(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. 302. MAINTAINING SAVINGS RESULTING FROM TEM-
PORARY FREEZE ON PAYMENT INCREASES
FOR HOME HEALTH SERVICES.
(a) BASING UPDATES TO PER VISIT COST LIMITS 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.
Æ