[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2980 Introduced in House (IH)]







107th CONGRESS
  1st Session
                                H. R. 2980

   To amend title XVIII of the Social Security Act to stabilize and 
                  improve the Medicare+Choice Program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 2, 2001

 Mr. Greenwood (for himself, Mr. Fossella, and Mr. Simmons) introduced 
  the following bill; which was referred to the Committee on Ways and 
 Means, and in addition to the Committee on Energy and 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 stabilize and 
                  improve the Medicare+Choice 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+Choice Stabilization and 
Improvement Act of 2001''.

SEC. 2. MEDICARE+CHOICE PAYMENT FLOOR BASED ON FEE-FOR-SERVICE 
              PAYMENTS.

    (a) In General.--Section 1853(c)(1) (42 U.S.C. 1395w-23(c)(1)) is 
amended--
            (1) in the matter before subparagraph (A), by striking ``or 
        (C)'' and inserting ``(C), or (D)''; and
            (2) by adding at the end the following new subparagraph:
                    ``(D) Based on 100 percent of fee-for-service 
                cost.--
                            ``(i) In general.--The fee-for-service rate 
                        computed under clause (ii) for the year for the 
                        Medicare+Choice payment area.
                            ``(ii) Rate.--The fee-for-service rate 
                        under this clause for a Medicare+Choice payment 
                        area--
                                    ``(I) for 2000, is the adjusted 
                                average per capita cost for 2000, 
                                determined under section 1876(a)(4) for 
                                the Medicare+Choice payment area for 
                                services covered under parts A and B 
                                for individuals entitled to benefits 
                                under part A and enrolled under part B 
                                who are not enrolled in a 
                                Medicare+Choice plan under this part 
                                for the year; or
                                    ``(II) for a subsequent year, is 
                                the fee-for-service rate determined 
                                under this clause for the preceding 
                                year increased by the national per 
                                capita Medicare+Choice growth 
                                percentage for such subsequent year.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to years beginning with 2002.

SEC. 3. LIMITATION ON REDUCTION IN PAYMENT FOR GRADUATE MEDICAL 
              EDUCATION.

    (a) In General.--Section 1853(c)(3)(B) of the Social Security Act 
(42 U.S.C. 1395w-23(c)(3)(B)) is amended--
            (1) in clause (i), by inserting ``subject to clause 
        (iii),'' after ``(beginning with 1998),''; and
            (2) by adding at the end the following new clause:
                            ``(iii) Limitation.--In no case shall the 
                        rate reduction effected under this subparagraph 
                        for a Medicare+Choice payment area for a year 
                        exceed the sum (for all Medicare+Choice payment 
                        areas) of the product of--
                                    ``(I) the average number of 
                                individuals enrolled in a 
                                Medicare+Choice plan and residing in 
                                the Medicare+Choice payment area, 
                                divided by the average number of 
                                individuals enrolled in a 
                                Medicare+Choice plan in the previous 
                                year; and
                                    ``(II) the payment adjustment 
                                otherwise calculated under clause (i) 
                                (without regard to this clause) for the 
                                Medicare+Choice payment area for the 
                                year, divided by the annual area-
                                specific Medicare+Choice capitation 
                                rate for the payment area for the year 
                                (computed without regard to the 
                                reduction under this subparagraph).''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to payment for months beginning with January 2002.
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