[House Report 104-282]
[From the U.S. Government Publishing Office]



104th Congress                                                   Report
                        HOUSE OF REPRESENTATIVES

 1st Session                                                    104-282
_______________________________________________________________________


 
PROVIDING FOR THE CONSIDERATION OF H.R. 2425, THE MEDICARE PRESERVATION 
                              ACT OF 1995

  October 18, 1995.--Referred to the House Calendar and ordered to be 
                                printed

_______________________________________________________________________


    Mr. Linder, from the Committee on Rules, submitted the following

                              R E P O R T

                       [To accompany H. Res. 238]

    The Committee on Rules, having had under consideration 
House Resolution 238, by a non-record vote, report the same to 
the House with the recommendation that the resolution be 
adopted.

               brief summary of provisions of resolution

    The resolution provides for the consideration of H.R. 2425, 
the Medicare Preservation Act of 1995 under a modified closed 
rule. The rule provides three hours of general debate divided 
equally between the chairmen and ranking minority members of 
the committees on Ways and Means and Commerce.
    All points of order against consideration of the bill are 
waived. The rule provides that an amendment in the nature of a 
substitute consisting of the text of H.R. 2485, modified by the 
amendment printed in this report, is considered as adopted in 
the House and the Committee of the Whole. The bill as so 
amended is considered as original text for amendment purposes 
and is considered as read. All points of order against 
provisions of the bill as amended are waived.
    The rule provides for consideration of an amendment in the 
nature of a substitute numbered 2 printed in the Congressional 
Record if offered by the Minority Leader or a designee. The 
substitute shall be considered as read, shall not be subject to 
amendment, and shall be debatable for one hour divided equally 
between the proponent and an opponent. All points of order 
against the amendment in the nature of a substitute are waived.
    The rule provides that after a motion to rise has been 
rejected on any day, another motion to rise may only be offered 
by the chairman of the Committee on Ways and Means, the 
chairman of the Committee on Commerce, the Majority Leader, or 
a designee of any of them. The rule provides for one motion to 
recommit which if containing instructions may only be offered 
by the Minority Leader or a designee. Finally, the rule 
provides that the yeas and nays are ordered on final passage 
and that the provisions of clause 5(c) of Rule XXI (requiring a 
three-fifths vote on any amendment or measure containing a 
Federal income tax rate increase) shall not apply to the votes 
on the bill, amendments thereto or conference reports thereon.

                            committee votes

    Pursuant to clause 2(l)(2)(B) of House rule XI the results 
of each rollcall vote on an amendment or motion to report, 
together with the names of those voting for and against, are 
printed below. For a summary of the amendments moved to be made 
in order, see section following the rollcall votes.

                    rules committee rollcall no. 178

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Moakley.
    Summary of motion: Make in order amendment by Rep. Waxman.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 179

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Moakley.
    Summary of motion: Make in order amendment by Rep. Waxman.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                       Yea                                                                                       Nay                                                                                     Present                                        
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Vote by member:                                                                                                                                                                                                                                                                                                         
    Quillen...............................  ........................................................................................                                                                                        X   ........................................................................................
    Dreier................................  ........................................................................................                                                                                        X   ........................................................................................
    Goss..................................  ........................................................................................                                                                                        X   ........................................................................................
    Linder................................  ........................................................................................                                                                                        X   ........................................................................................
    Pryce.................................  ........................................................................................                                                                                        X   ........................................................................................
    Diaz-Balart...........................  ........................................................................................                                                                                        X   ........................................................................................
    McInnis...............................  ........................................................................................                                                                                        X   ........................................................................................
    Waldholtz.............................  ........................................................................................                                                                                        X   ........................................................................................
    Moakley...............................                                                                                        X   ........................................................................................  ........................................................................................
    Beilenson.............................                                                                                        X   ........................................................................................  ........................................................................................
    Frost.................................                                                                                        X   ........................................................................................  ........................................................................................
    Hall..................................                                                                                        X   ........................................................................................  ........................................................................................
    Solomon...............................  ........................................................................................                                                                                        X   ........................................................................................
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

                    rules committee rollcall no. 180

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Moakley.
    Summary of motion: Make in order amendment by Rep. Markey.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 181

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Moakley.
    Summary of motion: Make in order amendment by Rep. Rangel.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 182

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Moakley.
    Summary of motion: Make in order amendment to sec. 15601 to 
substitute $34.60 for $35.42.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 183

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Moakley.
    Summary of motion: Make in order amendment by Rep. Rangel.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 184

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Moakley.
    Summary of motion: Make in order amendment by Rep. Rangel.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 185

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Moakley.
    Summary of motion: Make in order amendment by Rep. Cardin 
(en bloc).
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 186

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Beilenson.
    Summary of motion: Make in order amendment by Rep. Stupak.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 187

