[Congressional Record (Bound Edition), Volume 149 (2003), Part 16]
[House]
[Page 22145]
[From the U.S. Government Publishing Office, www.gpo.gov]




ANNOUNCEMENT OF INTENTION TO OFFER MOTION TO INSTRUCT CONFEREES ON H.R. 
      1, MEDICARE PRESCRIPTION DRUG AND MODERNIZATION ACT OF 2003

  Mr. STENHOLM. Mr. Speaker, subject to rule XXII, clause 7(c), I 
hereby announce my intention to offer a motion to instruct on H.R. 1, 
the Medicare Prescription Drug and Modernization Act of 2003.
  The form of the motion is as follows:

         Mr. Stenholm of Texas moves that the managers on the part 
     of the House at the conference on the disagreeing votes of 
     the two Houses on the Senate amendment to the bill H.R. 1 be 
     instructed as follows:
       (1) The House recede to the Senate on the provisions to 
     guarantee access to prescription drug coverage under section 
     1860D-13(e) of the Social Security Act, as added by section 
     101(a) of the Senate amendment.
       (2) To reject the provisions of section 501 of the House 
     bill.
       (3) The House recede to the Senate on the following 
     provisions of the Senate amendment to improve rural health 
     care:
       (A) Section 403 (relating to inpatient hospital adjustment 
     for low volume hospitals).
       (B) Section 404 (relating to medicare disproportionate 
     share adjustment for rural areas), but with the effective 
     date applicable under section 401(b) of the House bill.
       (C) Section 404A (relating to MedPAC report on medicare 
     disproportionate share hospital adjustment payments).
       (D) The following provisions of section 405 (relating to 
     critical access hospital improvements):
       (i) Subsection (a), but with the effective date applicable 
     under section 405(f)(4) of the House bill.
       (ii) Subsection (b), but with the effective date applicable 
     under section 405(c)(2) of the House bill.
       (iii) Subsections (e), (f), and (g).
       (E) Section 414 (relating to rural community hospital 
     demonstration program).
       (F) Section 415 (relating to critical access hospital 
     improvement demonstration program).
       (G) Section 417 (relating to treatment of certain entities 
     for purposes of payment under the medicare program).
       (H) Section 420 (relating to conforming changes relating to 
     Federally qualified health centers).
       (I) Section 420A (relating to increase for hospitals with 
     disproportionate indigent care revenues).
       (J) Section 421 (relating to establishment of floor on 
     geographic adjustments of payments for physicians' services).
       (K) Section 425 (relating to temporary increase for ground 
     ambulance services), but with the effective date applicable 
     under the amendment made by section 410(2) of the House bill.
       (L) Section 426 (relating to appropriate coverage of air 
     ambulance services under ambulance fee schedule).
       (M) Section 427 (relating to treatment of certain clinical 
     diagnostic laboratory tests furnished by a sole community 
     hospital).
       (N) Section 428 (relating to improvement in rural health 
     clinic reimbursement).
       (O) Section 444 (relating to GAO study of geographic 
     differences in payments for physicians' services).
       (P) Section 450C (relating to authorization of 
     reimbursement for all medicare part B services furnished by 
     Indian hospitals and clinics).
       (Q) Section 452 (relating to limitation on reduction in 
     area wage adjustment factors under the prospective payment 
     system for home health services).
       (R) Section 455 (relating to MedPAC study on medicare 
     payments and efficiencies in the health care system).
       (S) Section 459 (relating to increase in medicare payment 
     for certain home health services).
       (T) Section 601 (Increase in medicaid DSH allotments for 
     fiscal years 2004 and 2005).
       (4) The House insist upon the following provisions of the 
     House bill:
       (A) Section 402 (relating to immediate establishment of 
     uniform standardized amount in rural and small urban areas).
       (B) Section 403 (relating to establishment of essential 
     rural hospital classification).
       (C) Subsections (a), (b), (d), and (e) of section 405 
     (relating to improvements to critical access hospital 
     program).
       (D) Section 416 (relating to revision of labor-related 
     share of hospital inpatient pps wage index).
       (E) Section 417 (relating to medicare incentive payment 
     program improvements).
       (F) Section 504 (relating to wage index classification 
     reform).
       (G) Section 601 (relating to revision of updates for 
     physician services).
       (H) Section 1001 (relating to medicaid disproportionate 
     share hospital (DSH) payments).

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