[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[S. 2222 Introduced in Senate (IS)]







105th CONGRESS
  2d Session
                                S. 2222

To amend title XVIII of the Social Security Act to repeal the financial 
  limitation on rehabilitation services under part B of the Medicare 
                                Program.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             June 25, 1998

  Mr. Grassley (for himself, Mr. Reid, Mr. Hollings, and Mr. D'Amato) 
introduced the following bill; which was read twice and referred to the 
                          Committee on Finance

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to repeal the financial 
  limitation on rehabilitation services under part B of the Medicare 
                                Program.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Reinstatement of the Medicare 
Rehabilitation Benefit Act of 1998''.

SEC. 2. REPEAL OF FINANCIAL LIMITATION ON REHABILITATION SERVICES.

    (a) Repeal.--
            (1) In general.--Section 1833 of the Social Security Act 
        (42 U.S.C. 1395l) is amended by striking subsection (g).
            (2) Effective date.--The amendment made by paragraph (1) 
        shall apply to services furnished on or after January 1, 1999.
    (b) Offsetting Portion of Additional Expenditures Through Payment 
Reform.--
            (1) In general.--Notwithstanding any other provision of 
        law, for outpatient physical therapy services, outpatient 
        occupational therapy services, and outpatient speech-language 
        pathology services covered under title XVIII of the Social 
        Security Act and furnished on or after January 1, 2000, the 
        Secretary of Health and Human Services shall implement a new 
        payment methodology based on the classification of individuals 
        by diagnostic category, functional status, and prior use of 
        services in both inpatient and outpatient settings.
            (2) Budget neutrality in implementation.--Such payment 
        methodology shall be designed so that the methodology, taking 
        into account the increased expenditures resulting from the 
        amendment made by subsection (a), does not result in any 
        increase or decrease in the expenditures under title XVIII of 
        the Social Security Act on a fiscal year basis.
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