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S. 3039 (is) To authorize the Secretary of Agriculture to sell a Forest Service [Introduced in Senate] ...
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
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
(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
``(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
``(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
``(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
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