[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2226 Introduced in House (IH)]







108th CONGRESS
  1st Session
                                H. R. 2226

 To amend title XVIII of the Social Security Act to permit reasonable 
 cost reimbursement for emergency room services provided by federally 
                       qualified health centers.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 22, 2003

  Mr. Case (for himself and Mr. Abercrombie) 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 permit reasonable 
 cost reimbursement for emergency room services provided by federally 
                       qualified health centers.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. MEDICARE REASONABLE COST REIMBURSEMENT FOR EMERGENCY ROOM 
              SERVICES PROVIDED BY FEDERALLY QUALIFIED HEALTH CENTERS.

    (a) In General.--Section 1833 of the Social Security Act (42 U.S.C. 
1395l) is amended--
            (1) in subsection (a)(3), by inserting ``subject to 
        subsection (u),'' after ``(3)''; and
            (2) by adding at the end the following new subsection:
    ``(u)(1) In the case of services described in section 
1832(a)(2)(D)(ii) (relating to federally qualified health center 
services) that constitute emergency room services (as defined in 
paragraph (2)), the facility may elect to have the amount of the 
payment under this part based on the payment methodology applied under 
section 1834(g).
    ``(2) For purposes of paragraph (1), the term `emergency room 
services' means services of the type that are provided in an emergency 
room of a hospital or critical access hospital (including nursing care 
provided by or under the supervision of a registered professional 
nurse, drugs, biologicals, supplies, appliances, and equipment 
furnished for use in the facility, and services of medical interns and 
residents), and that are included in the definition of inpatient 
critical access hospital services or outpatient critical access 
hospital services.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to services furnished on or after January 1, 2004.
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