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HR 4339 105th Congress House Health Congress Congressional reporting requirements Cost control Crime and Law Enforcement Finance and Financial Sector Governmental investigations Home care services Medical fees Medicare Medicare fraud Prospective payment systems (Medical care) Social Welfare

Medicare Home Health Beneficiary Protection Act of 1998

Introduced: July 27, 1998 See on congress.gov
 Everywhere this bill has been 7 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Aug 17, 1998
Referred to the Subcommittee on Health and Environment.
Aug 3, 1998
Referred to the Subcommittee on Health.
Jul 27, 1998
Referred to House Commerce
Jul 27, 1998
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.
Jul 27, 1998
Referred to House Ways and Means
Jul 27, 1998
Sponsor introductory remarks on measure. (CR E1446-1447)
Jul 27, 1998
Introduced in House
 Plain-English summary Congressional Research Service

Medicare Home Health Beneficiary Protection Act of 1998 - Amends part D (Miscellaneous Provisions) of title XVIII (Medicare) of the Social Security Act (SSA), as amended by the Balanced Budget Act of 1997 (BBA '97), to revise reasonable cost requirements with regard to the interim system of limited payments for services provided by home health agencies. Establishes a moratorium on implementation of per beneficiary limits and a three-year freeze on cost limits.

Amends BBA '97 to direct the Secretary of Health and Human Services (HHS) to: (1) establish a process for eliminating inappropriate utilization of home health services by reviewing claims for reimbursement of such services furnished under the Medicare program in which the number of home health visits provided to a beneficiary in a year exceeds the regional average of per beneficiary annual visits; (2) if appropriate, issue a determination denying payment for such a claim, and refer the name of the claimant-provider to the HHS Office of Inspector General for investigation; and (3) include in the annual reports to the Congress on home health cost containment any recommendations for changes to the method of payment, claims review, and scope of benefits that the Secretary determines is necessary to achieve actual outlays equal to estimated outlays under Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) for such services during the following fiscal year.

(Sec. 4) Amends SSA title XVIII to provide for: (1) establishment of limits for calculating prospective payment rates for home health services under the payment system for such services; and (2) temporary restoration of periodic interim payment for such services.

What's happening now August 17, 1998

Referred to the Subcommittee on Health and Environment.

 Committees of jurisdiction 4