Skip to main content
HR 868 107th Congress House

Medicare Education and Regulatory Fairness Act of 2001

Official title: To amend title XVIII of the Social Security Act to ensure that the Secretary of Health and Human Services provides appropriate guidance to physicians, provider… Show full official titleShow less

Official title: To amend title XVIII of the Social Security Act to ensure that the Secretary of Health and Human Services provides appropriate guidance to physicians, providers of services, and ambulance providers that are attempting to properly submit claims under the Medicare Program and to ensure that the Secretary does not target inadvertent billing errors.

Introduced: March 6, 2001 See on congress.gov
Health Administrative procedureAdministrative remediesAmbulancesAuditing
More subjectsShow fewer subjects
Business recordsCoinsuranceCollection of accountsCommerceCongressCongressional reporting requirementsConstitutional lawDeathDepartment of Health and Human ServicesEmergency ManagementEstates (Law)Finance and Financial SectorGovernment Operations and PoliticsGovernment contractorsGovernment paperworkGovernmental investigationsInformation servicesInsurance companiesJudicial review of administrative actsLawMedical economicsMedical feesMedicarePerformance measurementPhysiciansRegulatory impact statementsSocial Welfare
This bill died when the 107th Congress ended
It never became law before the 107th Congress (2001–2002) 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 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Mar 14, 2001
Referred to the Subcommittee on Health.
Mar 13, 2001
Referred to the Subcommittee on Health.
Mar 6, 2001
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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 6, 2001
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.

 Latest action March 14, 2001

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service
Medicare Education and Regulatory Fairness Act of 2001 - Amends title XVIII (Medicare) of the Social Security Act (SSA) concerning: (1) prospective application only of certain regulations prescribed by the Secretary of Health and Human Services (HHS); and (2) certain requirements for judicial and regulatory challenges of regulations.

Requires the Secretary, with respect to Medicare audits, except when clear and convincing evidence exists of fraud or similar fault, to give a physician, provider of services, or provider of ambulance services (physicians or providers) the option of entering into: (1) an arrangement to offset alleged overpayments against future payments; or (2) a repayment plan with its carrier or fiscal intermediary to recoup such an overpayment.

Prohibits the Secretary from taking any action to recoup an overpayment or to impose a penalty during the period in which a physician or provider is appealing a determination that such an overpayment has been made or the amount of the overpayment.

Prohibits carriers, absent cause, from demanding the production of records or documentation before paying a Medicare claim.

Amends SSA title XI with respect to prohibited extensions of remuneration to a Medicare-eligible individual to influence a choice of provider, practitioner, or supplier. Excludes from the meaning of remuneration any waiver of copayment made in a written, mailed communication with existing patients.

Amends SSA title XVIII with regard to: (1) construction of hearing rights related to decisions to deny or not renew a physician enrollment agreement; (2) the post-payment audit process; (3) definitions relating to physicians or providers; and (4) the right to appeal on behalf of deceased beneficiaries.

Amends SSA title XVIII to require carriers, fiscal intermediaries, and contractors to conduct education programs (funded from the Medicare Integrity Program) for physicians and providers on billing, coding, cost reporting, and documentation regulations and procedures.

Outlines provisions with regard to certain information requests from physicians and providers.

Amends SSA title XVIII to provide for the inclusion of regulatory costs in the calculation of the sustainable growth rate with respect to the costs of physicians' services.

Prohibits the Health Care Financing Administration (HCFA) from implementing any new evaluation and management documentation guidelines under Medicare, unless it: (1) has provided for an assessment of the proposed guidelines by organizations representing physicians; (2) has established a plan that contains specific goals, including a schedule, for improving use of such guidelines; (3) has completed a minimum of four pilot projects to test such guidelines; and (4) finds that specified objectives will be met in the implementation of such guidelines.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
 Cosponsors 50
R
Wilson, Joe
South Carolina · Jan 29, 2002
R
Issa, Darrell
California · Sep 21, 2001
R
Graves, Sam
Missouri · Sep 5, 2001
D
Baldwin, Tammy
Wisconsin · Aug 2, 2001
COLLINS, MAC
· Jul 26, 2001
D
Scott, Robert C. "Bobby"
Virginia · Jul 26, 2001
D
Smith, Adam
Washington · Jul 26, 2001
D
Davis, Danny K.
Illinois · Jul 11, 2001
R
Thune, John
South Dakota · Jul 11, 2001
LAMPSON, NICK
· Jun 28, 2001
D
Meeks, Gregory W.
New York · Jun 28, 2001
D
Bishop, Sanford D.
Georgia · Jun 21, 2001
HOUGHTON, AMO
· Jun 21, 2001
R
Rogers, Harold
Kentucky · Jun 21, 2001
R
Capito, Shelley Moore
West Virginia · May 25, 2001
R
Simpson, Michael K.
Idaho · May 25, 2001
BEREUTER, DOUGLAS
· May 24, 2001
D
McCollum, Betty
Minnesota · May 24, 2001
D
Clyburn, James E.
South Carolina · May 16, 2001
D
Lofgren, Zoe
California · May 16, 2001
CHRISTENSEN, DONNA
· May 14, 2001
HOEFFEL, JOSEPH
· May 14, 2001
QUINN, JACK
· May 14, 2001
SCHROCK, EDWARD
· May 14, 2001
D
Waters, Maxine
California · May 14, 2001
R
Aderholt, Robert B.
Alabama · May 1, 2001
MCCARTHY, KAREN
· May 1, 2001
MCINNIS, SCOTT
· May 1, 2001
R
Moran, Jerry
Kansas · May 1, 2001
TURNER, JIM
· Apr 25, 2001
D
DeLauro, Rosa L.
Connecticut · Apr 24, 2001
R
Graham, Lindsey
South Carolina · Apr 4, 2001
R
Lucas, Frank D.
Oklahoma · Apr 4, 2001
OSE, DOUG
· Apr 4, 2001
BALLENGER, CASS
· Mar 29, 2001
CARSON, BRAD
· Mar 29, 2001
D
Thompson, Bennie G.
Mississippi · Mar 29, 2001
D
Larsen, Rick
Washington · Mar 20, 2001
CRANE, PHILIP
· Mar 13, 2001
Isakson, Johnny
· Mar 13, 2001
NETHERCUTT, GEORGE
· Mar 13, 2001
SANDLIN, MAX
· Mar 13, 2001
R
Wicker, Roger F.
Mississippi · Mar 13, 2001
DeMint, James
· Mar 6, 2001
FLETCHER, ERNEST
· Mar 6, 2001
D
McGovern, James P.
Massachusetts · Mar 6, 2001
R
Sessions, Pete
Texas · Mar 6, 2001
R
Smith, Christopher H.
New Jersey · Mar 6, 2001
STENHOLM, CHARLES
· Mar 6, 2001
Vitter, David
· Mar 6, 2001
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 868: Medicare Education and Regulatory Fairness Act of 2001. 107th Congress. Open America. https://openamerica.io/bill/107-HR-868/
MLA
"H.R. 868: Medicare Education and Regulatory Fairness Act of 2001." 107th Congress, 2026, Open America, https://openamerica.io/bill/107-HR-868/.
Bluebook (legal)
H.R. 868, 107th Cong. (2026), https://openamerica.io/bill/107-HR-868/.
Markdown link
[H.R. 868: Medicare Education and Regulatory Fairness Act of 2001](https://openamerica.io/bill/107-HR-868/)
Report a problem