S.Amdt. 231
What it does: Adds Sec. 404. (a) The letter to State Medicaid Directors dated December 20, 2002, from Dennis G. Smith, Director, Center for Medicaid and State Operations of the Centers for Medicare & Medicaid Services (relating to placing limits on coverage of emergency services under the medicaid program under title XIX of the Social Security Act), shall have no force or effect and State medicaid programs shall be administered without regard to such letter on page 1047, between lines 19 and 20What it changes
1 change to H.J.Res. 2
Adds Sec. 404. (a) The letter to State Medicaid Directors dated December 20, 2002, from Dennis G. Smith, Director, Center for Medicaid and State Operations of the Centers for Medicare & Medicaid Services (relating to placing limits on coverage of emergency services under the medicaid program under title XIX of the Social Security Act), shall have no force or effect and State medicaid programs shall be administered without regard to such letter on page 1047, between lines 19 and 20
Adds a sectionPrinted pageInserted: Sec. 404. (a) The letter to State Medicaid Directors dated December 20, 2002, from Dennis G. Smith, Director, Center for Medicaid and State Operations of the Centers for Medicare & Medicaid Services (relating to placing limits on coverage of emergency services under the medicaid program under title XIX of the Social Security Act), shall have no force or effect and State medicaid programs shall be administered without regard to such letter.
Inserted: (b) None of the funds appropriated or made available in this Act may be used for payments for medicaid expenditures directly or indirectly related to capitation payments (or other forms of premium or risk payments) to a managed care entity (including a primary care case manager) that does not pay for use of emergency services by a medicaid beneficiary enrolled with the entity that meet the prudent layperson standard under 1932(b)(2) of the Social Security Act (42 U.S.C. 1396u-2(b)(2)).
Original wording
On page 1047, between lines 19 and 20, insert the following:
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As printed
SA 231. Mr. GRAHAM of Florida (for himself and Mr. Kennedy) submitted an amendment intended to be proposed by him to the joint resolution H.J. Res. 2, making further continuing appropriations for the fiscal year 2003, and for other purposes; which was ordered to lie on the table; as follows:
On page 1047, between lines 19 and 20, insert the following:
Sec. 404. (a) The letter to State Medicaid Directors dated December 20, 2002, from Dennis G. Smith, Director, Center for Medicaid and State Operations of the Centers for Medicare & Medicaid Services (relating to placing limits on coverage of emergency services under the medicaid program under title XIX of the Social Security Act), shall have no force or effect and State medicaid programs shall be administered without regard to such letter.
(b) None of the funds appropriated or made available in this Act may be used for payments for medicaid expenditures directly or indirectly related to capitation payments (or other forms of premium or risk payments) to a managed care entity (including a primary care case manager) that does not pay for use of emergency services by a medicaid beneficiary enrolled with the entity that meet the prudent layperson standard under 1932(b)(2) of the Social Security Act (42 U.S.C. 1396u-2(b)(2)).
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Senate amendment submitted
January 21, 2003