[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2447 Introduced in House (IH)]







106th CONGRESS
  1st Session
                                H. R. 2447

   To amend title XVIII of the Social Security Act to include in the 
calculation of Medicare+Choice payment rates under the Medicare program 
   the costs attributable to medical services furnished to medicare-
   eligible beneficiaries by medical facilities of the Department of 
            Veterans Affairs and the Department of Defense.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              July 1, 1999

  Mr. McDermott (for himself, Ms. Dunn, Mr. Inslee, Mrs. Thurman, Mr. 
Stark, Mr. Dicks, and Mr. Smith of Washington) 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 include in the 
calculation of Medicare+Choice payment rates under the Medicare program 
   the costs attributable to medical services furnished to medicare-
   eligible beneficiaries by medical facilities of the Department of 
            Veterans Affairs and the Department of Defense.

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

SECTION 1. INCLUSION OF COSTS OF VA AND DOD MILITARY FACILITY SERVICES 
              TO MEDICARE-ELIGIBLE BENEFICIARIES IN CALCULATION OF 
              MEDICARE+CHOICE PAYMENT RATES

    (a) In General.--Section 1853(c)(3) of the Social Security Act (42 
U.S.C. 1395w-23(c)(3)) is amended--
            (1) in subparagraph (A), by striking ``subparagraph (B)'' 
        and inserting ``subparagraphs (B) and (E)'', and
            (2) by adding at the end the following new subparagraph:
                    ``(E) Inclusion of costs of va and dod military 
                facility services to medicare-eligible beneficiaries.--
                In determining the area-specific Medicare+Choice 
                capitation rate under subparagraph (A) for a year, the 
                annual per capita rate of payment for 1997 determined 
                under section 1876(a)(1)(C) shall be adjusted to 
                include in the rate the Secretary's estimate, on a per 
                capita basis, of the amount of additional payments that 
                would have been made in the area involved under this 
                title if individuals entitled to benefits under this 
                title had not received services from facilities of the 
                Department of Veterans Affairs or the Department of 
                Defense.''.
    (b) Effective Date.--The amendments made by subsection (a) apply 
with respect to Medicare+Choice capitation rates calculated for 
contract years beginning on or after the date that is one year after 
the date of the enactment of this Act.
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