Home > 108th Congressional Bills > H.R. 1005 (ih) To provide permanent funding for the payment in lieu of taxes program, and for other purposes. [Introduced in House] ...

H.R. 1005 (ih) To provide permanent funding for the payment in lieu of taxes program, and for other purposes. [Introduced in House] ...


Google
 
Web GovRecords.org








108th CONGRESS
  1st Session
                                H. R. 1004

To amend title XVIII of the Social Security Act to provide for payment 
 under the Medicare Program for more frequent hemodialysis treatments.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 27, 2003

    Mr. McDermott (for himself, Ms. Dunn, Mr. Lewis of Georgia, Mr. 
 Cummings, Mr. Dicks, Mr. Rangel, Mr. McNulty, Mr. Goode, Mr. Hastings 
 of Washington, Mr. Inslee, Mr. Kirk, and Mrs. Christensen) 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 to provide for payment 
 under the Medicare Program for more frequent hemodialysis treatments.

    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 ``Kidney Patient Daily Dialysis 
Quality Act of 2003''.

SEC. 2. COVERAGE OF MORE FREQUENT HEMODIALYSIS TREATMENTS.

    (a) In General.--Section 1881(b) of the Social Security Act (42 
U.S.C. 1395rr(b)) is amended--
            (1) in the first sentence of paragraph (7), by inserting 
        before the period the following: ``, including payment for more 
        frequent hemodialysis furnished to qualified individuals under 
        paragraph (12)''; and
            (2) by adding at the end the following new paragraph:
    ``(12)(A)(i) Not later than the date that is 1 year after the date 
of enactment of this paragraph, the Secretary shall cause to have 
published in the Federal Register final regulations for equivalent per 
treatment prospective payment rates for more frequent hemodialysis 
furnished at home and furnished in a facility (commonly known as 
composite `Method I' rates and `Method II Cap' payment rates), and 
prospective payment rates for in-facility training for more frequent 
hemodialysis.
    ``(ii) For the year beginning more than 12 months after the date 
described in clause (i), and for each subsequent year, the Secretary 
shall provide for an appropriate update to the per treatment 
prospective payment rates developed under clause (i).
    ``(B) In developing per treatment prospective payment rates under 
subparagraph (A), the Secretary shall consider--
            ``(i) actual reasonable costs of operating more frequent 
        hemodialysis programs; and
            ``(ii) data from the Health Care Financing Administration 
        on actual expenditures under this title for more frequent 
        hemodialysis patients, compared to--
                    ``(I) data on expenditures for the same patients 
                before those patients underwent more frequent 
                hemodialysis, and
                    ``(II) data on expenditures for patients undergoing 
                hemodialysis treatment 3 times per week with similar 
                clinical and demographic characteristics.
    ``(C) Not later than 1 year after the date of enactment of this 
paragraph, the Secretary shall develop, in consultation with the renal 
community, a standard of care and quality standards for more frequent 
hemodialysis. The Secretary shall periodically review and update as 
necessary such standards.
    ``(D) The Secretary shall collect data with respect to--
            ``(i) documented savings in expenditures under this title 
        by reason of more frequent hemodialysis that are attributable 
        to reduced medications, hospitalizations, outpatient services, 
        and such other factors as the Secretary determines appropriate; 
        and
            ``(ii) the improved quality of care and improved outcomes 
        more frequent hemodialysis may bring to patients.
    ``(E) In this paragraph:
            ``(i) The term `more frequent hemodialysis' means 
        hemodialysis treatment sessions, or equivalent therapy 
        requiring blood access, performed at least 5 times per week.
            ``(ii) The term `qualified individual' means an individual 
        who, in the clinical judgment of the physician of the 
        individual, is likely to achieve better clinical outcomes, 
        quality of life outcomes, or both from more frequent 
        hemodialysis.''.
    (b) Conforming Amendments.--(1) Section 1881(b)(8) of the Social 
Security Act (42 U.S.C. 1395rr(b)(8)) is amended by inserting ``and 
more frequent hemodialysis supplies and equipment'' after ``home 
dialysis supplies and equipment''.
    (2) Section 1881(b)(9) of such Act (42 U.S.C. 1395rr(b)(9)) is 
amended by inserting ``and more frequent hemodialysis support 
services'' after ``self-care home dialysis support services''.
    (c) Effective Date.--The amendments made by this section shall take 
effect on the date of the enactment of this Act and shall apply with 
respect to items and services furnished on or after the date that is 1 
year after such date of enactment.
                                 <all>

Pages: 1

Other Popular 108th Congressional Bills Documents:

