[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 580 Introduced in House (IH)]







104th CONGRESS
  1st Session
                                H. R. 580

 To amend title XVIII of the Social Security Act and title 10, United 
  States Code, to allow the Secretary of Health and Human Services to 
  reimburse the Military Health Services System for care provided to 
 Medicare-eligible military retirees and their spouses in the Military 
                        Health Services System.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            January 19, 1995

Mr. Hefley (for himself, Mr. Pete Geren of Texas, Mr. Barton of Texas, 
  Mr. Condit, and Mr. Sam Johnson of Texas) introduced the following 
bill; which was referred to the Committee on Commerce and, in addition, 
to the Committees on Ways and Means and National Security, 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

_______________________________________________________________________

                                 A BILL


 
 To amend title XVIII of the Social Security Act and title 10, United 
  States Code, to allow the Secretary of Health and Human Services to 
  reimburse the Military Health Services System for care provided to 
 Medicare-eligible military retirees and their spouses in the Military 
                        Health Services System.

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

SECTION 1. MEDICARE PROGRAM PAYMENTS FOR HEALTH CARE SERVICES PROVIDED 
              IN THE MILITARY HEALTH SERVICES SYSTEM.

    (a) Payments Under Medicare Risk Contracts Program.--Section 1876 
of the Social Security Act (42 U.S.C. 1395mm) is amended by adding at 
the end the following new subsection:
    ``(k) Notwithstanding any other provision of this section, a 
managed health care plan established by the Secretary of Defense under 
chapter 55 of title 10, United States Code, shall be considered an 
eligible organization under this section, and the Secretary shall make 
payments to such a managed health care plan during a year on behalf of 
any individuals entitled to benefits under this title who are enrolled 
in such a managed health care plan during the year. Such payments shall 
be made in the same amounts and under similar terms and conditions 
under which the Secretary makes payments to other eligible 
organizations with risk sharing contracts under this section.''.
    (b) Temporary Provision for Waiver of Part B Premium Penalty.--
Section 1839 of the Social Security Act (42 U.S.C. 1395r) is amended by 
adding at the end the following new subsection:
    ``(h) The premium increase required by subsection (b) shall not 
apply with respect to a person who is enrolled with a managed care plan 
that is established by the Secretary of Defense under chapter 55 of 
title 10, United States Code, and is recognized as an eligible 
organization pursuant to section 1876(k), if such person first enrolled 
in such plan prior to January 1, 1998.''.
    (c) Payments Under Part A of Medicare.--Section 1814(c) of the 
Social Security Act (42 U.S.C. 1395f(c)) is amended--
            (1) by redesignating the current matter as paragraph (1); 
        and
            (2) by adding at the end the following new paragraph:
            ``(2) Paragraph (1) shall not apply to services provided by 
        facilities of the uniformed services pursuant to chapter 55 of 
        title 10, United States Code, and subject to the provisions of 
        section 1095 of such title. With respect to such services, 
        payments under this title shall be made without regard to 
        whether the beneficiary under this title has paid the 
        deductible and copayments amounts generally required by this 
        title.''.
    (d) Payments Under Part B of Medicare.--Section 1835(d) of the 
Social Security Act (42 U.S.C. 1395n(d)) is amended--
            (1) by redesignating the current matter as paragraph (1); 
        and
            (2) by adding at the end the following new paragraph:
    ``(2) Paragraph (1) shall not apply to services provided by 
facilities of the uniformed services pursuant to chapter 55 of title 
10, United States Code, and subject to the provisions of section 1095 
of such title. With respect to such services, payments under this title 
shall be made without regard to whether the beneficiary under this 
title has paid the deductible and copayments amounts generally required 
by this title.''.
    (e) Conforming Amendments to the Third Party Collection Program for 
Military Medical Facilities.--(1) Section 1095(d) of title 10, United 
States Code, is amended--
            (A) by striking ``XVIII or''; and
            (B) by striking ``1395'' and inserting ``1396''.
    (2) Section 1095(h)(2) of such title is amended by inserting after 
``includes'' the following: ``plans administered under title XVIII of 
the Social Security Act (42 U.S.C. 1395 et seq.),''.
    (f) Effective Date.--The amendments made by this section shall take 
effect at the end of the 30-day period beginning on the date of the 
enactment of this Act.
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