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HR 4511 100th Congress House Social Welfare Case mix (Medical care) Health Health facilities Hospital rates Hospitals Labor supply Medicare Part-time employment Prospective payment systems (Medical care) Wage surveys Wages

A bill to amend title XVIII of the Social Security Act to provide for payment of hospitals under the DRG prospective payment system on the basis of a blend of hospital-specific rates and a national…

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A bill to amend title XVIII of the Social Security Act to provide for payment of hospitals under the DRG prospective payment system on the basis of a blend of hospital-specific rates and a national rate, depending on the degree of variation of costs within specific diagnosis-related groups.

Introduced: May 3, 1988 See on congress.gov
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This bill died when the 100th Congress ended
It never became law before the 100th Congress (1987–1988) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
May 9, 1988
Referred to Subcommittee on Health.
May 3, 1988
Referred to House Committee on Ways and Means.
May 3, 1988
Introduced in House
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 Plain-English summary Congressional Research Service

Amends title XVIII (Medicare) of the Social Security Act to determine the payments to be made to hospitals under Medicare's prospective payment system on the basis of a blend of hospital-specific rates and a national rate, depending on the degree to which costs vary within specific diagnosis-related groups. Eliminates the urban or rural classification of an area as a consideration in hospital payment determinations.

Requires the Secretary of Health and Human Services to: (1) identify relevant labor markets for hospitals; (2) establish a methodology to determine the proportion of hospital costs which are wage-related and compare the hospital wage level in each labor market with the national average hospital wage level; and (3) take into account differences among hospitals in part and full-time employment patterns.

What's happening now May 9, 1988

Referred to Subcommittee on Health.

 Committees of jurisdiction 2
 Cosponsors 1
All 1 Democratic 1
D
Kaptur, Marcy
Ohio · May 26, 1988
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4511: A bill to amend title XVIII of the Social Security Act to provide for payment of hospitals under the DRG prospective payment system on the basis of a blend of hospital-specific rates and a national rate, depending on the degree of variation of costs within specific diagnosis-related groups.. 100th Congress. Open America. https://openamerica.io/bill/100-HR-4511/
MLA
"H.R. 4511: A bill to amend title XVIII of the Social Security Act to provide for payment of hospitals under the DRG prospective payment system on the basis of a blend of hospital-specific rates and a national rate, depending on the degree of variation of costs within specific diagnosis-related groups.." 100th Congress, 2026, Open America, https://openamerica.io/bill/100-HR-4511/.
Bluebook (legal)
H.R. 4511, 100th Cong. (2026), https://openamerica.io/bill/100-HR-4511/.
Markdown link
[H.R. 4511: A bill to amend title XVIII of the Social Security Act to provide for payment of hospitals under the DRG prospective payment system on the basis of a blend of hospital-specific rates and a national rate, depending on the degree of variation of costs within specific diagnosis-related groups.](https://openamerica.io/bill/100-HR-4511/)
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