[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4228 Introduced in House (IH)]







105th CONGRESS
  2d Session
                                H. R. 4228

To amend title XVIII of the Social Security Act to provide an election 
for Medicare+Choice organizations to exclude payment for the provision 
            of abortion services under the Medicare Program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 15, 1998

  Mr. Nussle introduced the following bill; which was referred to the 
   Committee on Ways and Means, and in addition to the Committee on 
Commerce, 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 an election 
for Medicare+Choice organizations to exclude payment for the provision 
            of abortion services under the Medicare Program.

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

SECTION 1. CLARIFICATION ON REQUIRED COVERED SERVICES FURNISHED BY 
              MEDICARE+CHOICE ORGANIZATIONS.

    (a) In General.--Section 1852(a) of the Social Security Act (42 
U.S.C. 1395w-22(a)) is amended--
            (1) in paragraph (1), by inserting ``and except as provided 
        in paragraph (6)'' after ``MSA plans''; and
            (2) by adding at the end the following new paragraph:
            ``(6) Election.--
                    ``(A) In general.--A Medicare+Choice organization 
                may elect to exclude abortion services from the 
                services which it is otherwise required to provide 
                under section 1852(a)(1).
                    ``(B) Effect of election.--In the case of an 
                election under subparagraph (A)--
                            ``(i) the Secretary shall make such an 
                        adjustment in the payment made to the 
                        organization under section 1853(a)(1)(A) to 
                        reflect the actuarial value of services so 
                        excluded; and
                            ``(ii) a member enrolled under this part is 
                        entitled to benefits for such abortion services 
                        under parts A and B as if the member were not 
                        enrolled with a Medicare+Choice plan under this 
                        part.''.
    (b) Conforming Amendments.--(1) Section 1851(i)(1) of such Act (42 
U.S.C. 1395w-21(i)(1)) is amended by inserting ``1852(a)(6),'' after 
``1852(a)(5),''.
    (2) Section 1853(a)(1)(A) of such Act (42 U.S.C. 1395w-23(a)(1)(A)) 
is amended by inserting ``for an organization's election under section 
1852(a)(6),'' before ``and such other factors as the Secretary 
determines to be appropriate,''.
    (c) Effective Date.--The amendments made by this section shall 
apply as if included in the enactment of the Balanced Budget Act of 
1997.
                                 <all>