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Beilenson.
    Summary of motion: Make in order amendment by Rep. Ganske.
    Results: Rejected, 3 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................  ............  ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 188

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Beilenson.
    Summary of motion: Make in order amendment by Rep. Ganske.
    Results: Rejected, 3 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................  ............  ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 189

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Beilenson.
    Summary of motion: Make in order amendment by Rep. Ganske.
    Results: Rejected, 3 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 190

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Beilenson.
    Summary of motion: Make in order amendment by Reps. Shays 
and Schiff.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 191

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Beilenson.
    Summary of motion: Make in order amendment by Rep. Conyers.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 192

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Frost.
    Summary of motion: Make in order amendment to strike 
section of the bill dealing with medical malpractice.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 193

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Frost.
    Summary of motion: Make in order amendment to strike 
section 15312(a) of the bill which strikes caps on awards for 
non-economic damages.
    Results: Rejected, 5 to 8.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................            X   ............  ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 194

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Frost.
    Summary of motion: Make in order amendment to strike 
section 15531 of the bill.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 195

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Frost.
    Summary of motion: Extend general debate time to 6 hours 
and extend debate time on the Democratic substitute to 4 hours.
    Results: Rejected, 4 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................            X   ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 196

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Hall.
    Summary of motion: Make in order amendment by Rep. Pallone.
    Results: Rejected, 3 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................  ............  ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 197

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Hall.
    Summary of motion: Make in order amendment by Rep. Pallone.
    Results: Rejected, 3 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................  ............  ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall No. 198

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Hall.
    Summary of motion: Make in order amendment by Rep. Pallone.
    Results: Rejected, 3 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................  ............  ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall No. 199

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Hall.
    Summary of motion: Make in order two amendments by Rep. 
Collins (en bloc).
    Results: Rejected, 3 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................  ............  ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall No. 200

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Hall.
    Summary of motion: Make in order amendment by Rep. 
Richardson.
    Results: Rejected, 3 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................  ............  ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 201

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Hall.
    Summary of motion: Make in order amendment by Rep. 
Richardson.
    Results: Rejected, 3 to 9.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............            X   ............
    Dreier....................  ............            X   ............
    Goss......................  ............            X   ............
    Linder....................  ............            X   ............
    Pryce.....................  ............            X   ............
    Diaz-Balart...............  ............            X   ............
    McInnis...................  ............            X   ............
    Waldholtz.................  ............            X   ............
    Moakley...................            X   ............  ............
    Beilenson.................            X   ............  ............
    Frost.....................  ............  ............  ............
    Hall......................            X   ............  ............
    Solomon...................  ............            X   ............
------------------------------------------------------------------------

                    rules committee rollcall no. 202

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Solomon.
    Summary of motion: Add provision to rule ordering yeas and 
nays on passage of bill and suspending application of clause 
5(c) of rule XXI to votes on passage of bill, amendments 
thereto, and conference reports thereon.
    Results: Rejected, 9 to 3.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................            X   ............  ............
    Dreier....................            X   ............  ............
    Goss......................            X   ............  ............
    Linder....................            X   ............  ............
    Pryce.....................            X   ............  ............
    Diaz-Balart...............            X   ............  ............
    McInnis...................            X   ............  ............
    Waldholtz.................            X   ............  ............
    Moakley...................  ............            X   ............
    Beilenson.................  ............            X   ............
    Frost.....................  ............  ............  ............
    Hall......................  ............            X   ............
    Solomon...................            X   ............  ............
------------------------------------------------------------------------

                    rules committee rollcall no. 203

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Quillen.
    Summary of motion: Order rule reported.
    Results: Rejected, 9 to 3.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................            X   ............  ............
    Dreier....................            X   ............  ............
    Goss......................            X   ............  ............
    Linder....................            X   ............  ............
    Pryce.....................            X   ............  ............
    Diaz-Balart...............            X   ............  ............
    McInnis...................            X   ............  ............
    Waldholtz.................            X   ............  ............
    Moakley...................  ............            X   ............
    Beilenson.................  ............            X   ............
    Frost.....................  ............  ............  ............
    Hall......................  ............            X   ............
    Solomon...................            X   ............  ............
------------------------------------------------------------------------

                    rules committee rollcall no. 204

    Date: October 18, 1995.
    Measure: H.R. 2425, the Medicare Preservation Act of 1995.
    Motion by: Mr. Dreier.
    Summary of motion: Reconsider the vote by which the rule 
was ordered reported.
    Results: Adopted, 8 to 2.

