H.R.3137 - Medicare Venipuncture Seniors Protection Act of 1998105th Congress (1997-1998)
|Sponsor:||Rep. Aderholt, Robert B. [R-AL-4] (Introduced 02/03/1998)|
|Committees:||House - Ways and Means; Commerce|
|Latest Action:||House - 02/11/1998 Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman. (All Actions)|
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Text: H.R.3137 — 105th Congress (1997-1998)All Information (Except Text)
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Introduced in House (02/03/1998)
[Congressional Bills 105th Congress] [From the U.S. Government Printing Office] [H.R. 3137 Introduced in House (IH)] 105th CONGRESS 2d Session H. R. 3137 To amend section 4615 of the Balanced Budget Act of 1997 to delay for 18 months the prohibition of payment under the Medicare Program for home health services consisting of venipuncture solely for the purpose of obtaining a blood sample and to require submission of a report on the impact of implementing such section. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES February 3, 1998 Mr. Aderholt (for himself, Mr. Rahall, Mr. Riley, Mr. Bachus, Mr. LaHood, Mr. Tanner, Mr. Jenkins, Mr. Cramer, and Mr. Boucher) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, 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 section 4615 of the Balanced Budget Act of 1997 to delay for 18 months the prohibition of payment under the Medicare Program for home health services consisting of venipuncture solely for the purpose of obtaining a blood sample and to require submission of a report on the impact of implementing such section. 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 Venipuncture Seniors Protection Act of 1998''. SEC. 2. 18-MONTH DELAY ON PROHIBITION ON PAYMENT FOR HOME HEALTH SERVICES SOLELY FOR PURPOSES OF OBTAINING A BLOOD SAMPLE. Effective as if included in the enactment of the Balanced Budget Act of 1997 (Public Law 105-33), section 4615(b) of such Act (111 Stat. 475) is amended by striking ``shall apply to home health services furnished after the 6-month period beginning after the date of enactment of this Act'' and inserting ``shall apply to home health services furnished on and after August 5, 1999''. SEC. 3. REPORT TO CONGRESS ON MEDICARE HOME HEALTH BENEFITS BASED SOLELY ON DRAWING BLOOD. (a) Study.-- (1) In general.--The Secretary of Health and Human Services shall conduct a study with respect to the provision of home health services consisting of venipuncture under the medicare program under title XVIII of the Social Security Act. (2) Details.--In conducting such study, the Secretary determine the following, using the most recent data available: (A) The number of beneficiaries who are provided benefits for home health services under the medicare program. (B) Of such beneficiaries-- (i) the number of beneficiaries who are provided benefits for home health services that include venipuncture, and (ii) the number of beneficiaries who are provided benefits for home health services and who qualify for such services on the basis that the only qualifying skill is the need for venipuncture solely for the purpose of obtaining a blood sample. (C) The average expenditures, per home health visit under such program, for each of the group of beneficiaries described in clause (i) and clause (ii) of subparagraph (B). (D) The aggregate annual expenditures under the medicare program for benefits for home health services for each of the groups of beneficiaries described in such clauses and the proportion of such expenditures that may be attributable to fraud and abuse in the provision of (or billing for) such services. (E) The aggregate reduction in annual expenditures under the medicare program that is estimated to result from the implementation of section 4615 of the Balanced Budget Act of 1997, taking into account alternative means by which beneficiaries described in subparagraph (B)(ii) may subsequently be able to qualify for home health benefits. (F) The aggregate annual increase in costs to medicare beneficiaries and to States (through increased use of personal care services, nursing facility services, and other services under the medicaid and other programs) that is estimated to result from the implementation of such section. (3) Data on beneficiaries residing in rural areas.--In conducting such study, such Secretary, to the extent practicable, shall make the determinations under paragraph (2) separately for beneficiaries residing in rural areas. (b) Report.--Not later than February 5, 1999, the Secretary shall submit to Congress a report on the study conducted under subsection (a). The report shall include the determinations described in subsections (a)(2) and (a)(3) and a separate analysis of the impact of the implementation of section 4615 of the Balanced Budget Act of 1997 on medicare beneficiaries residing in rural areas, and, in particular, hardships that may be imposed due to the long and difficult travel conditions that exist for many such beneficiaries. (c) Additional Requirements for Report on Definition of Homebound.--Section 4613(b) of the Balanced Budget Act of 1997 (111 Stat. 474) is amended by adding at the end the following: ``The report shall also include specific legislative recommendations to reduce waste, fraud, and abuse (if any) in the determination of whether an individual is homebound without jeopardizing the services provided under title XVIII of the Social Security Act to beneficiaries that have serious medical conditions.''. <all>