[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1483 Introduced in House (IH)]







106th CONGRESS
  1st Session
                                H. R. 1483

 To amend title XVIII of the Social Security Act to ensure the proper 
 payment of approved nursing and paramedical education programs under 
                         the Medicare Program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             April 20, 1999

 Mr. Crane (for himself, Mr. Bentsen, Mr. Rangel, Mr. Stark, Mr. Camp, 
  Mr. Coyne, Mr. Cardin, Mr. English, Mr. McDermott, Mr. Kleczka, Mr. 
Lewis of Georgia, Mrs. Thurman, Mr. Romero-Barcelo, Mr. Green of Texas, 
and Mr. Frost) 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 ensure the proper 
 payment of approved nursing and paramedical education programs 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. SHORT TITLE.

    This Act may be cited as the ``Medicare Nursing and Paramedical 
Education Act of 1999''.

SEC. 2. EXCLUSION OF NURSING AND PARAMEDICAL EDUCATION COSTS IN 
              CALCULATING MEDICARE+CHOICE PAYMENT RATE.

    (a) Excluding Costs in Calculating Payment Rate.--
            (1) In general.--Section 1853(c)(3)(C)(i) of the Social 
        Security Act (42 U.S.C. 1395w-23(c)(3)(C)(i)) is amended--
                    (A) by striking ``and'' at the end of subclause 
                (I);
                    (B) by striking the period at the end of subclause 
                (II) and inserting ``, and''; and
                    (C) by adding at the end the following new 
                subclause:
                                    ``(III) for costs attributable to 
                                approved nursing and paramedical 
                                education programs under section 
                                1861(v).''.
            (2) Effective date.--The amendments made by paragraph (1) 
        apply in determining the annual per capita rate of payment for 
        years beginning with 2000.
    (b) Payment to Hospitals of Nursing and Paramedical Education 
Program Costs for Medicare+Choice Enrollees.--Section 1861(v)(1) of 
such Act (42 U.S.C. 1395x(v)(1)) is amended by adding at the end the 
following new subparagraph:
    ``(V) In determining the amount of payment to a hospital for 
portions of cost reporting periods occurring on or after January 1, 
2000, with respect to the reasonable costs for approved nursing and 
paramedical education programs, individuals who are enrolled with a 
Medicare+Choice organization under part C shall be treated as if they 
were not so enrolled.''.
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