Summary: H.R.4677 — 106th Congress (1999-2000)All Information (Except Text)

There is one summary for H.R.4677. Bill summaries are authored by CRS.

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Introduced in House (06/15/2000)

Health Care Access and Rural Equality Act of 2000 - Title I: Increase in Market Basket Percentage Adjustment for Rural Hospitals - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for an increase in the market basket percentage adjustment for rural hospitals.

Title II: Capital Relief for Rural Health Care Infrastructure - Amends part A (Determination of Benefits) of SSA title XVI (Supplemental Security Income) (SSI) to establish a Capital Infrastructure Revolving Loan Program under which the Secretary of Health and Human Services may make loans up to a specified amount from the loan and loan guarantee fund to any rural entity for projects for capital improvements.

Title III: Refinement of the Medicare Dependent, Small Rural Hospital Program - Amends SSA title XVIII to make the Medicare-dependent, small rural hospital program permanent and to give any hospital under such program the option of basing eligibility for payment on discharges during any of the three most recent audited cost reporting periods in lieu of the current basing of eligibility for payment on discharges during the cost reporting period beginning in FY 1987.

Title IV: Exemption for Medicare Swing Bed Hospitals - Amends SSA title XVIII to exempt Medicare swing bed hospitals from the prospective payment system for skilled nursing facilities.

Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to make January 1, 2001, the effective date of the elimination of certain restrictions with respect to the hospital swing bed program.

Title V: Treatment of Physician Pathology Services - Provides for the treatment of certain physician pathology services under Medicare.

Title VI: Medicaid Payment Correction for Certain Rural Health Clinics - Prohibits a State plan approved under SSA title XIX (Medicaid) from recouping or denying certain alleged plan overpayments for rural health clinic services furnished on or after January 1, 1998, and before October 1, 2000.

Prohibits the Secretary from withholding, suspending, disallowing, or denying Federal financial participation under Medicaid with respect to such overpayments. Requires the State or the Secretary, as the case may be, to pay to the rural health clinic or the State, as the case may be, any amounts recouped, denied, withheld, suspended, or disallowed.

Title VII: Technical Corrections to the Balanced Budget Refinement Act - Amends SSA title XVIII with regard to: (1) payments to critical access hospitals for clinical diagnostic laboratory tests; (2) the all-inclusive payment option for outpatient critical access hospital services; and (3) the option to use rebased target amounts to all sole community hospitals.

Makes technical corrections to the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 with regard to clinical diagnostic laboratory services furnished by a critical access hospital and other specified matters.

Amends Medicare part B (Supplementary Medical Insurance) to authorize the Secretary to make grants of up to a specified amount to applicant hospitals to assist eligible small rural hospitals in meeting the costs of establish data systems required to meet requirements established under Medicare pursuant to the Balanced Budget Act of 1997 and the Health Insurance Portability and Accountability Act of 1996. Authorizes appropriations.