------------------------------------------------------------------------
                                     Yea           Nay         Present  
------------------------------------------------------------------------
Vote by member:                                                         
    Quillen...................  ............  ............  ............
    Dreier....................            X   ............  ............
    Goss......................            X   ............  ............
    Linder....................            X   ............  ............
    Pryce.....................            X   ............  ............
    Diaz-Balart...............            X   ............  ............
    McInnis...................            X   ............  ............
    Waldholtz.................            X   ............  ............
    Moakley...................  ............            X   ............
    Beilenson.................  ............  ............  ............
    Frost.....................  ............            X   ............
    Hall......................  ............  ............  ............
    Solomon...................            X   ............  ............
------------------------------------------------------------------------


             MEDICARE AMENDMENTS OFFERED IN RULES COMMITTEE             
RollCall No.:                                                           
    178......................  Moakley: Rangel--Access to Centers of    
                                Excellence.                             
    179......................  Moakley: Waxman/Kleczka--The amendment   
                                would extend the same balance billing   
                                limits to MedicarePlus providers as     
                                under the traditional Medicare program. 
    180......................  Moakley: Markey--Strikes the Republican  
                                proposal to set the Part B Premium      
                                permanently at 31%.                     
    181......................  Moakley: Rangel--Substitute to make      
                                Medicare solvent through an across the  
                                board $90 billion reduction in tax      
                                breaks for the wealthy and by           
                                transferring those savings to Medicare  
                                Part A.                                 
    182......................  Moakley: Amendment to amend 42 U.S.C.    
                                1395(w) through 4(d)(1) made by section 
                                15601 of the substitute by striking     
                                $35.42 and inserting $34.60.            
    183......................  Moakley: Rangel--Protect hospitals that  
                                serve the poor and uninsured--delete    
                                reduction in disproportionate share     
                                payments.                               
    184......................  Moakley: Rangel--Protect nursing home    
                                beneficiaries--prevent removal of       
                                nursing home reform standards.          
    185......................  Moakley: Cardin--En Bloc: Increase the   
                                mammorgraphy schedule; provide payment  
                                for colorectal screening; provide       
                                payment for diabetes screening; provide 
                                payment for prostate screening.         
    186......................  Beilenson: Stupak--Substitute to make    
                                Medicare solvent (saves $89 billion) by 
                                aggressively fighting waste, fraud, and 
                                abuse.                                  
    187......................  Beilenson: Ganske--Provides definition of
                                emergency care health plans to determine
                                whether payment is proper based on      
                                information available at the time       
                                treatment is delivered.                 
    188......................  Beilenson: Ganske--Clarifies that plans  
                                may not deny care based on the; lack of 
                                medical necessity unless a doctor so    
                                determines.                             
    189......................  Beilenson: Ganske--Sets a minimum floor  
                                in the adjusted average per capita cost 
                                of 85% of the national average and      
                                provides for differential updates to    
                                close the gap.                          
    190......................  Beilenson: Shays/Schiff--Requires        
                                Secretary of HHS to implement proposal  
                                to expedite payment adjustment; limits  
                                providers to one universal              
                                identification number and requires use  
                                of number by every provider in          
                                submission of claims; makes contractors 
                                financially liable for Medicare claims  
                                inappropriately paid to providers who   
                                have been excluded from the Medicare    
                                program; requires Secretary to conduct  
                                study of feasibility of imposing        
                                financial qualifications on individuals 
                                and entities providing items and        
                                services to Medicare and Medicaid.      
    191......................  Beilenson: Conyers--en bloc amendment    
                                striking antitrust provisions and       
                                strikes the voluntary disclosure        
                                program.                                
    192......................  Frost: Strike the section of the bill    
                                dealing with medical malpractice.       
    193......................  Frost: Amendment to strike section       
                                1531(a) of the bill which strikes caps  
                                on awards for non-economic damages.     
    194......................  Frost: Amendment to strike section 15531 
                                of the bill.                            
    195......................  Frost: Amendment to the rule to extend   
                                debate time on the bill to 6 hours of   
                                general debate and 4 hours of debate on 
                                the Democratic alternative.             
    196......................  Hall: Pallone--Closes the 45-day window  
                                with regard to the home care            
                                reimbursement.                          
    199......................  Hall: Collins--Amendment to restore      
                                current law protections included in the 
                                Clinical Lab Improvements act.          
                               Hall: Collins--Removes the 7-year freeze 
                                on durable medical equipment (DME)      
                                payments.                               
    200......................  Hall: Richardson--Insures that Indian    
                                Health Service and tribal health        
                                facilities are involved in the creation 
                                of any new Medicare plans in their area.
    201......................  Hall--Richarson--Guarantees that Medicare
                                patients will be allowed to keep their  
                                mental health treatment private.        
    197......................  Hall: Pallone--Strikes Medicare B cuts in
                                the bill.                               
    198......................  Hall: Pallone--Gives Medicare Part B     
                                premium increase in the bill to seniors 
                                below the poverty line.                 
------------------------------------------------------------------------

