Home > 106th Congressional Bills > H.R. 2224 (ih) To express the sense of Congress regarding the need to carefully review [Introduced in House] ...

H.R. 2224 (ih) To express the sense of Congress regarding the need to carefully review [Introduced in House] ...


Google
 
Web GovRecords.org








108th CONGRESS
  1st Session
                                H. R. 2223

  To amend title XVIII of the Social Security Act to provide adequate 
 coverage for immunosuppressive drugs furnished to beneficiaries under 
      the Medicare Program that have received an organ transplant.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 22, 2003

   Mr. Camp introduced the following bill; which was referred to the 
   Committee on Ways and Means, and in addition to the Committees on 
Energy, and Commerce, and Education and the Workforce, 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 adequate 
 coverage for immunosuppressive drugs furnished to beneficiaries under 
      the Medicare Program that have received an organ transplant.

    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 ``Comprehensive Immunosuppressive Drug 
Coverage for Transplant Patients Act of 2003''.

SEC. 2. COMPREHENSIVE COVERAGE OF IMMUNOSUPPRESSIVE DRUGS UNDER THE 
              MEDICARE PROGRAM.

    (a) In General.--Section 1861(s)(2)(J) of the Social Security Act 
(42 U.S.C. 1395x(s)(2)(J)) is amended by striking ``, to an individual 
who receives'' and all that follows before the semicolon at the end and 
inserting ``to an individual who has received an organ transplant''.
    (b) Effective Date.--The amendment made by this section shall apply 
to drugs furnished on or after the date of enactment of this Act.

SEC. 3. PROVISION OF APPROPRIATE COVERAGE OF IMMUNOSUPPRESSIVE DRUGS 
              UNDER THE MEDICARE PROGRAM FOR ORGAN TRANSPLANT 
              RECIPIENTS.

    (a) Continued Entitlement to Immunosuppressive Drugs.--
            (1) Kidney transplant recipients.--Section 226A(b)(2) of 
        the Social Security Act (42 U.S.C. 426-1(b)(2)) is amended by 
        inserting ``(except for coverage of immunosuppressive drugs 
        under section 1861(s)(2)(J))'' after ``shall end''.
            (2) Other transplant recipients.--The flush matter 
        following paragraph (2)(C)(ii)(II) of section 226(b) of the 
        Social Security Act (42 U.S.C. 426(b)) is amended by striking 
        ``of this subsection)'' and inserting ``of this subsection and 
        except for coverage of immunosuppressive drugs under section 
        1861(s)(2)(J))''.
            (3) Application.--Section 1836 of the Social Security Act 
        (42 U.S.C. 1395o) is amended--
                    (A) by striking ``Every individual who'' and 
                inserting ``(a) In General.--Every individual who''; 
                and
                    (B) by adding at the end the following new 
                subsection:
    ``(b) Special Rules Applicable to Individuals Only Eligible for 
Coverage of Immunosuppressive Drugs.--
            ``(1) In general.--In the case of an individual whose 
        eligibility for benefits under this title has ended except for 
        the coverage of immunosuppressive drugs by reason of section 
        226(b) or 226A(b)(2), the following rules shall apply:
                    ``(A) The individual shall be deemed to be enrolled 
                under this part for purposes of receiving coverage of 
                such drugs.
                    ``(B) The individual shall be responsible for the 
                full amount of the premium under section 1839 in order 
                to receive such coverage.
                    ``(C) The provision of such drugs shall be subject 
                to the application of--
                            ``(i) the deductible under section 1833(b); 
                        and
                            ``(ii) the coinsurance amount applicable 
                        for such drugs (as determined under this part).
                    ``(D) If the individual is an inpatient of a 
                hospital or other entity, the individual is entitled to 
                receive coverage of such drugs under this part.
            ``(2) Establishment of procedures in order to implement 
        coverage.--The Secretary shall establish procedures for--
                    ``(A) identifying beneficiaries that are entitled 
                to coverage of immunosuppressive drugs by reason of 
                section 226(b) or 226A(b)(2); and
                    ``(B) distinguishing such beneficiaries from 
                beneficiaries that are enrolled under this part for the 
                complete package of benefits under this part.''.
            (4) Technical amendment.--Subsection (c) of section 226A of 
        the Social Security Act (42 U.S.C. 426-1), as added by section 
        201(a)(3)(D)(ii) of the Social Security Independence and 
        Program Improvements Act of 1994 (Public Law 103-296; 108 Stat. 
1497), is redesignated as subsection (d).
    (b) Extension of Secondary Payer Requirements for ESRD 
Beneficiaries.--Section 1862(b)(1)(C) of the Social Security Act (42 
U.S.C. 1395y(b)(1)(C)) is amended by adding at the end the following 
new sentence: ``With regard to immunosuppressive drugs furnished on or 
after the date of enactment of the Comprehensive Immunosuppressive Drug 
Coverage for Transplant Patients Act of 2003, this subparagraph shall 
be applied without regard to any time limitation.''.
    (c) Effective Date.--The amendments made by this section shall 
apply to drugs furnished on or after the date of enactment of this Act.

