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H.R. 4252

To amend title XVIII of the Social Security Act to revise the interim payment system for home health care furnished to Medicare beneficiaries.

Amends part D (Miscellaneous Provisions) of title XVIII (Medicare) of the Social Security Act, as amended by the Balanced Budget Act of 1997 (BBA '97), to revise reasonable cost requirements for the interim system of limited payments for services provided by home health agencies, especially with regard to per beneficiary cost limits and efficiency standards.

Amends BBA '97 with regard to the establishment of a prospective payment system (PPS) for such services to provide that if the Secretary of Health and Human Services does not establish such PPS for specified applicable cost reporting periods, the Secretary shall, for such periods, apply applicable limits under Medicare's reasonable cost requirements as they would otherwise be in effect. Repeals the current requirement that, during such a period, existing limits be reduced by 15 percent.

Referred to the Subcommittee on Health and Environment.

Rep. English, Phil [R-PA-21](R-PA)Sponsor
6 cosponsors4 D2 R
6cosponsors2committees7actions7subjects
  1. CommitteeH11000

    Referred to the Subcommittee on Health and Environment.

    Health and Environment Subcommittee
  2. CommitteeH11000

    Referred to the Subcommittee on Health.

    Health Subcommittee
  3. IntroReferralH11100

    Referred to House Commerce

    Energy and Commerce Committee
  4. IntroReferralH11100-A

    Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  5. IntroReferralH11100

    Referred to House Ways and Means

    Ways and Means Committee
  6. IntroReferralIntro-H

    Introduced in House

  7. IntroReferral1000

    Introduced in House

To amend title XVIII of the Social Security Act to revise the interim payment system for h… — Informed