Medicare Competitive Acquisition Improvement Act of 2004 - Amends title XVIII (Medicare) of the Social Security Act, as amended by the Medicare Prescription Drug, Improvement, and Moderization Act of 2003, to revise requirements for the phase-in among competitive acquisition areas of Medicare programs for acquisition of competitvely priced items and services. Prescribes a phase-in schedule from FY 2005 through 2007 (currently from FY 2007 through 2009).
Revises the conditions for awarding a competitive acquisition contract to require an entity to have an active National Supplier Clearinghouse identification number and comply with specified additional requirements, including all Federal and State licensure and regulatory requirements. Requires such entity also not to have been suspended within the 12 months preceding its bid for billing for items or services not furnished.
[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 2911 Introduced in Senate (IS)]
108th CONGRESS
2d Session
S. 2911
To amend title XVIII of the Social Security Act to make improvements in
the medicare competitive acquisition programs for certain items and
services.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
October 7, 2004
Mr. Graham of Florida introduced the following bill; which was read
twice and referred to the Committee on Finance
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to make improvements in
the medicare competitive acquisition programs for certain items and
services.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Medicare Competitive Acquisition
Improvement Act of 2004''.
SEC. 2. IMPROVEMENTS IN THE MEDICARE COMPETITIVE ACQUISITION PROGRAMS
FOR CERTAIN ITEMS AND SERVICES.
(a) Phased-In Implementation.--Section 1847(a)(1)(B)(i) of the
Social Security Act (42 U.S.C. 1395w-3(a)(1)(B)(i)), as amended by
section 302(b) of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (Public Law 108-173; 117 Stat. 2224), is
amended to read as follows:
``(i) shall be phased in among competitive
acquisition areas in a manner so that the
competition under the programs occurs in--
``(I) 10 of the largest
metropolitan statistical areas in 2005;
``(II) 50 of the largest
metropolitan statistical areas in 2006;
``(III) 80 of the largest
metropolitan statistical areas in 2007;
and
``(IV) additional areas after 2007;
and''.
(b) Conditions for Awarding Contract.--Section 1847(b)(2)(A) of the
Social Security Act (42 U.S.C. 1395w-3(b)(2)(A)), as amended by such
section 302(b), is amended by adding at the end the following new
clauses:
``(v) The entity has an agreement in effect
under section 1866 and has an active National
Supplier Clearinghouse identification number.
``(vi) The entity complies with all Federal
and State licensure and regulatory
requirements.
``(vii) The entity is in compliance with
all the provisions of title XI, this title, and
title XIX, and any regulations relating
thereto.
``(viii) The entity has not been suspended
within the 12 months preceding the date on
which a bid is submitted by any DMERC antifraud
unit for billing for items or services not
furnished.''.
(c) Report.--Section 1847(d) of the Social Security Act (42 U.S.C.
1395w-3(d)), as amended by such section 302(b), is amended by striking
``July 1, 2009'' and inserting ``December 31, 2006''.
(d) Effective Date.--The amendments made by this section shall take
effect as if included in the enactment of such section 302(b).
<all>
Introduced in Senate
Read twice and referred to the Committee on Finance.
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