[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[H.R. 186 Introduced in House (IH)]







107th CONGRESS
  1st Session
                                H. R. 186

 To amend title XVIII of the Social Security Act to require universal 
product numbers on claims forms submitted for reimbursement for durable 
     medical equipment and other items under the Medicare Program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            January 3, 2001

 Ms. Slaughter (for herself and Mr. Houghton) introduced the following 
 bill; which was referred to the Committee on Energy and Commerce, and 
  in addition to the Committee on Ways and Means, 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 require universal 
product numbers on claims forms submitted for reimbursement for durable 
     medical equipment and other items 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 Universal Product Number 
Act of 2001''.

SEC. 2. UNIVERSAL PRODUCT NUMBERS FOR CERTAIN ITEMS OF DURABLE MEDICAL 
              EQUIPMENT ON CLAIM FORMS FOR REIMBURSEMENT UNDER THE 
              MEDICARE PROGRAM.

    (a) In General.--Section 1842 of the Social Security Act (42 U.S.C. 
1395u) is amended by adding at the end the following new subsection:
    ``(u)(1) Each request for payment, or bill submitted, on or after 
February 1, 2004, for a covered item (as defined in paragraph (3)) for 
which payment may be made under this part shall include a universal 
product number under the system established by the Secretary under 
paragraph (4) for such covered item.
    ``(2) No payment may be made under this part on or after February 
1, 2004, for a covered item if the request for payment or bill 
submitted does not include the universal product number of the covered 
item.
    ``(3)(A) Except as provided in subparagraph (B), for purposes of 
this subsection, the term `covered item' means the following items:
            ``(i) A covered item (as defined in section 1834(a)(13)).
            ``(ii) An item described in paragraph (8) or (9) of section 
        1861(s).
            ``(iii) An item described in paragraph (5) of section 
        1861(s).
            ``(iv) Such other items as the Secretary determines 
        appropriate.
    ``(B) Such term does not include a customized item for which 
payment may be made under this title.
    ``(4) The Secretary, in consultation with appropriate experts, 
shall establish a system under which a covered item under this 
subsection is assigned a universal product number that permits the 
Secretary to--
            ``(A) identify the covered item;
            ``(B) develop appropriate data to adjust rates of 
        reimbursement for the covered item, as appropriate; and
            ``(C) review the covered items billed under the coding 
        system established under this title and adjust such coding 
        system to ensure that functionally equivalent covered items are 
        billed and reimbursed under the same codes.''.
    (b) Accommodation of UPNs on Claims Forms.--Not later than February 
1, 2003, any claims form developed or used by the Secretary of Health 
and Human Services for reimbursement for a covered item (as that term 
is defined in section 1842(u)(3) of the Social Security Act, as added 
by subsection (a)) that is furnished under the medicare program under 
title XVIII of such Act shall accommodate the use of universal product 
numbers.
    (c) Report.--Not later than December 31, 2004, and annually 
thereafter through 2006, the Secretary of Health and Human Services 
shall submit to Congress a report that describes--
            (1) the additional information made available to the 
        Secretary from the use of universal product numbers on covered 
        items furnished under part B of the medicare program (as that 
        term is defined in section 1842(u)(3) of the Social Security 
        Act, as added by subsection (a));
            (2) any change by the Secretary in reimbursement rates for 
        the covered items by reason of such information; and
            (3) the Secretary's recommendations for additional items 
        reimbursed under the medicare program for which the use of 
        universal product numbers is appropriate.
                                 <all>