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S. 3039 (is) To authorize the Secretary of Agriculture to sell a Forest Service [Introduced in Senate] ...
106th CONGRESS 2d Session S. 3038 To amend title XVIII of the Social Security Act to update the renal dialysis composite rate. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES September 12, 2000 Mr. Conrad (for himself, Mr. Frist, Mr. DeWine, Mr. Bryan, and Mr. Thompson) 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 update the renal dialysis composite rate. 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 Renal Dialysis Payment Fairness Act of 2000''. SEC. 2. UPDATE IN RENAL DIALYSIS COMPOSITE RATE. (a) In General.--The last sentence of section 1881(b)(7) of the Social Security Act (42 U.S.C. 1395rr(b)(7)) is amended by striking ``and for such services'' and all that follows before the period at the end and inserting the following: ``for such services furnished during 2001, by 2.4 percent above such composite rate payment amounts for such services furnished on December 31, 2000, and for such services furnished during a subsequent year, by the ESRD market basket percentage increase (including any additional factors that may increase costs described in paragraph (12)(B)) above such composite rate payment amounts for such services furnished on December 31 of the previous year''. (b) ESRD Market Basket Percentage Increase Defined.--Section 1881(b) of the Social Security Act (42 U.S.C. 1395rr(b)) is amended by adding at the end the following new paragraph: ``(12)(A) For purposes of this title, the term `ESRD market basket percentage increase' means, with respect to a calendar year, the percentage (estimated by the Secretary before the beginning of such year) by which-- ``(i) the cost of the mix of goods and services included in the provision of dialysis services (including the costs described in subparagraph (D)) that is determined based on an index of appropriately weighted indicators of changes in wages and prices which are representative of the mix of goods and services included in such dialysis services for the calendar year; exceeds ``(ii) the cost of such mix of goods and services for the preceding calendar year. ``(B) In addition to determining the percentage update under subparagraph (A), the Secretary shall also take into account any increase in the costs of furnishing the mix of goods and services described in such subparagraph resulting from-- ``(i) the adoption of scientific and technological innovations used to provide dialysis services; ``(ii) changes in the manner or method of delivering dialysis services; ``(iii) productivity improvements in the provision of dialysis services; and ``(iv) any other relevant factor. ``(C) The Secretary shall periodically review and update (as necessary) the items and services included in the mix of goods and services used to determine the percentage under subparagraph (A). ``(D) The costs described in this subparagraph include-- ``(i) labor, including direct patient care costs and administrative labor costs, vacation and holiday pay, payroll taxes, and employee benefits; ``(ii) other direct costs, including drugs, supplies, and laboratory fees; ``(iii) overhead, including medical director fees, temporary services, general and administrative costs, interest expenses, and bad debt; ``(iv) capital, including rent, real estate taxes, depreciation, utilities, repairs, and maintenance; and ``(v) such other allowable costs as the Secretary may specify.''. <all>
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