SEC. 4. PLANS REQUIRED TO MAINTAIN COVERAGE OF IMMUNOSUPPRESSIVE DRUGS.

    (a) Application to Certain Health Insurance Coverage.--
            (1) In general.--Subpart 2 of part A of title XXVII of the 
        Public Health Service Act (42 U.S.C. 300gg-4 et seq.) is 
        amended by adding at the end the following:

``SEC. 2707. COVERAGE OF IMMUNOSUPPRESSIVE DRUGS.

    ``A group health plan (and a health insurance issuer offering 
health insurance coverage in connection with a group health plan) shall 
provide coverage of immunosuppressive drugs that is at least as 
comprehensive as the coverage provided by such plan or issuer on the 
day before the date of enactment of the Comprehensive Immunosuppressive 
Drug Coverage for Transplant Patients Act of 2003, and such requirement 
shall be deemed to be incorporated into this section.''.
            (2) Conforming amendment.--Section 2721(b)(2)(A) of the 
        Public Health Service Act (42 U.S.C. 300gg-21(b)(2)(A)) is 
        amended by inserting ``(other than section 2707)'' after 
        ``requirements of such subparts''.
    (b) Application to Group Health Plans and Group Health Insurance 
Coverage Under the Employee Retirement Income Security Act of 1974.--
            (1) In general.--Subpart B of part 7 of subtitle B of title 
        I of the Employee Retirement Income Security Act of 1974 (29 
        U.S.C. 1185 et seq.) is amended by adding at the end the 
        following new section:

``SEC. 714. COVERAGE OF IMMUNOSUPPRESSIVE DRUGS.

    ``A group health plan (and a health insurance issuer offering 
health insurance coverage in connection with a group health plan) shall 
provide coverage of immunosuppressive drugs that is at least as 
comprehensive as the coverage provided by such plan or issuer on the 
day before the date of enactment of the Comprehensive Immunosuppressive 
Drug Coverage for Transplant Patients Act of 2003, and such requirement 
shall be deemed to be incorporated into this section.''.
            (2) Conforming amendments.--
                    (A) Section 732(a) of the Employee Retirement 
                Income Security Act of 1974 (29 U.S.C. 1185(a)) is 
                amended by striking ``section 711'' and inserting 
                ``sections 711 and 714''.
                    (B) The table of contents in section 1 of the 
                Employee Retirement Income Security Act of 1974 is 
                amended by inserting after the item relating to section 
                713 the following new item:

``Sec. 714. Coverage of immunosuppressive drugs.''.
    (c) Application to Group Health Plans Under the Internal Revenue 
Code of 1986.--Subchapter B of chapter 100 of the Internal Revenue Code 
of 1986 is amended--
            (1) in the table of sections, by inserting after the item 
        relating to section 9812 the following new item:

                              ``Sec. 9813. Coverage of 
                                        immunosuppressive drugs.'';
        and
            (2) by inserting after section 9812 the following:

``SEC. 9813. COVERAGE OF IMMUNOSUPPRESSIVE DRUGS.

    ``A group health plan shall provide coverage of immunosuppressive 
drugs that is at least as comprehensive as the coverage provided by 
such plan on the day before the date of enactment of the Comprehensive 
Immunosuppressive Drug Coverage for Transplant Patients Act of 2003, 
and such requirement shall be deemed to be incorporated into this 
section.''.
    (d) Effective Date.--The amendments made by this section shall 
apply to plan years beginning on or after January 1, 2004.
                                 <all>

Pages: 1

Other Popular 106th Congressional Bills Documents:

