[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 2284 Introduced in Senate (IS)]
108th CONGRESS
2d Session
S. 2284
To expand the medicare rural community hospital demonstration program
to include outpatient services.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
April 6, 2004
Mr. Nelson of Nebraska (for himself and Mr. Brownback) introduced the
following bill; which was read twice and referred to the Committee on
Finance
_______________________________________________________________________
A BILL
To expand the medicare rural community hospital demonstration program
to include outpatient services.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Medicare Rural Community Hospital
Demonstration Project Expansion Act of 2004''.
SEC. 2. EXPANSION OF THE MEDICARE COMMUNITY HOSPITAL DEMONSTRATION
PROGRAM.
(a) Expansion.--
(1) In general.--Section 410A(a)(1) of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003
(Public Law 108-173) is amended by inserting ``covered
outpatient hospital services (as defined in subsection
(f)(3))'' after ``subsection (f)(2))''.
(2) Payment.--Section 410A(b) of the Medicare Prescription
Drug, Improvement, and Modernization Act of 2003 (Public Law
108-173) is amended--
(A) in paragraph (1), in the heading, by striking
``In general'' and inserting ``Covered inpatient
hospital services''; and
(B) by adding at the end the following new
paragraph:
``(3) Covered outpatient hospital services.--The amount of
payment under the demonstration program for covered outpatient
hospital services furnished in a rural community hospital is,
at the election of the hospital in the application referred to
in subsection (a)(3)--
``(A) the reasonable costs of providing such
services, without regard to the amount of the customary
or other charge and any limitation under section
1861(v)(1)(U) of the Social Security Act (42 U.S.C.
1395x(v)(1)(U)); or
``(B) the amount of payment that would otherwise be
provided for such services under the prospective
payment system for hospital outpatient department
services under section 1833(t) of such Act (42 U.S.C.
1395l(t)).
``(4) Beneficiary cost-sharing for covered outpatient
hospital services.--The amount of beneficiary cost-sharing for
covered outpatient hospital services furnished in a rural
community hospital under the demonstration program shall be the
amount determined under section 1833(t) of the Social Security
Act (42 U.S.C. 1395l(t)), without regard to any payment under
paragraph (3)(A) of this subsection.''.
(3) Funding.--Section 410A(c)(1) of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003
(Public Law 108-173) is amended by inserting ``and the Federal
Supplementary Insurance Trust Fund established under section
1841 of such Act (42 U.S.C. 1395t), in such proportion as the
Secretary determines to be appropriate,'' after ``(42 U.S.C.
1395i)''.
(4) Definition.--Section 410A(f) of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003
(Public Law 108-173) is amended by adding at the end the
following new paragraph:
``(3) Covered outpatient hospital services.--The term
``covered outpatient hospital services'' has the meaning given
the term ``covered OPD services'' in section 1833(t)(1)(B) of
the Social Security Act (42 U.S.C. 1395l(t)(1)(B)).''.
(b) Effective Date.--The amendments made by this section shall take
effect as if included in the enactment of section 410A of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 (Public
Law 108-173).
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