[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[S. 2227 Introduced in Senate (IS)]







105th CONGRESS
  2d Session
                                S. 2227

To amend title XVIII of the Social Security Act to eliminate the budget 
neutrality adjustment factor used in calculating the blended capitation 
                rate for Medicare+Choice organizations.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             June 25, 1998

    Mr. Wyden (for himself and Mr. Smith of Oregon) 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 eliminate the budget 
neutrality adjustment factor used in calculating the blended capitation 
                rate for Medicare+Choice organizations.

    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 ``Medicare+Choice Payment Equity Act 
of 1998''.

SEC. 2. ELIMINATION OF BUDGET NEUTRALITY ADJUSTMENT FACTOR IN 
              CALCULATING THE BLENDED CAPITATION RATE FOR 
              MEDICARE+CHOICE ORGANIZATIONS.

    (a) In General.--Section 1853(c) of the Social Security Act (42 
U.S.C. 1395w-23(c)) is amended--
            (1) in paragraph (1)(A), by striking the comma at the end 
        of clause (ii) and all that follows before the period at the 
        end; and
            (2) by striking paragraph (5) and redesignating paragraphs 
        (6) and (7) as paragraphs (5) and (6) respectively.
    (b) Conforming Amendments.--Part C of the Social Security Act (42 
U.S.C. 1395w-21 et seq.) is amended--
            (1) in section 1853(c)--
                    (A) in the matter preceding subparagraph (A) of 
                paragraph (1), by striking ``(6)(C) and (7)'' and 
                inserting ``(5)(C) and (6)''; and
                    (B) in paragraphs (1)(B)(ii) and (3)(A)(i), by 
                striking ``(6)(A)'' and inserting ``(5)(A)''; and
            (2) in subsections (b)(3)(B)(ii) and (c)(3) of section 
        1859, by striking ``1853(c)(6)'' and inserting ``1853(c)(5)''.
    (c) Submission to Congress.--Not later than 20 days after the date 
of enactment of this Act, the Secretary of Health and Human Services 
shall submit to Congress a legislative proposal that provides for 
aggregate decreases in Federal expenditures under the medicare program 
under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) 
as are equal to the aggregate increases in such expenditures under such 
program resulting from the amendments made by subsections (a) and (b).
    (d) Effective Date.--The amendments made by this section shall 
apply to payments made under contracts entered into on or after January 
1, 1999.
                                 <all>