  THE AMENDMENT MODIFYING THE TEXT OF H.R. 2485, THE AMENDMENT IN THE 
   NATURE OF A SUBSTITUTE MADE IN ORDER BY THE RULE AS ORIGINAL TEXT:

  In title XV of the bill--
          (1) in paragraph (1)(A)(i) of section 1855(c) of the 
        Social Security Act (as inserted by section 15002(a) of 
        the bill), strike ``9.7'' and insert ``9.0''; and
          (2) in paragraph (1)(B)(i) of such section, strike 
        ``for lowest service utilization cohort'' and strike 
        ``$250'' and insert ``$300'';
          (3) in paragraph (2)(A) of such section, strike 
        ``subject to subparagraph (B)'' and insert ``subject to 
        subparagraphs (B) and (C)'';
          (4) amend subparagraph (C) of paragraph (2) of such 
        section to read as follows:
                  ``(C) Final adjustment of growth rates.--
                After computing per capita growth rates under 
                the previous provisions of this paragraph for a 
                year, the Secretary shall--
                          ``(i) reduce the per capita growth 
                        rate for areas assigned to the median 
                        service utilization cohort by the ratio 
                        of .1 to 5.3;
                          ``(ii) if the year is 1997, increase 
                        per capita growth rates for payment 
                        areas to extent necessary to assure 
                        that the annual MedicarePlus capitation 
                        rate for each payment area for such 
                        year is at least 12 times $320; and
                          ``(iii) adjust (consistent with 
                        clause (ii)) the per capita growth rate 
                        for areas assigned to the lowest 
                        service utilization cohort by such 
                        proportion as the Secretary determines 
                        will result in no net increase in 
                        outlays resulting from the application 
                        of this subparagraph for the year 
                        involved.''; and
          (5) amend part 2 of subtitle B to read as follows 
        (and conform the table of contents accordingly):

                   PART 2--REVISIONS TO CRIMINAL LAW

SEC. 15121. DEFINITION OF FEDERAL HEALTH CARE OFFENSE.

  (a) In General.--Chapter 2 of title 18, United States Code, 
is amended by adding at the end the following:

``Sec. 24. Definition of Federal health care offense

  ``(a) As used in this title, the term `Federal health care 
offense' means--
          ``(1) a violation of, or criminal conspiracy to 
        violate section 226, 227, 669, 1035, 1347, or 1518 of 
        this title;
          ``(2) a violation of, or criminal conspiracy to 
        violate section 1128B of the Social Security Act (42 
        U.S.C. 1320a-7b);
          ``(3) a violation of, or criminal conspiracy to 
        violate section 201, 287, 371, 664, 666, 1001, 1027, 
        1341, 1343, or 1954 of this title, if the violation or 
        conspiracy relates to a health care benefit program;
          ``(4) a violation of, or criminal conspiracy to 
        violate section 501 or 511 of the Employee Retirement 
        Income Security Act of 1974 (29 U.S.C. 1131 or 29 
        U.S.C. 1141), if the violation or conspiracy relates to 
        a health care benefit program;
          ``(5) the commission of, or attempt to commit, an act 
        which constitutes grounds for the imposition of a 
        penalty under section 303 of the Federal Food, Drug, 
        and Cosmetic Act, if the act or attempt relates to a 
        health care benefit program; or
          ``(6) a violation of, or criminal conspiracy to 
        violate, section 3 of the Anti-Kickback Act of 1986 (41 
        U.S.C. 53), if the violation or conspiracy relates to a 
        health care benefit program.
  ``(b) As used in this title, the term `health care benefit 
program' has the meaning given such term in section 1347(b) of 
this title.''.
  (b) Clerical Amendment.--The table of sections at the 
beginning of chapter 2 of title 18, United States Code, is 
amended by inserting after the item relating to section 23 the 
following new item:

``24. Definition relating to Federal health care offense defined.''.

SEC. 15122. HEALTH CARE FRAUD.

  (a) In General.--Chapter 63 of title 18, United States Code, 
is amended by adding at the end the following:

``Sec. 1347. Health care fraud

  ``(a) Whoever, having devised or intending to devise a scheme 
or artifice, commits or attempts to commit an act in 
furtherance of or for the purpose of executing such scheme or 
artifice--
          ``(1) to defraud any health care benefit program; or
          ``(2) to obtain, by means of false or fraudulent 
        pretenses, representations, or promises, any of the 
        money or property owned by, or under the custody or 
        control of, any health care benefit program,
shall be fined under this title or imprisoned not more than 10 
years, or both. If the violation results in serious bodily 
injury (as defined in section 1365 of this title), such person 
shall be fined under this title or imprisoned not more than 20 
years, or both; and if the violation results in death, such 
person shall be fined under this title, or imprisoned for any 
term of years or for life, or both.
  ``(b) As used in this section, the term `health care benefit 
program' means any public or private plan or contract under 
which any medical benefit, item, or service is provided to any 
individual, and includes any individual or entity who is 
providing a medical benefit, item, or service for which payment 
may be made under the plan or contract.''.
  (b) Clerical Amendment.--The table of sections at the 
beginning of chapter 63 of title 18, United States Code, is 
amended by adding at the end the following:

``1347. Health care fraud.''.

