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HR 1110 101th Congress House Health Case mix (Medical care) Hospital rates Hospitals Labor supply Medicare Part-time employment Prospective payment systems (Medical care) Social Welfare Wage surveys Wages

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,…

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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: February 23, 1989 See on congress.gov
This bill died when the 101st Congress ended
It never became law before the 101st Congress (1989–1990) 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
Mar 1, 1989
Referred to the Subcommittee on Health.
Feb 23, 1989
Referred to the House Committee on Ways and Means.
Feb 23, 1989
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 March 1, 1989

Referred to the Subcommittee on Health.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
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APA
U.S. Congress. (2026). H.R. 1110: 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.. 101st Congress. Open America. https://openamerica.io/bill/101-HR-1110/
MLA
"H.R. 1110: 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.." 101st Congress, 2026, Open America, https://openamerica.io/bill/101-HR-1110/.
Bluebook (legal)
H.R. 1110, 101st Cong. (2026), https://openamerica.io/bill/101-HR-1110/.
Markdown link
[H.R. 1110: 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/101-HR-1110/)
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