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HR 1586 103th Congress House Health Ambulatory care Congressional reporting requirements Government paperwork Medical fees Medicare Occupational therapy Physical therapy Physicians

To amend title XVIII of the Social Security Act to eliminate the annual cap on the amount of payment for outpatient physical therapy and occupational therapy services under part B of the medicare…

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To amend title XVIII of the Social Security Act to eliminate the annual cap on the amount of payment for outpatient physical therapy and occupational therapy services under part B of the medicare program, and for other purposes.

Introduced: April 1, 1993 See on congress.gov
This bill died when the 103rd Congress ended
It never became law before the 103rd Congress (1993–1994) 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 6 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 26, 1993
Referred to the Subcommittee on Health and the Environment.
Apr 8, 1993
Referred to the Subcommittee on Health.
Apr 1, 1993
Referred to the House Committee on Ways and Means.
Apr 1, 1993
Referred to the House Committee on Energy and Commerce.
Apr 1, 1993
Sponsor introductory remarks on measure. (CR E875-876)
Apr 1, 1993
Introduced in House
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 Plain-English summary Congressional Research Service

Amends title XVIII (Medicare) of the Social Security Act to eliminate the annual cap on the amount of payment for outpatient physical therapy and occupational therapy services under Medicare part B (Supplementary Medical Insurance).

Revises the limitation on beneficiary liability for payment of any amounts billed in excess of the applicable limiting charge for physician services. Applies such limitation to nonparticipating suppliers and other persons, as well as nonparticipating physicians.

Includes in the Secretary of Health and Human Services' annual explanation of Medicare benefits information on refunds of such amounts.

Makes carriers responsible for determining, prior to making payment, whether the amount billed for services is in excess of the applicable limiting charge and, if so, notifying the physician or other providers as appropriate.

Requires the reports to the Congress on changes in excess charges for physician services to reflect additional information on the services involved.

What's happening now April 26, 1993

Referred to the Subcommittee on Health and the Environment.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
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APA
U.S. Congress. (2026). H.R. 1586: To amend title XVIII of the Social Security Act to eliminate the annual cap on the amount of payment for outpatient physical therapy and occupational therapy services under part B of the medicare program, and for other purposes.. 103rd Congress. Open America. https://openamerica.io/bill/103-HR-1586/
MLA
"H.R. 1586: To amend title XVIII of the Social Security Act to eliminate the annual cap on the amount of payment for outpatient physical therapy and occupational therapy services under part B of the medicare program, and for other purposes.." 103rd Congress, 2026, Open America, https://openamerica.io/bill/103-HR-1586/.
Bluebook (legal)
H.R. 1586, 103rd Cong. (2026), https://openamerica.io/bill/103-HR-1586/.
Markdown link
[H.R. 1586: To amend title XVIII of the Social Security Act to eliminate the annual cap on the amount of payment for outpatient physical therapy and occupational therapy services under part B of the medicare program, and for other purposes.](https://openamerica.io/bill/103-HR-1586/)
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