SEC. 15123. THEFT OR EMBEZZLEMENT.

  (a) In General.--Chapter 31 of title 18, United States Code, 
is amended by adding at the end the following:

``Sec. 669. Theft or embezzlement in connection with health care

  ``(a) Whoever embezzles, steals, or otherwise without 
authority willfully and unlawfully converts to the use of any 
person other than the rightful owner, or intentionally 
misapplies any of the moneys, funds, securities, premiums, 
credits, property, or other assets of a health care benefit 
program, shall be fined under this title or imprisoned not more 
than 10 years, or both.
  ``(b) As used in this section, the term `health care benefit 
program' has the meaning given such term in section 1347(b) of 
this title.''.
  (b) Clerical Amendment.--The table of sections at the 
beginning of chapter 31 of title 18, United States Code, is 
amended by adding at the end the following:

``669. Theft or embezzlement in connection with health care.''.

SEC. 15124. FALSE STATEMENTS.

  (a) In General.--Chapter 47 of title 18, United States Code, 
is amended by adding at the end the following:

``Sec. 1035. False statements relating to health care matters

  ``(a) Whoever, in any matter involving a health care benefit 
program, knowingly and willfully falsifies, conceals, or covers 
up by any trick, scheme, or device a material fact, or makes 
any false, fictitious, or fraudulent statements or 
representations, or makes or uses any false writing or document 
knowing the same to contain any false, fictitious, or 
fraudulent statement or entry, shall be fined under this title 
or imprisoned not more than 5 years, or both.
  ``(b) As used in this section, the term `health care benefit 
program' has the meaning given such term in section 1347(b) of 
this title.''.
  (b) Clerical Amendment.--The table of sections at the 
beginning of chapter 47 of title 18, United States Code, is 
amended by adding at the end the following new item:

``1035. False statements relating to health care matters.''.

SEC. 15125. BRIBERY AND GRAFT.

  (a) In General.--Chapter 11 of title 18, United States Code, 
is amended by adding at the end the following:

``Sec. 226. Bribery and graft in connection with health care

  ``(a) Whoever--
          ``(1) directly or indirectly, corruptly gives, 
        offers, or promises anything of value to a health care 
        official, or offers or promises to give anything of 
        value to any other person, or attempts to violate this 
        subsection, with intent--
                  ``(A) to influence any of the health care 
                official's actions, decisions, or duties 
                relating to a health care benefit program;
                  ``(B) to influence such an official to commit 
                or aid in the committing, or collude in or 
                allow, any fraud, or make opportunity for the 
                commission of any fraud, on a health care 
                benefit program; or
                  ``(C) to induce such an official to engage in 
                any conduct in violation of the lawful duty of 
                such official; or
          ``(2) being a health care official, directly or 
        indirectly, corruptly demands, seeks, receives, 
        accepts, or agrees to accept anything of value 
        personally or for any other person or entity, the 
        giving of which violates paragraph (1) of this 
        subsection, or attempts to violate this subsection,
shall be fined under this title or imprisoned not more than 15 
years, or both.
  ``(b) Whoever--
          ``(1) otherwise than as provided by law for the 
        proper discharge of any duty, directly or indirectly 
        gives, offers, or promises anything of value to a 
        health care official, for or because of any of the 
        health care official's actions, decisions, or duties 
        relating to a health care benefit program, or attempts 
        to violate this subsection; or
          ``(2) being a health care official, otherwise than as 
        provided by law for the proper discharge of any duty, 
        directly or indirectly, demands, seeks, receives, 
        accepts or agrees to accept anything of value 
        personally or for any other person or entity, the 
        giving of which violates paragraph (1) of this 
        subsection, or attempts to violate this subsection,
shall be fined under this title, or imprisoned not more than 2 
years, or both.
  ``(c) As used in this section--
          ``(1) the term `health care official' means--
                  ``(A) an administrator, officer, trustee, 
                fiduciary, custodian, counsel, agent, or 
                employee of any health care benefit program;
                  ``(B) an officer, counsel, agent, or 
                employee, of an organization that provides 
                services under contract to any health care 
                benefit program; or
                  ``(C) an official, employee, or agent of an 
                entity having regulatory authority over any 
                health care benefit program; and
          ``(2) the term `health care benefit program' has the 
        meaning given such term in section 1347(b) of this 
        title.''.
  (b) Clerical Amendment.--The table of chapters at the 
beginning of chapter 11 of title 18, United States Code, is 
amended by adding at the end the following new item:

``226. Bribery and graft in connection with health care.''.