1 S. 2298 (is) To amend the Internal Revenue Code of 1986 to improve the operation of employee stock ownership plans, and for other purposes. [Introduced in Senate] ...
2 H.Res. 845 (lth) Relating to a question of the privileges of the House. [Laid on Table in House] ...
3 H.Res. 317 (ath) Dismissing the election contest relating to the office of Representative from the Second Congressional District of Hawaii. [Agreed to House] ...
4 H.R. 3058 (ih) To require the Secretary of the Treasury to analyze and report on the [Introduced in House] ...
5 S. 39 (is) To promote the development of health care cooperatives that will help businesses to pool the health care purchasing power of employers, and for other purposes. [Introduced in Senate] ...
6 H.Con.Res. 339 (ih) Providing for the sine die adjournment of the first session of the One Hundred Eighth Congress. [Introduced in House] ...
7 H.R. 3898 (ih) To authorize construction of a new (replacement) medical center for the [Introduced in House] ...
8 S. 521 (is) To amend the Act of August 9, 1955, to extend the terms of leases of certain restricted Indian land, and for other purposes. [Introduced in Senate] ...
9 H.R. 3016 (ih) To combat terrorism financing, and for other purposes. [Introduced in House] ...
10 H.Res. 446 (ih) Expressing the sense of the House of Representatives that the Supreme [Introduced in House] ...
11 H.Con.Res. 414 (rh) Expressing the sense of the Congress that, as Congress recognizes the 50th anniversary of the Brown v. Board of Education decision, all Americans are encouraged to observe this anniversary with a commitment to continuing and building o...
12 H.R. 5122 (ih) To amend the Congressional Accountability Act of 1995 to permit members of the Board of Directors of the Office of Compliance to serve for 2 terms. [Introduced in House] ...
13 S. 2722 (is) To maintain and expand the steel import licensing and monitoring program. [Introduced in Senate] ...
14 H.R. 3936 (enr) To amend title 38, United States Code, to increase the authorization of appropriations for grants to benefit homeless veterans, to improve programs for management and administration of veterans' facilities and health care programs, and for...
15 H.Con.Res. 320 (eh) [Engrossed in House] ...
16 S.Res. 390 (ats) Designating September 9, 2004, as ``National Fetal Alcohol Spectrum Disorders Day''. [Agreed to Senate] ...
17 H.Con.Res. 486 (enr) [Enrolled bill] ...
18 H.R. 3334 (ih) To authorize the Secretary of the Interior to participate in the design and construction of the Riverside-Corona Feeder in cooperation with the Western Municipal Water District of Riverside, California. [Introduced in House] ...
19 S. 1544 (is) To provide for data-mining reports to Congress. [Introduced in Senate] ...
20 H.Res. 89 (ih) Providing amounts for the expenses of the Committee on Science in the One Hundred Eighth Congress. [Introduced in House] ...
21 H.R. 2397 (ih) To designate a portion of the White Salmon River as a component of the National Wild and Scenic Rivers System. [Introduced in House] ...
22 S. 26 (is) To amend the Internal Revenue Code of 1986 to provide that dividend and interest income of individuals not be taxed at rates in excess of the maximum capital gains rate. [Introduced in Senate] ...
23 H.R. 2983 (ih) To amend title 38, United States Code, to provide for the eligibility of Indian tribal organizations for grants for the establishment of veterans cemeteries on trust lands. [Introduced in House] ...
24 H.Con.Res. 384 (ih) Calling for the removal of all restrictions from the public, the press, [Introduced in House] ...
25 H.R. 648 (ih) To protect the right to obtain firearms for security, and to use firearms in defense of self, family, or home, and to provide for the enforcement of such right. [Introduced in House] ...
26 H.R. 2857 (ih) To amend the Federal Food, Drug, and Cosmetic Act to authorize the Food and Drug Administration to require certain research into drugs used in pediatric patients. [Introduced in House] ...
27 H.Con.Res. 464 (eh) [Engrossed in House] ...
28 H.R. 4327 (ih) To designate the facility of the United States Postal Service located at 7450 Natural Bridge Road in St. Louis, Missouri, as the ``Vitilas `Veto' Reid Post Office Building''. [Introduced in House] ...
29 H.R. 4658 (eh) To amend the Servicemembers Civil Relief Act to make certain improvements and technical corrections to that Act, otherwise to improve legal protections provided to reserve component members called to active duty, and for other purposes. [En...
30 H.R. 4916 (enr) To provide an extension of highway, highway safety, motor carrier safety, transit, and other programs funded out of the Highway Trust Fund pending enactment of a law reauthorizing the Transportation Equity Act for the 21st Century. [Enroll...


Other Documents:

108th Congressional Bills Records and Documents

GovRecords.org presents information on various agencies of the United States Government. Even though all information is believed to be credible and accurate, no guarantees are made on the complete accuracy of our government records archive. Care should be taken to verify the information presented by responsible parties. Please see our reference page for congressional, presidential, and judicial branch contact information. GovRecords.org values visitor privacy. Please see the privacy page for more information.
House Rules:

104th House Rules
105th House Rules
106th House Rules

Congressional Bills:

104th Congressional Bills
105th Congressional Bills
106th Congressional Bills
107th Congressional Bills
108th Congressional Bills

Supreme Court Decisions

Supreme Court Decisions

Additional

1995 Privacy Act Documents
1997 Privacy Act Documents
1994 Unified Agenda
2004 Unified Agenda

Congressional Documents:

104th Congressional Documents
105th Congressional Documents
106th Congressional Documents
107th Congressional Documents
108th Congressional Documents

Congressional Directory:

105th Congressional Directory
106th Congressional Directory
107th Congressional Directory
108th Congressional Directory

Public Laws:

104th Congressional Public Laws
105th Congressional Public Laws
106th Congressional Public Laws
107th Congressional Public Laws
108th Congressional Public Laws

Presidential Records

1994 Presidential Documents
1995 Presidential Documents
1996 Presidential Documents
1997 Presidential Documents
1998 Presidential Documents
1999 Presidential Documents
2000 Presidential Documents
2001 Presidential Documents
2002 Presidential Documents
2003 Presidential Documents
2004 Presidential Documents

Home Executive Judicial Legislative Additional Reference About Privacy