Medicare Rural Health Provider Payment Extension Act of 2006 - Amends title XVIII (Medicare) of the Social Security Act (SSA), as amended by the Deficit Reduction Act of 2005, to extend through calendar 2009 the Medicare rural hospital hold harmless provision under the prospective payment system for hospital outpatient department services.
Amends SSA title XVIII to extend through calendar 2010: (1) the Medicare incentive payment program for physician scarcity areas; (2) Medicare increased payments for ground ambulance services in rural areas; and (3) the floor on Medicare work adjustment.
Amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 to extend through July 1, 2011, Medicare reasonable costs payments for certain clinical diagnostic laboratory tests furnished to hospital patients in certain rural areas.
Amends the Medicare Prescription Drug Improvement, and Modernization Act of 2003, as amended by the Deficit Reduction Act of 2005, to extend through calendar 2011 the temporary Medicare payment increase for home health services furnished in a rural area.
[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5118 Introduced in House (IH)]
109th CONGRESS
2d Session
H. R. 5118
To amend title XVIII of the Social Security Act and the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 to extend
certain Medicare payment methodologies provided for rural health care
providers.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
April 6, 2006
Mr. Walden of Oregon (for himself, Mr. Pomeroy, Mr. Alexander, Mr.
Allen, Mr. Berry, Mr. Bishop of Georgia, Mr. Boucher, Mr. Boyd, Mrs.
Capito, Mr. Case, Mr. Costello, Mrs. Jo Ann Davis of Virginia, Mr.
Davis of Tennessee, Mr. DeFazio, Mrs. Emerson, Mr. Evans, Mr. Graves,
Mr. Hastings of Washington, Ms. Herseth, Mr. Hinchey, Mr. Hinojosa, Ms.
Hooley, Mr. Kind, Ms. Jackson-Lee of Texas, Mr. Marshall, Mr. Matheson,
Mr. McHugh, Mr. McIntyre, Miss McMorris, Mr. Moran of Kansas, Mr.
Oberstar, Mr. Ortiz, Mr. Paul, Mr. Peterson of Minnesota, Mr. Peterson
of Pennsylvania, Mr. Renzi, Mr. Ross, Mr. Sanders, Mr. Shuster, Mr.
Simpson, Mr. Skelton, Mr. Stupak, Mr. Sweeney, Mr. Tanner, Mr. Taylor
of Mississippi, Mr. Udall of New Mexico, Mr. Whitfield, Mr. Wicker, and
Mr. Young of Alaska) introduced the following bill; which was referred
to the Committee on Energy and Commerce, and in addition to the
Committee on Ways and Means, 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
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act and the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 to extend
certain Medicare payment methodologies provided for rural health care
providers.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Medicare Rural
Health Provider Payment Extension Act of 2006''.
(b) Table of Contents.--
Sec. 1. Short title and table of contents.
Sec. 2. Extension of medicare rural hospital hold harmless provision
under the prospective payment system for
hospital outpatient department (HOPD)
services.
Sec. 3. Extension of medicare incentive payment program for physician
scarcity areas.
Sec. 4. Extension of medicare increase payments for ground ambulance
services in rural areas.
Sec. 5. Extension of floor on medicare work geographic adjustment.
Sec. 6. Extension of medicare reasonable costs payments for certain
clinical diagnostic laboratory tests
furnished to hospital patients in certain
rural areas.
Sec. 7. Extension of temporary medicare payment increase for home
health services furnished in a rural area.
SEC. 2. EXTENSION OF MEDICARE RURAL HOSPITAL HOLD HARMLESS PROVISION
UNDER THE PROSPECTIVE PAYMENT SYSTEM FOR HOSPITAL
OUTPATIENT DEPARTMENT (HOPD) SERVICES.
(a) In General.--Section 1833(t)(7)(D)(i) of the Social Security
Act (42 U.S.C. 1395l(t)(7)(D)(i)), as amended by section 5105 of the
Deficit Reduction Act of 2005, is amended--
(1) in subclause (I)--
(A) by striking ``(I)''; and
(B) by striking ``2006'' and inserting ``2010'';
and
(2) by striking subclause (II).
(b) Effective Date.--The amendments made by subsection (a) shall
apply to covered OPD services furnished on or after January 1, 2006.
SEC. 3. EXTENSION OF MEDICARE INCENTIVE PAYMENT PROGRAM FOR PHYSICIAN
SCARCITY AREAS.
Section 1833(u)(1) of the Social Security Act (42 U.S.C.
1395l(u)(1)) is amended by striking ``2008'' and inserting `` 2011''.
SEC. 4. EXTENSION OF MEDICARE INCREASE PAYMENTS FOR GROUND AMBULANCE
SERVICES IN RURAL AREAS.
Section 1834(l)(13) of the Social Security Act (42 U.S.C.
1395m(l)(13)) is amended--
(1) in subparagraph (A)--
(A) in the matter before clause (i), by striking
``furnished on or after July 1, 2004, and before
January 1, 2007,'';
(B) in clause (i), by inserting ``for services
furnished on or after July 1, 2004, and before January
1, 2011,'' after ``in such paragraph,''; and
(C) in clause (ii), by inserting ``for services
furnished on or after July 1, 2004, and before January
1, 2007,'' after ``in clause (i),''; and
(2) in subparagraph (B)--
(A) in the heading, by striking ``after 2006'' and
inserting ``for subsequent periods'';
(B) by inserting ``clauses (i) and (ii) of'' before
``subparagraph (A)''; and
(C) by striking ``in such subparagraph'' and
inserting ``in the respective clause''.
SEC. 5. EXTENSION OF FLOOR ON MEDICARE WORK GEOGRAPHIC ADJUSTMENT.
Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)(E)) is amended by striking ``2007'' and inserting ``2011''.
SEC. 6. EXTENSION OF MEDICARE REASONABLE COSTS PAYMENTS FOR CERTAIN
CLINICAL DIAGNOSTIC LABORATORY TESTS FURNISHED TO
HOSPITAL PATIENTS IN CERTAIN RURAL AREAS.
Section 416(b) of the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (Public Law 108-173; 117 Stat. 2282; 42
U.S.C. 1395l-4(b)) is amended by striking ``2-year'' and inserting ``7-
year''.
SEC. 7. EXTENSION OF TEMPORARY MEDICARE PAYMENT INCREASE FOR HOME
HEALTH SERVICES FURNISHED IN A RURAL AREA.
(a) In General.--Section 421 of the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (Public Law 108-173; 117
Stat. 2283; 42 U.S.C. 1395fff note), as amended by section 5201(b) of
the Deficit Reduction Act of 2005, is amended--
(1) in the heading, by striking ``one-year'' and inserting
``temporary''; and
(2) in subsection (a) by striking ``before April 1, 2005,
and episodes and visits beginning on or after January 1, 2006,
and before January 1, 2007'' and inserting ``before December
31, 2011''.
(b) Application to Certain Home Health Services Furnished Prior to
Date of Enactment.--For episodes and visits for home health services
furnished on or after April 1, 2005, and before the date of the
enactment of this Act, the Secretary of Health and Human Services shall
provide for a lump sum payment, not later than 60 days after such
enactment, of amounts due under the amendment made by subsection
(a)(2).
(c) Effective Date.--The amendments made by subsection (a) shall
apply to episodes and visits on or after April 1, 2005.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Referred to the Subcommittee on Health.
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