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HR 5206 99th Congress House Social Welfare Medicare Oxygen Prospective payment systems (Medical care)

Medicare Patient Home Oxygen Protection Act of 1986

Introduced: July 21, 1986 Introduced by: Wyden, Ron Democratic · Oregon See on congress.gov
 Everywhere this bill has been 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 28, 1986
Referred to Subcommittee on Health and the Environment.
Jul 21, 1986
Referred to House Committee on Ways and Means.
Jul 21, 1986
Referred to House Committee on Energy and Commerce.
Jul 21, 1986
Introduced in House
 Plain-English summary Congressional Research Service

Medicare Patient Home Oxygen Protection Act of 1986 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to establish monthly capitation fee schedules on a regional, Statewide, or carrier service area basis for Medicare oxygen therapy services. Requires payments to be made on the basis of the number of units of oxygen prescribed for a patient per month. Prohibits payments for oxygen therapy services prescribed by a physician who has a significant ownership in, or a significant financial or contractual relationship with, the entity furnishing oxygen therapy services, unless such entity is the sole supplier of such services in a community. Requires the Secretary to pay, or notify the entity providing such services of a defect in, a payment claim within 22 days of its receipt. Imposes interest penalties on late payments.

Bases the oxygen therapy fee schedules on the reasonable charge level for oxygen therapy services determined for the 12-month period ending June 30, 1986. Provides Medicare coverage for 80 percent of the fee schedule amount. Directs the Secretary to provide a minimum monthly amount to assure the availability of oxygen therapy services for individuals requiring only small amounts of oxygen.

Requires the Secretary to report to the Congress on the implementation and effects of these provisions by July 1, 1988.

What's happening now July 28, 1986

Referred to Subcommittee on Health and the Environment.

 Committees of jurisdiction 3