1 H.J.Res. 36 (ih) Proposing an amendment to the Constitution of the United States to restrict annual deficits by limiting the public debt of the United States and requiring a favorable vote of the people on any law to exceed such limits. [Introduced in Hou...
2 H.R. 3519 (eh) To provide for negotiations for the creation of a trust fund to be administered by the International Bank for Reconstruction and Development or the International Development Association to combat the AIDS epidemic. [Engrossed in House] %%Fi...
3 H.R. 5438 (ih) To amend title 38, United States Code, to add Diabetes Mellitus (Type 2) to the list of diseases presumed to be service-connected for veterans exposed to certain herbicide agents. [Introduced in House] ...
4 H.Res. 453 (eh) [Engrossed in House] ...
5 H.R. 5592 (ih) To amend the Child Nutrition Act of 1966 to provide vouchers for the purchase of educational books for infants and children participating in the special supplemental nutrition program for women, infants, and children under that Act. [Introd...
6 S. 3287 (is) To amend title 3, United States Code, and the Uniform Time Act of 1966 to establish a single poll closing time for Presidential general elections. [Introduced in Senate] ...
7 H.R. 2137 (ih) To amend the Internal Revenue Code of 1986 to extend the research and development tax credit to research in the Commonwealth of Puerto Rico and the possessions of the United States. [Introduced in House] ...
8 H.Con.Res. 352 (eh) [Engrossed in House] ...
9 H.R. 4733 (rh) Making appropriations for energy and water development for the fiscal year ending September 30, 2001, and for other purposes. [Reported in House] ...
10 S. 2028 (is) To make permanent the moratorium enacted by the Internet Tax Freedom Act as it applies to new, multiple, and discriminatory taxes on the Internet. [Introduced in Senate] ...
11 S. 1059 (enr) To authorize appropriations for fiscal year 2000 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe personnel strengths for such fiscal year f...
12 S. 863 (is) To amend title XIX of the Social Security Act to provide for medicaid coverage of all certified nurse practitioners and clinical nurse specialists services. [Introduced in Senate] ...
13 H.R. 5266 (rh) For the relief of Saeed Rezai. [Reported in House] ...
14 S. 2577 (is) To reduce temporarily the duty on Fipronil technical. [Introduced in Senate] ...
15 H.R. 686 (ih) To designate a United States courthouse in Brownsville, Texas, as the ``Garza-Vela United States Courthouse''. [Introduced in House] ...
16 S. 3141 (is) To amend title XVIII of the Social Security Act to provide for coverage under the Medicare Program of annual screening pap smear and screening pelvic exams. [Introduced in Senate] ...
17 H.R. 5482 (ih) Making appropriations for the Departments of Veterans Affairs and Housing and Urban Development, and for sundry independent agencies, boards, commissions, corporations, and offices for the fiscal year ending September 30, 2001, and for othe...
18 S. 704 (enr) To amend title 18, United States Code, to combat the overutilization of prison health care services and control rising prisoner health care costs. [Enrolled bill] ...
19 S. 2358 (is) To amend the Public Health Service Act with respect to the operation by the National Institutes of Health of an experimental program to stimulate competitive research. [Introduced in Senate] ...
20 S.Res. 385 (ats) Congratulating the Reverend Clay Evans of Chicago, Illinois, on the occasion of his retirement. [Agreed to Senate] ...
21 S.Con.Res. 136 (is) Expressing the sense of Congress regarding the importance of bringing transparency, accountability, and effectiveness to the World Bank and its programs and projects. [Introduced in Senate] ...
22 H.R. 560 (ih) To designate the Federal building located at 300 Recinto Sur Street in Old San Juan, Puerto Rico, as the ``Jose V. Toledo United States Post Office and Courthouse''. [Introduced in House] ...
23 H.R. 4142 (ih) To amend section 3729 of title 31, United States Code, popularly known as the False Claims Act, to eliminate the minimum fine under that section. [Introduced in House] ...
24 H.R. 1749 (ih) To designate Wilson Creek in Avery and Caldwell Counties, North Carolina, as a component of the National Wild and Scenic Rivers System. [Introduced in House] ...
25 S.Res. 81 (is) Designating the year of 1999 as ``The Year of Safe Drinking Water'' and commemorating the 25th anniversary of the enactment of the Safe Drinking Water Act. [Introduced in Senate] ...
26 S. 2757 (is) To provide for the transfer and other disposition of certain lands at Melrose Air Force Range, New Mexico, and Yakima Training Center, Washington. [Introduced in Senate] ...
27 S. 100 (ris) To grant the power to the President to reduce budget authority. [Referral Instructions Senate] ...
28 H.R. 2591 (rs) To designate the United States Post Office located at 713 Elm Street in Wakefield, Kansas, as the ``William H. Avery Post Office''. [Reported in Senate] ...
29 H.R. 3387 (ih) To repeal the fiscal year 2000 prohibition on the use of Department of Defense funds to pay environmental fines and penalties imposed against the Department. [Introduced in House] ...
30 H.R. 1853 (ih) To provide for each American the opportunity to provide for his or her retirement through a S.A.F.E. account, and for other purposes. [Introduced in House] ...


Other Documents:

106th 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