A bill to require the Secretary of Health and Human Services to conduct a study of the effect on payments under Medicare where certain inpatient services are replaced by outpatient services

4 Pages·1996·0.13 MB·English

by  United States. Congress. House

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PROPERTYOF
NOV 16 REC'D
HCFALIBRARY I
104thcongress H.R.4191
2dSession
i
TorequiretheSecretaryofHealthandHumanServicestoconductastudy
oftheeffectonpaymentsunderMedicarewherecertaininpatientservices
arereplacedbyoutpatientservices.
IN THE HOUSE OF REPRESENTATIVES
September25,1996
Mr.Starkintroducedthefollowingbill;whichwasreferredtotheCommittee
onWaysandMeans, andin additiontotheCommitteeonCommerce,
foraperiodtobesubsequentlydeterminedbytheSpeaker,ineachcase
forconsiderationofsuchprovisionsasfallwithinthejurisdictionofthe
committeeconcerned
A
BILL
To require the Secretar\^ of Health and Human Services
to conduct a study of the effect on payments under
Medicare where certain inpatient services are replaced
byoutpatientservices.
1 Beitenactedbythe SenateandHouseofRepresenta-
2 tivesoftheUnitedStatesofAmericainCongressassembled,
3 SEC.1.STUDYANDREPORTTOCONGRESS.
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4 (a) Study. The Secretar}^ of Health and Human
5 Senices shall conduct a study ofcoverage foroutpatient
6 services in lieu ofinpatient sendees under the Medicare
7 ])rogi-am.Suchstudyshallincludeananalysisof
1 (1) the cost of providing to a Medicare bene-
2 ficiary outpatient drug benefits and coverage for
3 supplies, appliances, equipment, laboratorytestsand
4 nursing services required for appropriate outpatient
5 treatmentinlieuofcontinuedhospitalization;
6 (2)whetherpaymentsunderpartAoftheMed-
7 icare program may be reduced if a Medicare bene-
8 ficiaiy is provided the outpatient services described
9 in paragraph (1), includinganyduplicate payments
10 made for a Medicare beneficiaiy^who is transferred
11 from a hospital to a nursing facility, intermediate
12 carefaciUt\%orotherpost-hospitalcarefacility-
13 (3) potential savings to the Medicare program
14 if a Medicare beneficiary is provided the outpatient
15 services described in paragraph (1), including sav-
16 ings with respect to the decreased probability of
17 nosocomial infections due to shortened inpatient
18 stays;and
19 (4) how any such outpatient services should be
20 reimbursedsoastoensurecostsavings.
21 (b)Report.—Notlaterthan180daysafterthedate
22 ofthe enactment ofthis Act, the Secretars' shall submit
23 a report to the Congress on the studyunder subsection
24 (a) and shallinclude inthereportsuchrecommendations
25 with respect to coverage ofoutpatient services in heu of
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1 inpatientservicesundertheMedicareprogramastheSec
2 retaiydeemsappropriate.
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