[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.