[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4967 Introduced in House (IH)]







106th CONGRESS
  2d Session
                                H. R. 4967

  To amend title XVIII of the Social Security Act to provide for the 
classification of certain hospitals as cancer hospitals for purposes of 
   payment for inpatient and outpatient hospital services under the 
                           Medicare Program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 26, 2000

Mr. Davis of Florida introduced the following bill; which was referred 
                   to the Committee on Ways and Means

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII of the Social Security Act to provide for the 
classification of certain hospitals as cancer hospitals for purposes of 
   payment for inpatient and outpatient hospital services 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. TREATMENT OF CERTAIN CANCER HOSPITALS.

    (a) In General.--Section 1886(d)(1)(B)(v) of the Social Security 
Act (42 U.S.C. 1395ww(d)(1)(B)(v)) is amended--
            (1) in subclause (I) by striking ``or'' at the end;
            (2) in subclause (II) by striking the semicolon at the end 
        and inserting ``, or''; and
            (3) by adding at the end the following:
            ``(III) a hospital that was recognized as a clinical cancer 
        research center by the National Cancer Institute of the 
        National Institutes of Health as of February 18, 1998, that has 
        never been reimbursed for inpatient hospital services pursuant 
        to a reimbursement system under a demonstration project under 
        section 1814(b), that is a freestanding facility organized 
        primarily for treatment of and research on cancer and is not a 
        unit of another hospital, that as of the date of the enactment 
        of this subclause, is licensed for 162 acute care beds, and 
        that demonstrates for the 4-year period ending on June 30, 
        1999, that at least 50 percent of its total discharges have a 
        principal finding of neoplastic disease, as defined in 
        subparagraph (E);'' and
    (b) Conforming Amendment.--Section 1886(d)(1)(E) of the Social 
Security Act (42 U.S.C. 1395ww(d)(1)(E)) is amended by striking ``For 
purposes of subparagraph (B)(v)(II)'' and inserting ``For purposes of 
subclauses (II) and (III) of subparagraph (B)(v)''.
    (c) Payment.--
            (1) Application to cost reporting periods.--Any 
        classification by reason of section 1886(d)(1)(B)(v)(III) of 
        the Social Security Act (as added by subsection (a)) shall 
        apply to 12-month cost reporting periods beginning on or after 
        July 1, 1999.
            (2) Base year.--Notwithstanding the provisions of section 
        1886(b)(3)(E) of such Act (42 U.S.C. 1395ww(b)(3)(E)) or other 
        provisions to the contrary, the base cost reporting period for 
        purposes of determining the target amount for any hospital 
        classified by reason of section 1886(d)(1)(B)(v)(III) of such 
        Act (as added by subsection (a)) shall be the 12-month cost 
        reporting period beginning on July 1, 1995.
            (3) Deadline for payments.--Any payments owed to a hospital 
        by reason of this subsection shall be made expeditiously, but 
        in no event later than 1 year after the date of the enactment 
        of this Act.
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