[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2687 Introduced in House (IH)]







105th CONGRESS
  1st Session
                                H. R. 2687

To amend title XVIII of the Social Security Act to provide for payment 
for drugs furnished incident to hospital outpatient department services 
under the prospective payment system for hospital outpatient department 
                               services.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 21, 1997

  Mr. Stark introduced the following bill; which was referred to the 
  Committee on 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

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to provide for payment 
for drugs furnished incident to hospital outpatient department services 
under the prospective payment system for hospital outpatient department 
                               services.

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

SECTION 1. PAYMENT FOR CERTAIN DRUGS UNDER MEDICARE PROSPECTIVE PAYMENT 
              SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES.

    Section 1833(t)(1) of the Social Security Act (42 U.S.C. 
1395l(t)(1)), as added by section 4523(a) of the Balanced Budget Act of 
1997, is amended by adding at the end the following:
                    ``(C) Treatment of certain drugs.--
                            ``(i) In general.--In carrying out 
                        subparagraph (B)(i), any drug that is 
                        administered incident to a hospital outpatient 
                        service (other than a drug that is furnished to 
                        the individual for use outside the hospital) 
                        shall be treated under this title as a drug 
                        that cannot be self-administered and designated 
                        as covered OPD services. Payment of the 
                        medicare OPD fee schedule amount under this 
                        subsection shall be treated as payment in full 
                        for such drug.
                            ``(ii) Budget neutrality.--Nothing in 
                        clause (i) shall be construed as authorizing or 
                        requiring the Secretary to determine--
                                    ``(I) total amounts that would be 
                                payable for covered OPD services for 
                                1999 under paragraph (3)(A), or
                                    ``(II) a conversion factor for 1999 
                                under paragraph (3)(C)(i),
                        that are greater or less than the amounts or 
                        conversion factor, respectively, that would be 
                        determined under such paragraphs without regard 
                        to such clause.''.
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