[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 880 Introduced in House (IH)]






109th CONGRESS
  1st Session
                                H. R. 880

 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.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 17, 2005

  Mr. Kind (for himself, Mr. Osborne, Mr. Taylor of Mississippi, Mr. 
 Oberstar, Mr. Ross, Mrs. Christensen, Mr. Peterson of Minnesota, Mr. 
   Stupak, Mr. Kildee, Mr. McHugh, and Mr. Marshall) 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, 2006.
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