SEC. 15125. ILLEGAL REMUNERATION WITH RESPECT TO HEALTH CARE BENEFIT 
                    PROGRAMS.

  (a) In General.--Chapter 11 of title 18, United States Code, 
is amended by adding at the end the following:

``Sec. 227. Illegal remuneration with respect to health care benefit 
                    programs

  ``(a) Whoever knowingly and willfully solicits or receives 
any remuneration (including any kickback, bribe, or rebate) 
directly or indirectly, overtly or covertly, in cash or in 
kind--
          ``(1) in return for referring any individual to a 
        person for the furnishing or arranging for the 
        furnishing of any item or service for which payment may 
        be made in whole or in part by any health care benefit 
        program; or
          ``(2) in return for purchasing, leasing, ordering, or 
        arranging for or recommending purchasing, leasing, or 
        ordering any good, facility, service, or item for which 
        payment may be made in whole or in part by any health 
        care benefit program, or attempting to do so,
shall be fined under this title or imprisoned for not more than 
5 years, or both.
  ``(b) Whoever knowingly and willfully offers or pays any 
remuneration (including any kickback, bribe, or rebate) 
directly or indirectly, overtly, or covertly, in cash or in 
kind to any person to induce such person--
          ``(1) to refer an individual to a person for the 
        furnishing or arranging for the furnishing of any item 
        or service for which payment may be made in whole or in 
        part by any health benefit program; or
          ``(2) to purchase, lease, order, or arrange for or 
        recommend purchasing, leasing, or ordering any good, 
        facility, service, or item for which payment may be 
        made in whole or in part by any health benefit program 
        or attempts to do so,
shall be fined under this title or imprisoned for not more than 
5 years, or both.
  ``(c) Subsections (a) and (b) shall not apply to--
          ``(1) a discount or other reduction in price obtained 
        by a provider of services or other entity under a 
        health care benefit program if the reduction in price 
        is properly disclosed and appropriately reflected in 
        the costs claimed or charges made by the provider or 
        entity under a health care benefit program;
          ``(2) any amount paid by an employer to an employee 
        (who has a bona fide employment relationship with such 
        employer) for employment in the provision of covered 
        items or services if the amount of the remuneration 
        under the arrangement is consistent with the fair 
        market value of the services and is not determined in a 
        manner that takes into account (directly or indirectly) 
        the volume or value of any referrals;
          ``(3) any amount paid by a vendor of goods or 
        services to a person authorized to act as a purchasing 
        agent for a group of individuals or entities who are 
        furnishing services reimbursed under a health care 
        benefit program if--
                  ``(A) the person has a written contract, with 
                each such individual or entity, which specifies 
                the amount to be paid the person, which amount 
                may be a fixed amount or a percentage of the 
                value of the purchases made by each such 
                individual or entity under the contract, and
                  ``(B) in the case of an entity that is a 
                provider of services (as defined in section 
                1861(u) of the Social Security Act, the person 
                discloses (in such form and manner as the 
                Secretary of Health and Human Services 
                requires) to the entity and, upon request, to 
                the Secretary the amount received from each 
                such vendor with respect to purchases made by 
                or on behalf of the entity;
          ``(4) a waiver of any coinsurance under part B of 
        title XVIII of the Social Security Act by a federally 
        qualified health care center with respect to an 
        individual who qualifies for subsidized services under 
        a provision of the Public Health Service Act; and
          ``(5) any payment practice specified by the Secretary 
        of Health and Human Services in regulations promulgated 
        pursuant to section 14(a) of the Medicare and Medicaid 
        Patient and Program Protection Act of 1987.
  ``(d) Any person injured in his business or property by 
reason of a violation of this section or section 226 of this 
title may sue therefor in any appropriate United States 
district court and shall recover threefold the damages such 
person sustains and the cost of the suit, including a 
reasonable attorney's fee.
  ``(e) As used in this section, `health care benefit program' 
has the meaning given such term in section 1347(b) of this 
title.''.
  (b) Clerical Amendment.--The table of sections at the 
beginning of chapter 11 of title 18, United States Code, is 
amended by adding at the end the following:

``227. Illegal remuneration with respect to health care benefit 
          programs.''.
  (c) Conforming Amendment.--Section 1128B of the Social 
Security Act (42 U.S.C. 1320a-7b) is amended by striking 
subsection (b).

SEC. 15127. OBSTRUCTION OF CRIMINAL INVESTIGATIONS OF HEALTH CARE 
                    OFFENSES.

