[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[S. 1106 Introduced in Senate (IS)]

103d CONGRESS
  1st Session
                                S. 1106

 To amend certain provisions of title XVIII of the Social Security Act 
      relating to end stage renal disease, and for other purposes.


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                   IN THE SENATE OF THE UNITED STATES

                             June 15, 1993

Mr. Durenberger (for himself and Mr. Daschle) introduced the following 
  bill; which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
 To amend certain provisions of title XVIII of the Social Security Act 
      relating to end stage renal disease, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. INCREASE IN MEDICARE SECONDARY PAYER COVERAGE FOR END STAGE 
              RENAL DISEASE SERVICES TO 24 MONTHS.

    (a) In General.--Section 1862(b)(1)(C) of the Social Security Act 
(42 U.S.C. 1395y(b)(1)(C)) is amended by striking the last sentence and 
inserting: ``Effective for items and services furnished on or after 
January 1, 1994, and on or before September 30, 1998, (with respect to 
periods beginning on or after July 1, 1992), this subparagraph shall be 
applied by substituting `24-month' for `12-month' each place it 
appears.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to items and services provided on or after January 1, 1994.

SEC. 2. 2.5 PERCENT INCREASE IN COMPOSITE RATES FOR PAYMENT FOR END 
              STAGE RENAL DISEASE SERVICES.

    (a) In General.--Section 9335(a)(1) of the Omnibus Budget 
Reconciliation Act of 1986, as amended by section 6203(a)(1) of the 
Omnibus Budget Reconciliation Act of 1989 and section 4201(a)(1) of the 
Omnibus Budget Reconciliation Act of 1990, is amended by striking the 
last sentence and inserting the following new sentence: ``Effective 
with respect to services furnished on or after January 1, 1994, such 
base rate shall be equal to the respective rate in effect as of 
September 30, 1993, increased by 2.5 percent.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to services provided on or after January 1, 1994.

SEC. 3. COVERAGE OF IMMUNOSUPPRESSIVE DRUGS.

    Section 1861(s)(2)(J) of the Social Security Act (42 U.S.C. 
1395x(s)(2)(J)) is amended by striking ``title, within'' and all that 
follows and inserting the following: ``title, but only in the case of 
drugs furnished--
                    ``(i) before 1994, within 12 months after the date 
                of the transplant procedure,
                    ``(ii) during 1994, within 18 months after the date 
                of the transplant procedure,
                    ``(iii) during 1995, within 24 months after the 
                date of the transplant procedure,
                    ``(iv) during 1996, within 30 months after the date 
                of the transplant procedure, and
                    ``(v) during any year after 1996, within 36 months 
                after the date of the transplant procedure;''.

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