[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 1328 Introduced in Senate (IS)]







108th CONGRESS
  1st Session
                                S. 1328

   To provide for an evaluation by the Institute of Medicine of the 
    National Academy of Sciences of leading health care performance 
measures and options to implement policies that align performance with 
  payment under the medicare program under title XVIII of the Social 
                             Security Act.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             June 25, 2003

Mr. Hatch (for himself and Mrs. Clinton) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
   To provide for an evaluation by the Institute of Medicine of the 
    National Academy of Sciences of leading health care performance 
measures and options to implement policies that align performance with 
  payment under the medicare program under title XVIII of the Social 
                             Security Act.

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

SECTION 1. INSTITUTE OF MEDICINE EVALUATION AND REPORT ON HEALTH CARE 
              PERFORMANCE MEASURES.

    (a) Evaluation.--
            (1) In general.--Not later than the date that is 2 months 
        after the date of enactment of this Act, the Secretary of 
        Health and Human Services shall enter into an arrangement under 
        which the Institute of Medicine of the National Academy of 
        Sciences (in this section referred to as the ``Institute'') 
        shall conduct an evaluation of leading health care performance 
        measures and options to implement policies that align 
        performance with payment under the medicare program under title 
        XVIII of the Social Security Act (42 U.S.C. 1395 et seq.).
            (2) Specific matters evaluated.--In conducting the 
        evaluation under paragraph (1), the Institute shall--
                    (A) catalogue, review, and evaluate the validity of 
                leading health care performance measures;
                    (B) catalogue and evaluate the success and utility 
                of alternative performance incentive programs in public 
                or private sector settings; and
                    (C) identify and prioritize options to implement 
                policies that align performance with payment under the 
                medicare program that indicate--
                            (i) the performance measurement set to be 
                        used and how that measurement set will be 
                        updated;
                            (ii) the payment policy that will reward 
                        performance; and
                            (iii) the key implementation issues (such 
                        as data and information technology 
                        requirements) that must be addressed.
            (3) Scope of health care performance measures.--The health 
        care performance measures described in paragraph (2)(A) shall 
        encompass a variety of perspectives, including physicians, 
        hospitals, health plans, purchasers, and consumers.
            (4) Consultation with medpac.--In evaluating the matters 
        described in paragraph (2)(C), the Institute shall consult with 
        the Medicare Payment Advisory Commission established under 
        section 1805 of the Social Security Act (42 U.S.C. 1395b-6).
    (b) Report.--Not later than the date that is 18 months after the 
date of enactment of this Act, the Institute shall submit to the 
Secretary of Health and Human Services, the Committees on Ways and 
Means and Energy and Commerce of the House of Representatives, and the 
Committee on Finance of the Senate a report on the evaluation conducted 
under subsection (a)(1) describing the findings of such evaluation and 
recommendations for an overall strategy and approach for aligning 
payment with performance in the original medicare fee-for-service 
program under parts A and B of title XVIII of the Social Security Act, 
the Medicare+Choice program under part C of such title, and any other 
programs under such title XVIII.
    (c) Authorization of Appropriations.--There are authorized to be 
appropriated $1,000,000 for purposes of conducting the evaluation and 
preparing the report required by this section.
                                 <all>