[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3269 Introduced in House (IH)]







106th CONGRESS
  1st Session
                                H. R. 3269

    To amend title XIX of the Social Security Act to make technical 
  improvements in the operation of the Medicaid Program, particularly 
   with respect to the treatment of disproportionate share hospitals.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            November 9, 1999

 Ms. DeGette (for herself and Mr. Strickland) introduced the following 
         bill; which was referred to the Committee on Commerce

_______________________________________________________________________

                                 A BILL


 
    To amend title XIX of the Social Security Act to make technical 
  improvements in the operation of the Medicaid Program, particularly 
   with respect to the treatment of disproportionate share hospitals.

    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 ``Medicaid/SCHIP Technical Amendments 
Act of 1999''.

SEC. 2. MEDICAID TECHNICAL AMENDMENTS.

    (a) Assuring Identification of Medicaid Managed Care Patients for 
Purposes of Medicaid and Medicare DSH Payments.--
            (1) In general.--Section 1932 of the Social Security Act 
        (42 U.S.C. 1396u-2) is amended by adding at the end the 
        following:
    ``(g) Identification of Patients for Purposes of Making DSH 
Payments.--Each contract with a managed care entity under section 
1903(m) or under section 1905(t)(3) shall require the entity either--
            ``(1) to report to the State information necessary to 
        determine the hospital services provided under the contract 
        (and the identity of hospitals providing such services) for 
        purposes of applying sections 1886(d)(5)(F) and 1923; or
            ``(2) to include a sponsorship code in the identification 
        card issued to individuals covered under this title in order 
        that a hospital may identify a patient as being entitled to 
        benefits under this title.''.
            (2) Effective date.--The amendment made by paragraph (1) 
        applies to contracts entered into or renewed on or after the 
        date that is 30 days after the date of the enactment of this 
        Act.
    (b) Making the Enhanced FMAP Under SCHIP Inapplicable to Medicaid 
DSH Payments.--
            (1) In general.--Section 1905(u) of such Act (42 U.S.C. 
        1396d(u)) is amended--
                    (A) in paragraph (2)(A), by inserting ``subject to 
                paragraph (4),'' after ``For purposes of subsection 
                (b),'';
                    (B) in paragraph (3), by inserting ``subject to 
                paragraph (4),'' after ``For purposes of subsection 
                (b),'';
                    (C) by redesignating paragraph (4) as paragraph 
                (5); and
                    (D) by inserting after paragraph (3) the following 
                new paragraph:
    ``(4) For purposes of subsection (b), the expenditures described in 
paragraphs (2)(A) and (3) do not include expenditures under section 
1923.''.
            (2) Effective date.--The amendments made by paragraph (1) 
        take effect as if included in the enactment of the Balanced 
        Budget Act of 1997.
    (c) Clarification That SCHIP Hospital Shortfalls Count Towards a 
Hospital's Specific DSH Cap.--
            (1) In general.--Section 1923(g)(1)(A) of such Act (42 
        U.S.C. 1396r-4(g)(1)(A)) is amended--
                    (A) by inserting ``and title XXI'' after ``net of 
                payments under this title''; and
                    (B) by striking ``either are eligible for medical 
                assistance under the State plan'' and inserting ``are 
                eligible for medical assistance under the State plan, 
                are eligible for child health assistance under title 
                XXI,''.
            (2) Effective date.--The amendments made by paragraph (1) 
        take effect as if included in the enactment of the Balanced 
        Budget Act of 1997.
    (d) Medicaid DSH Reporting Requirements.--The Administrator of the 
Health Care Financing Administration shall submit to the Committee on 
Commerce of the House of Representatives and the Committee on Finance 
of the Senate--
            (1) a report, by 90 days after the date of the enactment of 
        this Act, on the methodologies used by States to identify and 
        to make payments to disproportionate share hospitals, as 
        described in section 1923(a)(2)(D) of the Social Security Act; 
        and
            (2) an annual report that contains information on the 
        payment adjustments made to each disproportionate share 
        hospital for the previous year under section 1923 of such Act.
    (e) Clarification of Federal Financial Participation for PRO-Like 
Entities in Medicaid Utilization Review.--
            (1) In general.--Section 1903(a)(3)(C)(i) of such Act (42 
        U.S.C. 1396b(a)(3)(C)(i)) is amended--
                    (A) by inserting ``(other than a review described 
                in clause (ii))'' after ``quality review''; and
                    (B) by inserting ``(or under a contract with the 
                State that sets forth standards of performance 
                equivalent to those under section 1902(d))'' before the 
                semicolon.
            (2) Effective date.--The amendments made by paragraph (1) 
        apply to expenditures made on and after the date of the 
        enactment of this Act.
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