H.R.3004 - Medicare Return to Home Act of 1999106th Congress (1999-2000)
|Sponsor:||Rep. Brown, Sherrod [D-OH-13] (Introduced 10/04/1999)|
|Committees:||House - Ways and Means; Commerce|
|Latest Action:||05/25/2000 Sponsor introductory remarks on measure. (CR H3859-3860) (All Actions)|
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Text: H.R.3004 — 106th Congress (1999-2000)All Information (Except Text)
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Introduced in House (10/04/1999)
[Congressional Bills 106th Congress] [From the U.S. Government Printing Office] [H.R. 3004 Introduced in House (IH)] 106th CONGRESS 1st Session H. R. 3004 To amend title XVIII of the Social Security Act to permit a Medicare beneficiary enrolled in a Medicare+Choice plan to elect to receive covered skilled nursing facility services at the skilled nursing facility in which the beneficiary or spouse resides or which is part of the continuing care retirement community in which the beneficiary resides. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES October 4, 1999 Mr. Brown of Ohio (for himself, Mr. Waxman, Mr. Stark, Mr. Frost, Mr. Frank of Massachusetts, and Mr. Brady of Pennsylvania) 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 title XVIII of the Social Security Act to permit a Medicare beneficiary enrolled in a Medicare+Choice plan to elect to receive covered skilled nursing facility services at the skilled nursing facility in which the beneficiary or spouse resides or which is part of the continuing care retirement community in which the beneficiary resides. 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 Return To Home Act of 1999''. SEC. 2. PERMITTING MEDICARE+CHOICE BENEFICIARIES TO RETURN TO NURSING HOME FOR RECEIPT OF COVERED SKILLED NURSING FACILITY SERVICES. (a) In General.--Section 1852 of the Social Security Act (42 U.S.C. 1395w-22) is amended by adding at the end the following new subsection: ``(l) Permitting Return to Certain Skilled Nursing Facilities for the Receipt of Covered Post-Hospital Extended Care Services.-- ``(1) In general.--Insofar as a Medicare+Choice plan provides for coverage of post-hospital extended care services, the plan shall provide such coverage through a home skilled nursing facility described in paragraph (2) and consistent with paragraph (3) if the enrollee elects to receive such coverage through such facility and the facility-- ``(A) has a contract with the Medicare+Choice organization for the provision of such services; or ``(B) agrees to accept substantially similar payment under the same terms and conditions that apply to similarly situated skilled nursing facilities that are under contract with the Medicare+Choice organization for the provision of such services and through which the enrollee would otherwise receive such services. The organization shall provide payment to the home skilled nursing facility consistent with the contract described in subparagraph (A) or the agreement described in subparagraph (B), as the case may be. ``(2) Home skilled nursing facility.--For purposes of this subsection, a home skilled nursing facility described in this paragraph, with respect to an enrollee who is entitled to receive post-hospital extended care services under a Medicare+Choice plan, is any of the following skilled nursing facilities: ``(A) SNF residence at time of admission.--The skilled nursing facility in which the enrollee resided at the time of admission to the hospital preceding the receipt of such post-hospital extended care services. ``(B) SNF in continuing care retirement community.--A skilled nursing facility that is providing such services through a continuing care retirement community (as defined in paragraph (5)) which provided residence to the enrollee at the time of such admission. ``(C) SNF residence of spouse at time of discharge.--The skilled nursing facility in which the spouse of the enrollee is residing at the time of discharge from such hospital. ``(3) No less favorable terms and conditions of coverage.-- The coverage provided under this subsection (including scope of services, cost-sharing, and other criteria of coverage) shall be no less favorable to the enrollee than the coverage that would be provided to the enrollee with respect to a skilled nursing facility the post-hospital extended care services of which are otherwise covered under the Medicare+Choice plan. ``(4) Construction.--Nothing in this subsection shall be construed-- ``(A) as requiring coverage through a skilled nursing facility that is not otherwise qualified to provide benefits under part A for medicare beneficiaries not enrolled in a Medicare+Choice plan; and ``(B) as preventing a skilled nursing facility from refusing to accept, or imposing conditions upon the acceptance of, an enrollee for the receipt of post- hospital extended care services. ``(5) Continuing care retirement community defined.--For purposes of this subsection, the term `continuing care retirement community' means, with respect to an enrollee in a Medicare+Choice plan, an arrangement under which housing and health-related services are provided (or arranged) through an organization for the enrollee under an agreement that is effective for the life of the enrollee or for a specified period.''. (b) Effective Date.--The amendments made by this section shall apply with respect to contracts entered into or renewed on or after the date of enactment of this Act. <all>