3.0.0 3584 2023-01-15T08:33:23Z 2023-01-15T08:33:23Z House H HR 2003-11-21 108 hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2003-12-17T20:49:51Z Referred to 2003-11-21T14:07:00Z hswm00 Ways and Means Committee House Standing hswm02 Health Subcommittee Referred to 2003-12-08T15:56:25Z Referred to 2003-11-21T14:07:05Z 2003-12-17 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2003-12-08 hswm02 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2003-11-21 Referred to the Committee on Energy and 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. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2003-11-21 Referred to the Committee on Energy and 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. IntroReferral H11100-A 9 Library of Congress 2003-11-21 Referred to the Committee on Energy and 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. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2003-11-21 Introduced in House IntroReferral Intro-H 9 Library of Congress 2003-11-21 Introduced in House IntroReferral 1000 9 Library of Congress B001231 Rep. Berkley, Shelley [D-NV-1] SHELLEY BERKLEY D NV 1 N Health Access to health care Accreditation (Medical care) Administrative law judges Administrative procedure Administrative remedies Auditing Civil actions and liability Collection of accounts Commerce Communication in medicine Compensation (Law) Competitive bidding Computer security measures Conflict of interests Congress Congressional investigations Congressional reporting requirements Consumer complaints Cost effectiveness Department of Health and Human Services Economics and Public Finance Education Electronic government information Employee training Evidence (Law) Executive reorganization Finance and Financial Sector Fines (Penalties) Government Operations and Politics Government contractors Government paperwork Government publicity Government service contracts Grievance procedures Higher education Housing and Community Development Indemnity Indexing (Economic policy) Interest Internet Judicial review Labor and Employment Law Legal education Legislation Liability (Law) Licenses Long-term care Mediation Medical ethics Medical fees Medical records Medicare Nursing homes Ombudsman Paramedical personnel Patient satisfaction Peer review organizations (Medicine) Performance measurement Physicians Quality of care Rural health Science, Technology, Communications Small business Social Security Administration Social Welfare Sunset legislation Surety and fidelity Teleconferencing Telephone Web sites Health 00 2003-11-21 Introduced in House 2004-01-07T21:17:44Z Medicare Regulatory Fairness and Physician Fee Update Act - Amends title XVIII (Medicare) of the Social Security Act to revise requirements with regard to Medicare part B (Supplementary Medical Insurance) and updates for physicians' services and to add a definition of supplier.

Includes a number of regulatory reduction, contracting, and administrative changes, such as adding requirements for information security for Medicare administrative contractors and increased flexibility in Medicare administration.

Requires the Comptroller General to study and report to Congress with respect to advisory opinion authority.

Directs the Secretary of Health and Human Services to: (1) establish a small provider technical assistance demonstration program; (2) appoint within the Department of Health and Human Services a Medicare Beneficiary Ombudsman; (3) establish a beneficiary outreach demonstration program; (4) include additional information in notices of explanation of Medicare benefits; and (5) provide public information that enables hospital discharge planners, Medicare beneficiaries, and the public to identify skilled nursing facilities participating in the Medicare program.

Requires the Commissioner of Social Security and the Secretary to develop and transmit to Congress and the Comptroller General a plan under which the functions of administrative law judges responsible for hearing cases under the Medicare program are transferred from the responsibility of the Commissioner to the Secretary and the Department. Requires the Commissioner of Social Security and the Secretary to implement the transition plan and transfer those administrative law judge functions from the Social Security Administration to the Secretary. Requires the Secretary to assure the independence of administrative law judges performing the administrative law judge functions transferred from the Centers for Medicare & Medicaid Services and its contractors.

Directs the Secretary to establish a process for: (1) expedited access to judicial review and prompt determinations for providers, suppliers, or beneficiaries who have filed an appeal so that they may obtain access to judicial review when a review entity determines that the Departmental Appeals Board does not have the authority to decide the question of law or regulation relevant to the matters in controversy and there is no material issue of fact in dispute; and (2) expedited review of certain provider agreement determinations.

Revises the Medicare appeals process.

Provides for the recovery of overpayments through the use of repayment plans.

Outlines an enrollment process for providers of services and suppliers.

Requires the Secretary to develop a: (1) process for correction of minor errors and omissions without pursuing the appeals process; (2) prior determination process for certain items and services; and (3) program of outreach and education for beneficiaries and providers of services and other persons on the appropriate use of advance beneficiary notices and coverage policies under the Medicare program.

Directs the Secretary to establish a mediation process for local coverage determinations.

]]> Medicare Regulatory Fairness and Physician Fee Update Act Display Title Medicare Regulatory Fairness and Physician Fee Update Act Official Title as Introduced To amend title XVIII of the Social Security Act to increase the amount of payment for physicians' services under the Medicare Program and to provide regulatory relief and contracting flexibility under the Medicare Program. Introduced in House IH Short Titles as Introduced Medicare Regulatory Fairness and Physician Fee Update Act Introduced in House 2003-11-21T05:00:00Z 2003-12-17 Referred to the Subcommittee on Health. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.