[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1791 Reported in House (RH)]
Union Calendar No. 454
104th CONGRESS
2d Session
H. R. 1791
[Report No. 104-826]
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to make certain technical
corrections relating to physicians' services.
_______________________________________________________________________
September 24, 1996
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed
Union Calendar No. 454
104th CONGRESS
2d Session
H. R. 1791
[Report No. 104-826]
To amend title XIX of the Social Security Act to make certain technical
corrections relating to physicians' services.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
June 8, 1995
Mr. Barton of Texas (for himself, Mr. Coleman, Mr. Greenwood, Mr.
Ackerman, Ms. Pryce, Mr. Dingell, Mr. Leach, Mr. Levin, Mr. Emerson,
Mr. Skelton, Mr. Upton, Mr. Jacobs, Mr. Kim, Mr. Rahall, Mr. Kildee,
Mr. Deutsch, Mr. Smith of New Jersey, Mr. Bryant of Texas, Mr. Stupak,
Mr. Barcia, Mr. Frost, and Mr. Brown of Ohio) introduced the following
bill; which was referred to the Committee on Commerce
September 24, 1996
Additional sponsors: Ms. Rivers, Mrs. Thurman, Mrs. Johnson of
Connecticut, Mr. Pastor, Mr. Gene Green of Texas, Mr. Burr, Mr. Ehlers,
Mr. Cardin, Mr. Kolbe, Mr. Hoekstra, Mr. Roberts, Mr. Volkmer, Mr.
Crapo, Mr. Pete Geren of Texas, Mr. McDermott, Mr. Lewis of Georgia,
Mr. Traficant, Mr. Canady of Florida, Mrs. Meek of Florida, Mr. Ney,
Mrs. Lincoln, Mr. Andrews, Mr. Hall of Texas, Mr. Hoke, Mr. Ganske, Ms.
Kaptur, Mr. Bonior, Mr. Hancock, Mr. Fox of Pennsylvania, Ms. Danner,
Mr. Hutchinson, Mr. Reed, Mr. Weldon of Florida, Mr. Bunning of
Kentucky, Mr. Barrett of Wisconsin, Mr. Olver, Mr. McCollum, and Mr.
Nethercutt
September 24, 1996
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed
[Strike out all after the enacting clause and insert the part printed
in italic]
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to make certain technical
corrections relating to physicians' services.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
<DELETED>SECTION 1. SHORT TITLE.</DELETED>
<DELETED> This Act may be cited as the ``Medicaid Certification Act
of 1995''.</DELETED>
<DELETED>SEC. 2. TECHNICAL CORRECTIONS RELATING TO PHYSICIANS'
SERVICES.</DELETED>
<DELETED> (a) In General.--</DELETED>
<DELETED> (1) Unique identifiers.--Paragraph (59) of section
1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is
amended by striking ``subsection (v)'' and inserting
``subsection (x)''.</DELETED>
<DELETED> (2) Expenditures for physicians' services.--
Section 1903(i)(12) of the Social Security Act (42 U.S.C.
1396b(i)(12)) is amended--</DELETED>
<DELETED> (A) by amending clause (i) of subparagraph
(A) to read as follows:</DELETED>
<DELETED> ``(i) is certified in family
practice or pediatrics by the medical specialty
board recognized by the American Board of
Medical Specialties for family practice or
pediatrics or is certified in family practice
or pediatrics by the medical specialty board
recognized by the American Osteopathic
Association,'';</DELETED>
<DELETED> (B) by amending clause (i) of subparagraph
(B) to read as follows:</DELETED>
<DELETED> ``(i) is certified in family
practice or obstetrics by the medical specialty
board recognized by the American Board of
Medical Specialties for family practice or
obstetrics or is certified in family practice
or obstetrics by the medical specialty board
recognized by the American Osteopathic
Association,''; and</DELETED>
<DELETED> (C) in subparagraphs (A) and (B)--
</DELETED>
<DELETED> (i) by striking ``or'' at the end
of clause (v);</DELETED>
<DELETED> (ii) by redesignating clause (vi)
as clause (vii); and</DELETED>
<DELETED> (iii) by inserting after clause
(v) the following new clause:</DELETED>
<DELETED> ``(vi) delivers such services in
the emergency department of a hospital
participating in the State plan approved under
this title, or''.</DELETED>
<DELETED> (b) Effective Date.--The amendments made by subsection (a)
shall be effective as if included in the enactment of the Omnibus
Budget Reconciliation Act of 1990.</DELETED>
SECTION 1. TECHNICAL CORRECTIONS RELATING TO PHYSICIANS' SERVICES.
(a) Correcting Reference to Unique Identifier System.--
(1) In general.--Section 1902(a) of the Social Security Act
(42 U.S.C. 1396a(a)) is amended, in the paragraph redesignated
as paragraph (59) by section 13623(a)(6) of the Omnibus Budget
Reconciliation Act of 1993 and inserted by section
4752(c)(1)(C) of the Omnibus Budget Reconciliation Act of 1990,
by striking ``subsection (v)'' and inserting ``subsection
(x)''.
(2) Effective date.--The amendment made by paragraph (1)
shall be effective as if included in the enactment of the
amendments made by section 4752(c)(1) of the Omnibus Budget
Reconciliation Act of 1990.
(b) Correction in Minimum Qualifications for Billing for
Physicians' Services to Children and Pregnant Women.--
(1) In general.--Section 1903(i) of the Social Security Act
(42 U.S.C. 1396b(i)) is amended, in the paragraph redesignated
as paragraph (12) by section 13631(c)(3) of the Omnibus Budget
Reconciliation Act of 1993 and inserted by section
4752(a)(2)(B) of the Omnibus Budget Reconciliation Act of
1990--
(A) in subparagraph (A)(i), by inserting ``or is
certified in family practice or pediatrics by the
medical specialty board recognized by the American
Osteopathic Association'' before the comma at the end;
(B) in subparagraph (B)(i), by inserting ``or is
certified in family practice or obstetrics by the
medical specialty board recognized by the American
Osteopathic Association'' before the comma at the end;
and
(C) in each of subparagraphs (A) and (B)--
(i) by striking ``or'' at the end of clause
(v),
(ii) in clause (vi), by inserting ``(or
certified by the State in accordance with
policies of the Secretary)'' after
``Secretary'',
(iii) by redesignating clause (vi) as
clause (vii), and
(iv) by inserting after clause (v) the
following new clause:
``(vi) delivers such services in the
emergency department of a hospital
participating in the State plan approved under
this title, or''.
(2) Effective date.--The amendments made by paragraph (1)
shall apply to physicians' services furnished on or after
January 1, 1992.