S.Amdt. 3692
What it does: Adds SEC. ___. EXTENSION AND EXPANSION OF OVERSIGHT FOR CLAIMS OF DME SUPPLIERS on page 82, line 9
Sen. Chuck Grassley (R-IA)What it changes
1 change to H.R. 4872
Adds SEC. ___. EXTENSION AND EXPANSION OF OVERSIGHT FOR CLAIMS OF DME SUPPLIERS on page 82, line 9
Adds a sectionPrinted pageInserted: SEC. ___. EXTENSION AND EXPANSION OF OVERSIGHT FOR CLAIMS OF DME SUPPLIERS.
Inserted: Section 1866(j) of the Social Security Act, as amended by section 1304, is further amended--
Inserted: (1) in paragraph (4)--
Inserted: (A) in the heading, by striking "90-day" and inserting "180-day"; and
Inserted: (B) by striking "90-day" and inserting "180-day";
Inserted: (2) by redesignating paragraphs (5) through (8) as paragraphs (6) through (9), respectively; and
Inserted: (3) by inserting after paragraph (4) the following new paragraph:
Inserted: "(5) 180-day period of enhanced oversight and additional review for other claims of dme suppliers.--For periods beginning after January 1, 2011, if the Secretary determines that there is a significant risk of fraudulent activity among suppliers of durable medical equipment, in the case of a supplier of durable medical equipment not described in paragraph (4) who is within a category or geographic area under title XVIII identified pursuant to such determination, the Secretary shall, notwithstanding sections 1816(c), 1842(c), and 1869(a)(2)--
Inserted: "(A) withhold payment under such title with respect to durable medical equipment furnished by such supplier during the 180-day period beginning on the date of such determination; and
Inserted: "(B) conduct a review of claims for payment under such title with respect to durable medical equipment furnished by such supplier submitted during the 12-month period prior to the date of such determination.".
Original wording
On page 82, after line 9, insert the following:
Read automatically from the Congressional Record. Check the original before relying on it.
As printed
SA 3692. Mr. GRASSLEY submitted an amendment intended to be proposed by him to the bill H.R. 4872, to provide for reconciliation pursuant to Title II of the concurrent resolution on the budget for fiscal year 2010 (S. Con. Res. 13); as follows:
On page 82, after line 9, insert the following:
SEC. ___. EXTENSION AND EXPANSION OF OVERSIGHT FOR CLAIMS OF DME SUPPLIERS.
Section 1866(j) of the Social Security Act, as amended by section 1304, is further amended--
(1) in paragraph (4)--
(A) in the heading, by striking “90-day” and inserting “180-day”; and
(B) by striking “90-day” and inserting “180-day”;
(2) by redesignating paragraphs (5) through (8) as paragraphs (6) through (9), respectively; and
(3) by inserting after paragraph (4) the following new paragraph:
“(5) 180-day period of enhanced oversight and additional review for other claims of dme suppliers.--For periods beginning after January 1, 2011, if the Secretary determines that there is a significant risk of fraudulent activity among suppliers of durable medical equipment, in the case of a supplier of durable medical equipment not described in paragraph (4) who is within a category or geographic area under title XVIII identified pursuant to such determination, the Secretary shall, notwithstanding sections 1816(c), 1842(c), and 1869(a)(2)--
“(A) withhold payment under such title with respect to durable medical equipment furnished by such supplier during the 180-day period beginning on the date of such determination; and
“(B) conduct a review of claims for payment under such title with respect to durable medical equipment furnished by such supplier submitted during the 12-month period prior to the date of such determination.”.
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Senate amendment submitted
March 24, 2010