  (a) In General.--Chapter 73 of title 18, United States Code, 
is amended by adding at the end the following:

``Sec. 1518. Obstruction of criminal investigations of health care 
                    offenses

  ``(a) Whoever willfully prevents, obstructs, misleads, delays 
or attempts to prevent, obstruct, mislead, or delay the 
communication of information or records relating to a violation 
of a health care offense to a criminal investigator shall be 
fined under this title or imprisoned not more than 5 years, or 
both.
  ``(b) As used in this section the term `health care offense' 
has the meaning given such term in section 24 of this title.
  ``(c) As used in this section the term `criminal 
investigator' means any individual duly authorized by a 
department, agency, or armed force of the United States to 
conduct or engage in investigations for prosecutions for 
violations of health care offenses.''.
  (b) Clerical Amendment.--The table of sections at the 
beginning of chapter 73 of title 18, United States Code, is 
amended by adding at the end the following new item:

``1518. Obstruction of criminal investigations of health care 
          offenses.''.

SEC. 15128. CIVIL PENALTIES FOR VIOLATIONS OF FEDERAL HEALTH CARE 
                    OFFENSES.

  (a) In General.--Chapter 63 of title 18, United States Code, 
is amended by adding at the end the following:

``Sec. 1348. Civil penalties for violations of Federal health care 
                    offenses

  ``The Attorney General may bring a civil action in the 
appropriate United States district court against any person who 
engages in conduct constituting a violation of Federal health 
care offense, as that term is defined in section 24 of this 
title and, upon proof of such conduct by a preponderance of the 
evidence, such person shall be subject to a civil penalty of 
not more than $50,000 for each violation or the amount of 
compensation or proceeds which the person received or offered 
for the prohibited conduct, whichever amount is greater. The 
imposition of a civil penalty under this section does not 
preclude any other criminal or civil statutory, common law, or 
administrative remedy, which is available by law to the United 
States or any other person.''.
  (b) Clerical Amendment.--The table of sections for chapter 63 
of title 18, United States Code, is amended by adding at the 
end the following item:

``1348. Civil penalties for violations of Federal health care 
          offenses.''.

SEC. 15129. INJUNCTIVE RELIEF RELATING TO HEALTH CARE OFFENSES.

  Section 1345(a)(1) of title 18, United States Code, is 
amended--
          (1) by striking ``or'' at the end of subparagraph 
        (A);
          (2) by inserting ``or'' at the end of subparagraph 
        (B); and
          (3) by adding at the end the following:
                  ``(C) committing or about to commit a Federal 
                health care offense (as defined in section 24 
                of this title).''.

SEC. 15130. AUTHORIZED INVESTIGATIVE DEMAND PROCEDURES.

  (a) In General.--Chapter 233 of title 18, United States Code, 
is amended by adding after section 3485 the following:

``Sec. 3486. Authorized investigative demand procedures

  ``(a) Authorization.--(1) In any investigation relating to 
functions set forth in paragraph (2), the Attorney General or 
the Director of the Federal Bureau of Investigation or their 
designees may issue in writing and cause to be served a summons 
compelling the attendance and testimony of witnesses and 
requiring the production of any records (including any books, 
papers, documents, electronic media, or other objects or 
tangible things), which may be relevant to an authorized law 
enforcement inquiry, that a person or legal entity may possess 
or have care, custody, or control. The attendance of witnesses 
and the production of records may be required from any place in 
any State or in any territory or other place subject to the 
jurisdiction of the United States at any designated place of 
hearing; except that a witness shall not be required to appear 
at any hearing more than 500 miles distant from the place where 
he was served with a subpoena. Witnesses summoned under this 
section shall be paid the same fees and mileage that are paid 
witnesses in the courts of the United States. A summons 
requiring the production of records shall describe the objects 
required to be produced and prescribe a return date within a 
reasonable period of time within which the objects can be 
assembled and made available.
  ``(2) Investigative demands utilizing an administrative 
summons are authorized for:
          ``(A) Any investigation with respect to any act or 
        activity constituting an offense involving a Federal 
        health care offense as that term is defined in section 
        24 of title 18, United States Code.
          ``(B) Any investigation, with respect to violations 
        of sections 1073 and 1074 of title 18, United States 
        Code, or in which an individual has been lawfully 
        charged with a Federal offense and such individual is 
        avoiding prosecution or custody or confinement after 
        conviction of such offense or attempt.
  ``(b) Service.--A subpoena issued under this section may be 
served by any person designated in the subpoena to serve it. 
Service upon a natural person may be made by personal delivery 
of the subpoena to him. Service may be made upon a domestic or 
foreign corporation or upon a partnership or other 
unincorporated association which is subject to suit under a 
common name, by delivering the subpoena to an officer, to a 
managing or general agent, or to any other agent authorized by 
appointment or by law to receive service of process. The 
affidavit of the person serving the subpoena entered on a true 
copy thereof by the person serving it shall be proof of 
service.
  ``(c) Enforcement.--In the case of contumacy by or refusal to 
obey a subpoena issued to any person, the Attorney General may 
invoke the aid of any court of the United States within the 
jurisdiction of which the investigation is carried on or of 
which the subpoenaed person is an inhabitant, or in which he 
carries on business or may be found, to compel compliance with 
the subpoena. The court may issue an order requiring the 
subpoenaed person to appear before the Attorney General to 
produce records, if so ordered, or to give testimony touching 
the matterunder investigation. Any failure to obey the order of 
the court may be punished by the court as a contempt thereof. All 
process in any such case may be served in any judicial district in 
which such person may be found.
  ``(d) Immunity From Civil Liability.--Notwithstanding any 
Federal, State, or local law, any person, including officers, 
agents, and employees, receiving a summons under this section, 
who complies in good faith with the summons and thus produces 
the materials sought, shall not be liable in any court of any 
State or the United States to any customer or other person for 
such production or for nondisclosure of that production to the 
customer.''.
  (b) Clerical Amendment.--The table of sections at the 
beginning of chapter 223 of title 18, United States Code, is 
amended by inserting after the item relating to section 3485 
the following new item:

