[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2070 Introduced in House (IH)]







106th CONGRESS
  1st Session
                                H. R. 2070

  To provide for development and implementation of a single, unified 
      prospective payment system for post-care hospital services.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              June 8, 1999

  Mr. Stark 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 provide for development and implementation of a single, unified 
      prospective payment system for post-care hospital services.

    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 Post-Acute Care Payment 
Reform Act of 1999''.

SEC. 2. MEDICARE SINGLE, UNIFIED PROSPECTIVE PAYMENT SYSTEM FOR POST-
              CARE HOSPITAL SERVICES.

    (a) Development of Payment System.--
            (1) In general.--By not later than January 1, 2008, the 
        Secretary of Health and Human Services shall develop and 
        transmit to Congress a plan to provide for a single, unified 
        system for the payment under a prospective payment system for 
        post-acute care hospital services (including professional 
        services) within a course of treatment under the Medicare 
        Program under title XVIII of the Social Security Act.
            (2) Adjustments for area variations in costs and 
        outliers.--Such a system shall provide for appropriate 
        adjustments to take into account--
                    (A) appropriate variations in the costs of wages 
                and such other input costs as the Secretary finds 
                appropriate; and
                    (B) outliers that reflect bona fide variations in 
                the case mix and severity of patients being served.
    (b) Implementation.--Unless Congress provides otherwise, the 
Secretary shall implement the system developed under subsection (a) for 
items and services furnished on or after January 1, 2010.
    (c) Relation to Current Payment Methodologies.--The system under 
this section shall be designed and implemented so as to supersede the 
various different prospective payment system for such services, which 
use different payment, risk adjustment, and other criteria, under the 
Medicare Program.
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