IIB 
110TH CONGRESS 
2D SESSION 
H. R. 4848 
IN THE SENATE OF THE UNITED STATES 
FEBRUARY 8 (legislative day, FEBRUARY 6), 2008 
Received; read twice and referred to the Committee on Finance 
AN ACT 
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, 
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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’’. 
(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 AND SUP-
PLIERS IN FEDERAL PAYMENT LEVY AND AD-
MINISTRATIVE OFFSET PROGRAM. 
(a) IN GENERAL.—Section 1874 of the Social Secu-
rity Act (42 U.S.C. 1395kk) is amended by adding at the 
end the following new subsection: 
‘‘(d) INCLUSION OF MEDICARE PROVIDER AND SUP-
PLIER PAYMENTS
IN FEDERAL PAYMENT LEVY PRO-
GRAM.— 
‘‘(1) IN GENERAL.—The Centers for Medicare 
& Medicaid Services shall take all necessary steps to 
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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— 
‘‘(A) 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 enactment of this section; 
‘‘(B) 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 
‘‘(C) all payments under parts A and B 
are processed through such program beginning 
not later than September 30, 2011. 
‘‘(2) ASSISTANCE.—The Financial Management 
Service and the Internal Revenue Service shall pro-
vide assistance to the Centers for Medicare & Med-
icaid Services to ensure that all payments described 
in paragraph (1) are included in the Federal Pay-
ment Levy Program by the deadlines specified in 
that subsection.’’. 
(b) APPLICATION OF ADMINISTRATIVE OFFSET PRO-
VISIONS
TO MEDICARE PROVIDER
OR SUPPLIER PAY-
MENTS.—Section 3716 of title 31, United States Code, is 
amended— 
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(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 
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) $93,000,000 for expenditures during or 
after 2009; 
(2) $212,000,000 for expenditures during or 
after 2014; and 
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(3) $44,000,000 for expenditures during or 
after 2018. 
(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 during or after Jan-
uary 1, 2009; 
(2) subsection (a)(2) for payment with respect 
to physicians’ services furnished on or after January 
1, 2014; and 
(3) subsection (a)(3) for payment with respect 
to physicians’ services furnished on or after January 
1, 2018. 
SEC. 4. PROTECTION OF SOCIAL SECURITY. 
To ensure that the assets of the trust funds estab-
lished under section 201 of the Social Security Act (42 
U.S.C. 401) are not reduced as a result of the enactment 
of this Act, the Secretary of the Treasury shall transfer 
from the general revenues of the Federal Government to 
those trust funds the following amounts: 
(1) For fiscal year 2008, $1,000,000. 
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(2) For fiscal year 2009, $5,000,000. 
(3) For fiscal year 2010, $1,000,000. 
Passed the House of Representatives February 7, 
2008. 
Attest: 
LORRAINE C. MILLER, 
Clerk. 
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