S.Amdt. 1007
What it does: Adds SEC. ____. AUTHORIZATION OF DIRECT PAYMENTS TO PROVIDERS FOR SERVICES PROVIDED TO MEDICARE ADVANTAGE ENROLLEES PARTICIPATING IN MEDICARE COVERED CLINICAL TRIALS at the end of subtitle C of title II
Sen. Rick Santorum (R-PA)What it changes
1 change to S. 1 · shown in the bill's text
Adds SEC. ____. AUTHORIZATION OF DIRECT PAYMENTS TO PROVIDERS FOR SERVICES PROVIDED TO MEDICARE ADVANTAGE ENROLLEES PARTICIPATING IN MEDICARE COVERED CLINICAL TRIALS at the end of subtitle C of title II
Adds a sectionIn S. 1 · Reported to Senate
(c) Effective Date.--The amendments made by this section shall apply on and after January 1, 2004.
Inserted: SEC. ____. AUTHORIZATION OF DIRECT PAYMENTS TO PROVIDERS FOR SERVICES PROVIDED TO MEDICARE ADVANTAGE ENROLLEES PARTICIPATING IN MEDICARE COVERED CLINICAL TRIALS.
Inserted: (a) Under Medicare+Choice and MedicareAdvantage.--
Inserted: (1) In general.--Section 1852(a)(1)(A) (42 U.S.C. 1395w-22(a)(1)(A)) is amended by inserting "and items and services that are covered under part A or B as a result of a national coverage determination for qualifying clinical trials" after "hospice care".
Inserted: (2) Payment.--Section 1853 (42 U.S.C. 1395w-23) is amended by adding at the end the following new subsection:
Inserted: "(j) Special Rule for Covered Costs Associated With Qualifying Clinical Trials.--
Inserted: "(1) Information.--The Medicare+Choice organization shall inform each individual enrolled under this part with a Medicare+Choice plan offered by the organization that the medicare program covers certain costs associated with the participation by a medicare beneficiary in a qualifying clinical trial.
Inserted: "(2) Payment.--If an individual who is enrolled with a Medicare+Choice organization under this part participates in a qualifying clinical trial, payment for the medicare covered costs associated with that clinical trial shall be made by the Secretary directly to the provider or supplier furnishing such services.".
Inserted: (b) Effective Date.--The amendments made by this section shall take effect on the date of enactment of this Act and shall apply to sections 1852 and 1853 of the Social Security Act (42 U.S.C. 1395w-22 and 1395w-23) as in effect on such date and as amended by sections 202 and 203.
Original wording
At the end of subtitle C of title II, add the following:
Read automatically from the Congressional Record. Check the original before relying on it.
As printed
SA 1007. Mr. SANTORUM submitted an amendment intended to be proposed by him to the bill S. 1, to amend title XVIII of the Social Security Act to make improvements in the medicare program, to provide prescription drug coverage under the medicare program, and for other purposes; which was ordered to lie on the table; as follows:
At the end of subtitle C of title II, add the following:
SEC. ____. AUTHORIZATION OF DIRECT PAYMENTS TO PROVIDERS FOR SERVICES PROVIDED TO MEDICARE ADVANTAGE ENROLLEES PARTICIPATING IN MEDICARE COVERED CLINICAL TRIALS.
(a) Under Medicare+Choice and MedicareAdvantage.--
(1) In general.--Section 1852(a)(1)(A) (42 U.S.C. 1395w-22(a)(1)(A)) is amended by inserting “and items and services that are covered under part A or B as a result of a national coverage determination for qualifying clinical trials” after “hospice care”.
(2) Payment.--Section 1853 (42 U.S.C. 1395w-23) is amended by adding at the end the following new subsection:
“(j) Special Rule for Covered Costs Associated With Qualifying Clinical Trials.--
“(1) Information.--The Medicare+Choice organization shall inform each individual enrolled under this part with a Medicare+Choice plan offered by the organization that the medicare program covers certain costs associated with the participation by a medicare beneficiary in a qualifying clinical trial.
“(2) Payment.--If an individual who is enrolled with a Medicare+Choice organization under this part participates in a qualifying clinical trial, payment for the medicare covered costs associated with that clinical trial shall be made by the Secretary directly to the provider or supplier furnishing such services.”.
(b) Effective Date.--The amendments made by this section shall take effect on the date of enactment of this Act and shall apply to sections 1852 and 1853 of the Social Security Act (42 U.S.C. 1395w-22 and 1395w-23) as in effect on such date and as amended by sections 202 and 203.
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Senate amendment submitted
June 24, 2003