[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4623 Introduced in House (IH)]







106th CONGRESS
  2d Session
                                H. R. 4623

     To amend title XVIII of the Social Security Act to revise the 
 calculation of base payment rates for the prospective payment system 
     for home health services furnished under the medicare program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              June 9, 2000

  Mr. Aderholt (for himself, Mrs. Clayton, Mrs. Christensen, and Mr. 
  Underwood) 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 revise the 
 calculation of base payment rates for the prospective payment system 
     for home health services furnished 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 Home Health Assistance Act 
of 2000''.

SEC. 2. CALCULATION OF BASE PAYMENT RATES UNDER THE PROSPECTIVE PAYMENT 
              SYSTEM ON FISCAL YEAR 1997 DATA.

    (a) In General.--Section 1895(b)(3)(A) of the Social Security Act 
(42 U.S.C. 1395fff(b)(3)(A)) is amended to read as follows:
                    ``(A) Initial amount.--Under such system the 
                Secretary shall provide for computation of a standard 
                prospective payment amount (or amounts) for a unit of 
                service described in paragraph (2). For fiscal year 
                2001, such amount (or amounts) shall for the unit of 
                service be equal to the average reasonable cost of the 
                service during the cost reporting period ending during 
                fiscal year 1997 as determined under section 
                1861(v)(1)(L)) (as in effect on August 1, 1997) and 
                updated for each fiscal year beginning with fiscal year 
                1997 up to fiscal year 2001 by the home health market 
                basket index.
                    ``(B) Data utilized in computation.--In computing 
                the standard prospective payment amount (or amounts) 
                under subparagraph (A), the Secretary shall utilize--
                            ``(i) cost report data from home health 
                        agencies with cost reporting periods ending in 
                        fiscal year 1997 that is audited by the 
                        Secretary; and
                            ``(ii) average number of visits by 
                        discipline as reflected in such cost report 
                        data.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply as if included in the enactment of the Balanced Budget Act of 
1997.
    (c) Conforming Repeal of Report.--Section 302 of the Medicare, 
Medicaid, and SCHIP Balanced Budget Refinement Act of 1999, 113 Stat. 
1501A-359, as enacted into law by section 1000(a)(6) of Public Law 106-
113, is amended by striking subsection (c).
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