[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3029 Introduced in House (IH)]







106th CONGRESS
  1st Session
                                H. R. 3029

 To amend title XVIII of the Social Security Act to increase Medicare 
     payment to skilled nursing facilities that have a significant 
                   proportion of residents with AIDS.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 6, 1999

Ms. Dunn (for herself and Mr. McDermott) 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 increase Medicare 
     payment to skilled nursing facilities that have a significant 
                   proportion of residents with AIDS.

    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 ``AIDS Skilled Nursing Care Assistance 
Act of 1999''.

SEC. 2. MEDICARE PAYMENT TO SKILLED NURSING FACILITIES WITH A 
              SIGNIFICANT PROPORTION OF RESIDENTS WITH AIDS.

    (a) In General.--Section 1888(e) of the Social Security Act (42 
U.S.C. 1395yy(e)) is amended--
            (1) in paragraph (1), by striking ``subject to paragraph 
        (7)'' and inserting ``subject to paragraphs (7) and (11)''; and
            (2) by adding at the end the following new paragraph:
            ``(11) Payment rule for certain facilities.--
                    ``(A) In general.--In the case of a qualified acute 
                skilled nursing facility described in subparagraph (B), 
                the amount of payment made to such facility for all 
                costs of covered skilled nursing services for each day 
                of such services furnished is equal to the greater of--
                            ``(i) the sum of--
                                    ``(I) 50 percent of the facility-
                                specific per diem rate (computed under 
                                paragraph (3)), and
                                    ``(II) 50 percent of the adjusted 
                                Federal per diem rate (determined under 
                                paragraph (4)), or
                            ``(ii) the adjusted Federal per diem rate 
                        applicable to the facility.
                    ``(B) Facility described.--For purposes of 
                subparagraph (A), a qualified acute skilled nursing 
                facility is a facility that demonstrates to the 
                Secretary that for services furnished during a cost 
                reporting period in a fiscal year, on the basis of the 
                cost report submitted by the facility for the cost 
                reporting period of the previous fiscal year, the 
                percentage of patients entitled to benefits under part 
                A to whom the facility furnished covered skilled 
                nursing facility services for the primary diagnosis of 
                Acquired Immune Deficiency Syndrome (AIDS) during such 
                cost reporting period of the previous fiscal year is 
                not less than 35 percent.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to payments for services furnished in cost reporting periods 
beginning on or after July 1, 1999.
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