| Home > 106th Congressional Bills > S. 3256 (is) To authorize the Secretary of Agriculture to sell or exchange all or [Introduced in Senate] ...
S. 3256 (is) To authorize the Secretary of Agriculture to sell or exchange all or [Introduced in Senate] ...
106th CONGRESS 2d Session S. 3255 To amend the Balanced Budget Act of 1997 to apply the medicaid disproportionate share hospital payment transition rule to public hospitals in all States. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES October 27 (legislative day, September 22), 2000 Mr. Daschle (for Mr. Durbin (for himself, Mr. Moynihan, and Mr. Schumer)) introduced the following bill; which was read twice and referred to the Committee on Finance _______________________________________________________________________ A BILL To amend the Balanced Budget Act of 1997 to apply the medicaid disproportionate share hospital payment transition rule to public hospitals in all States. 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 ``Medicaid DSH Fairness Act of 2000''. SEC. 2. EXPANSION OF APPLICATION OF MEDICAID DSH TRANSITION RULE TO PUBLIC HOSPITALS IN ALL STATES. (a) Application to Public Hospitals in All States.-- (1) In general.--Section 4721(e) of the Balanced Budget Act of 1997 (Public Law 105-33; 111 Stat. 514), as amended by section 607 of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (Appendix F, 113 Stat. 1501A- 321), as enacted into law by section 1000(a)(6) of Public Law 106-113, is amended-- (A) by striking ``July 1, 1997'' each place it appears and inserting ``October 1, 2000''; (B) by striking ``the State of California'' and inserting ``hospitals owned or operated by a State (as defined for purposes of title XIX of such Act), or by an instrumentality or a unit of government within a State (as so defined)''; (C) by redesignating paragraph (3) as paragraph (4); (D) by striking ``and'' at the end of paragraph (2); and (E) by inserting after paragraph (2), the following new paragraph: ``(3) `(as defined in subparagraph (B) but without regard to clause (ii) of that subparagraph and subject to subsection (d))' were substituted for `(as defined in subparagraph (B))' in subparagraph (A) of such section; and''. (2) Special rule.--With respect to California, section 4721(e) of the Balanced Budget Act of 1997 (Public Law 105-33; 111 Stat. 514) as amended by section 607 of BBRA (113 Stat. 1501A-321) shall be applied without regard to the amendments made by paragraph (1). (3) Effective date.--The amendments made by paragraph (1) take effect on July 1, 2002. (b) Application To Certain States.-- (1) In general.--Beginning with fiscal year 2002, notwithstanding section 1923(f) of the Social Security Act (42 U.S.C. 1396r-4(f)) and subject to paragraph (3), with respect to a State, payment adjustments made under title XIX of such Act (42 U.S.C. 1396 et seq.) after the application of section 4721(e) of the Balanced Budget Act of 1997 (as amended by subsection (a)(1)) to any hospital described in paragraph (2) located in the State shall be made without regard to the DSH allotment limitation for the State determined under section 1923(f) of that Act (42 U.S.C. 1396r-4(f)). (2) Hospital described.--A hospital is described in this paragraph if the hospital-- (A) is described in section 4721(e) of the Balanced Budget Act of 1997 (as amended by subsection (a)(1)); (B) as of October 1, 2000-- (i) is in existence and operating as a hospital described in such section (as so amended); and (ii) is not receiving disproportionate share hospital payments from the State in which it is located under title XIX of such Act; and (C) has a low-income utilization rate (as defined in section 1923(b)(3) of the Social Security Act (42 U.S.C. 1396r-4(b)(3))) in excess of 65 percent. (3) Limitation on expenditures.-- (A) In general.--With respect to any fiscal year, the aggregate amount of Federal financial participation that may be provided for payment adjustments described in paragraph (1) for that fiscal year may not exceed the amount described in subparagraph (B) for the fiscal year. (B) Amount described.--The amount described in this subparagraph for a fiscal year is as follows: (i) For fiscal year 2002, $15,000,000. (ii) For fiscal year 2003, $176,000,000. (iii) For fiscal year 2004, $270,000,000. (iv) For fiscal year 2005, $330,000,000. (v) For fiscal year 2006 and each fiscal year thereafter, $375,000,000. (c) Application To Waivers.--With respect to a State medicaid program operating under a Statewide waiver of the requirements of title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) under section 1115 of such Act (42 U.S.C. 1315), to the extent that the amendment made by subsection (a)(1) would modify the total amount that the State would expend under such title in a fiscal year if the State were not operating under such a waiver, the Secretary of Health and Human Services shall revise the budget neutrality baseline expenditure limit applicable to the waiver to reflect the increase in State expenditures under the medicaid program for such fiscal year that would be incurred in the absence of the waiver as a result of such amendment. Such modified budget neutrality baseline expenditure limit shall take effect on the effective date described in subsection (a)(3). <all>
Other Popular 106th Congressional Bills 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.|
Supreme Court Decisions
104th Congressional Documents
105th Congressional Documents
106th Congressional Documents
107th Congressional Documents
108th Congressional Documents
1994 Presidential Documents