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Titles (2)

Short Titles

Short Titles - Senate

Short Titles as Introduced

Medicare and Medicaid Chronic Care Amendments Act of 1991

Official Titles

Official Titles - Senate

Official Titles as Introduced

A bill to amend title XVIII of the Social Security Act to make certain changes with respect to extended care and home health services, and to provide for a waiver of certain medicaid requirements to conduct a demonstration project with respect to adult day care services, and for other purposes.

Actions Overview (1)

07/22/1991Introduced in Senate

All Actions (1)

07/22/1991Read twice and referred to the Committee on Finance.
Action By: Senate

Cosponsors (6)

* = Original cosponsor
CosponsorDate Cosponsored
Sen. Bradley, Bill [D-NJ]* 07/22/1991
Sen. Chafee, John H. [R-RI]* 07/22/1991
Sen. Breaux, John B. [D-LA]* 07/22/1991
Sen. Durenberger, Dave [R-MN]* 07/22/1991
Sen. Mitchell, George J. [D-ME] 09/18/1991
Sen. Conrad, Kent [D-ND] 10/01/1991

Committees (1)

Committees, subcommittees and links to reports associated with this bill are listed here, as well as the nature and date of committee activity and Congressional report number.

Committee / Subcommittee Date Activity Reports
Senate Finance07/22/1991 Referred to

No related bill information was received for S.1520.

Latest Summary (1)

There is one summary for S.1520. View summaries

Shown Here:
Introduced in Senate (07/22/1991)

Medicare and Medicaid Chronic Care Amendments Act of 1991 - Amends title XVIII (Medicare) of the Social Security Act to: (1) eliminate the requirement that the coinsurance rate for Medicare post-hospital extended care services equal 1/8th of the inpatient hospital deductible; (2) set the Medicare coinsurance amount for such services at $65.00 a day beginning in calendar year 1992; and (3) maintain such amount until the coinsurance rate equals 20 percent of the national average per diem cost recognized under Medicare for such services.

Covers up to 42 consecutive days of nursing and home health aide services.

Requires the Secretary of Health and Human Services to study and report to the Congress on the impact of eliminating the three-day prior hospitalization requirement for Medicare coverage of post-hospital extended care services.

Requires the Secretary to: (1) enter into agreements with at least three peer review organizations to review the prior hospital stay requirement; and (2) report to the Congress on review results.

Authorizes five five-year demonstration projects under the Medicaid program (title XIX of the Social Security Act) to provide for the operation of adult day care centers located in elderly housing facilities financed under the Housing Act of 1959 in order to reduce the risk of institutionalization and provide respite to families who care for the elderly at home.

Outlines project requirements, project application contents, individual eligibility criteria, financing and other provisions concerning such projects.

Requires the Secretary to evaluate the effectiveness of each demonstration project and submit a report summarizing the evaluation to specified congressional committees.