``3486. Authorized investigative demand procedures.''.
  (c) Conforming Amendment.--Section 1510(b)(3)(B) of title 18, 
United States Code, is amended by inserting ``or a Federal 
Bureau of Investigation summons (issued under section 3486 of 
title 18),'' after ``subpoena''.

SEC. 15131. GRAND JURY DISCLOSURE.

  Section 3322 of title 18, United States Code, is amended--
          (1) by redesignating subsections (c) and (d) as 
        subsections (d) and (e), respectively; and
          (2) by inserting after subsection (b) the following:
  ``(c) A person who is privy to grand jury information 
concerning a health care offense--
          ``(1) received in the course of duty as an attorney 
        for the Government; or
          ``(2) disclosed under rule 6(e)(3)(A)(ii) of the 
        Federal Rules of Criminal Procedure;
may disclose that information to an attorney for the Government 
to use in any civil investigation or proceeding related to a 
Federal health care offense (as defined in section 24 of this 
title).''.

SEC. 15132. MISCELLANEOUS AMENDMENTS TO TITLE 18, UNITED STATES CODE.

  (a) Laundering of Monetary Instruments.--Section 1956(c)(7) 
of title 18, United States Code, is amended by adding at the 
end thereof the following:
          ``(F) Any act or activity constituting an offense 
        involving a Federal health care offense as that term is 
        defined in section 24 of title 18, United States 
        Code.''.
  (b) Enhanced Penalties.--Section 2326(2) of title 18, United 
States Code, is amended by striking ``sections that--'' and 
inserting ``or in the case of a Federal health care offense as 
that term is defined in section 24 of this title, that--''.
  (c) Authorization for Interception of Wire, Oral, or 
Electronic Communications.--Section 2516(1)(c) of title 18, 
United States Code, is amended--
          (1) by inserting ``section 226 (bribery and graft in 
        connection with health care), section 227 (illegal 
        remunerations)'' after ``section 224 (bribery in 
        sporting contests),''; and
          (2) by inserting ``section 1347 (health care fraud)'' 
        after ``section 1344 (relating to bank fraud),'' .
  (d) Definitions.--Section 1961(1) of title 18, United States 
Code, is amended--
          (1) by inserting ``sections 226 and 227 (relating to 
        bribery and graft, and illegal remuneration in 
        connection with health care)'' after ``section 224 
        (relating to sports bribery),'';
          (2) by inserting ``section 669 (relating to theft or 
        embezzlement in connection with health care)'' after 
        ``section 664 (relating to embezzlement from pension 
        and welfare funds),''; and
          (3) by inserting ``section 1347 (relating to health 
        care fraud)'' after ``section 1344 (relating to 
        financial institution fraud),''.
  (e) Criminal Forfeiture.--Section 982(a) of title 18, United 
States Code, is amended by adding at the end the following new 
paragraph:
          ``(6) The court in imposing sentence on a person 
        convicted of a Federal health care offense as defined 
        in section 24 of this title, shall order that the 
        offender forfeit to the United States any real or 
        personal property constituting or derived from proceeds 
        that the offender obtained directly or indirectly as 
        the result of the offense.''.
  (f) Rewards for Information Leading to Prosecution and 
Conviction.--Section 3059(c)(1) of title 18, United States 
Code, is amended by inserting ``or furnishes information 
unknown to the Government relating to a possible prosecution of 
a Federal health care offense as defined in section 24 of this 
title, which results in a conviction'' before the period at the 
end.