[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4687 Introduced in House (IH)]






108th CONGRESS
  2d Session
                                H. R. 4687

 To amend part C of title XVIII of the Social Security Act to require 
   Medicare Advantage (MA) organizations to pay for critical access 
hospital services and rural health clinic services at a rate that is at 
 least 101 percent of the payment rate otherwise applicable under the 
                           Medicare Program.


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                    IN THE HOUSE OF REPRESENTATIVES

                             June 24, 2004

 Mr. Kind (for himself and Mr. Osborne) 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 part C of title XVIII of the Social Security Act to require 
   Medicare Advantage (MA) organizations to pay for critical access 
hospital services and rural health clinic services at a rate that is at 
 least 101 percent of the payment rate otherwise applicable 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. MINIMUM PAYMENT RATE BY MEDICARE ADVANTAGE ORGANIZATIONS FOR 
              CRITICAL ACCESS HOSPITAL SERVICES AND RURAL HEALTH CLINIC 
              SERVICES.

    (a) In General.--Section 1857(e) of the Social Security Act (42 
U.S.C. 1395w-27(e)) is amended by adding at the end the following:
            ``(4) Payments for inpatient and outpatient critical access 
        hospital services and rural health clinic services.--A contract 
        under this section with an MA organization for the offering of 
        an MA plan shall require the organization to provide for a 
        payment rate under the plan for inpatient and outpatient 
        critical access hospital services and for rural health clinic 
        services furnished to enrollees of the plan (whether or not the 
        services are furnished pursuant to an agreement between such 
        organization and a critical access hospital or a rural health 
        clinic) that is not less than 101 percent of the applicable 
        payment rate established for such services under part A or part 
        B.''.
    (b) Effective Date.--The amendments made by this section shall 
apply to Medicare Advantage contract years beginning on or after 
January 1, 2005.
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