Skip to main content
HR 1103 106th Congress House Health Health insurance Health maintenance organizations Hospital rates Hospitals Managed care Medicare Medicare managed care Prospective payment systems (Medical care) Social Welfare

To amend title XVIII of the Social Security Act to carve out from payments to Medicare+Choice organizations amounts attributable to disproportionate share hospital payments and pay such amounts…

Show full title

To amend title XVIII of the Social Security Act to carve out from payments to Medicare+Choice organizations amounts attributable to disproportionate share hospital payments and pay such amounts directly to those disproportionate share hospitals in which their enrollees receive care.

Introduced: March 11, 1999 See on congress.gov
This bill died when the 106th Congress ended
It never became law before the 106th Congress (1999–2000) 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
May 12, 1999
Sponsor introductory remarks on measure. (CR E946-947)
Mar 30, 1999
Referred to the Subcommittee on Health and Environment.
Mar 17, 1999
Referred to the Subcommittee on Health.
Mar 11, 1999
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.
Mar 11, 1999
Sponsor introductory remarks on measure. (CR E399)
Mar 11, 1999
Introduced in House
 Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

 Plain-English summary Congressional Research Service

Amends title XVIII (Medicare) of the Social Security Act, as amended by the Balanced Budget Act of 1997, to: (1) remove from payments to Medicare+Choice organizations those amounts attributable to disproportionate share hospital (DSH) payments; and (2) direct the Secretary of Health and Human Services to make direct payments to a DSH for any individual who is enrolled under a risk-sharing contract with an eligible organization and entitled to benefits under Medicare part A (Hospital Insurance) or who is enrolled with a Medicare+Choice organization under Medicare part C (Medicare+Choice).

What's happening now May 12, 1999

Sponsor introductory remarks on measure. (CR E946-947)

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 1103: To amend title XVIII of the Social Security Act to carve out from payments to Medicare+Choice organizations amounts attributable to disproportionate share hospital payments and pay such amounts directly to those disproportionate share hospitals in which their enrollees receive care.. 106th Congress. Open America. https://openamerica.io/bill/106-HR-1103/
MLA
"H.R. 1103: To amend title XVIII of the Social Security Act to carve out from payments to Medicare+Choice organizations amounts attributable to disproportionate share hospital payments and pay such amounts directly to those disproportionate share hospitals in which their enrollees receive care.." 106th Congress, 2026, Open America, https://openamerica.io/bill/106-HR-1103/.
Bluebook (legal)
H.R. 1103, 106th Cong. (2026), https://openamerica.io/bill/106-HR-1103/.
Markdown link
[H.R. 1103: To amend title XVIII of the Social Security Act to carve out from payments to Medicare+Choice organizations amounts attributable to disproportionate share hospital payments and pay such amounts directly to those disproportionate share hospitals in which their enrollees receive care.](https://openamerica.io/bill/106-HR-1103/)
Report a problem