S. 412Senate108th Congress (2003-2005)In Committee

Local Emergency Health Services Reimbursement Act of 2003

Sponsored by Jon KylSen. Jon Kyl (R-AZ)
Introduced February 13, 2003

Legislative Activity

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S2492)

February 13, 2003

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SenateIntro Referral

Introduced in Senate

February 13, 2003

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S2492)

February 13, 2003

Floor Debate

24 members

What members said about S. 412 on the floor

11 Republicans13 Democrats
Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Feb 13, 2003

Mr. President, today I introduce the Federal Death Penalty Abolition Act of 2003. This bill would abolish the death penalty at the Federal level. It would put an immediate halt to executions and…

John Edwards
Sen. John EdwardsD-NC · Feb 13, 2003

Mr. President, I have previously given a statement and a speech on the floor of the Senate with regard to Mr. Estrada's nomination. I voted against him in the Judiciary Committee. The concerns I had…

Jeff Bingaman
Sen. Jeff BingamanD-NM · Feb 13, 2003

Madam President, I rise to introduce legislation that I believe will go a long way in helping to improve the safety and durability of the Nation's highway bridges. Today, with great pleasure I am…

Mike DeWine
Sen. Mike DeWineR-OH · Feb 13, 2003

Madam President, I join several of my colleagues today to introduce a series of bills related to the reauthorization of the Higher Education Act (HEA). These five bills emphasize a number of issues…

Max Baucus
Sen. Max BaucusD-MT · Feb 13, 2003

Mr. President, I am pleased to introduce the Gunsmith Excise Tax Simplification Act of 2003. This bill will protect funding for the Federal Aid to Wildlife Restoration Fund by simplifying…

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Blanche L. Lincoln
Sen. Blanche L. LincolnD-AR · Feb 13, 2003

Madam President, today I am pleased to introduce the Geriatric Care Act of 2003, a bill to increase the number of geriatricians in our country through training incentives and Medicare reimbursement…

Harry Reid
Sen. Harry ReidD-NV · Feb 13, 2003

Madam President, over the last several years, I have tried to correct a long-standing injustice impacting our Nation's veterans. Under a law that is now over 110 years old, most veterans who retire…

Ben Nighthorse Campbell
Sen. Ben Nighthorse CampbellR-CO · Feb 13, 2003

Madam President, today I introduce the ``Campus Classmate Offenders in Rehabilitation and Treatment Act of 2003.'' The legislation I am introducing today is based on legislation I previously…

John Ensign
Sen. John EnsignR-NV · Feb 13, 2003

Mr. President, 194 years ago this week, a son was born to Nancy and Thomas Lincoln in Elizabethtown, Kentucky. That son, Abraham, would go on to become President of the United States at one of the…

Don Nickles
Sen. Don NicklesR-OK · Feb 13, 2003

Mr. President, I rise today to introduce a bill and to speak about a litigation crisis affecting both the overall well-being of our nation and our ability to stimulate economic recovery. I'm speaking…

Ben Nelson
Sen. Ben NelsonD-NE · Feb 13, 2003

Madam President, I thank you for the opportunity to speak about what is clearly a bipartisan issue. I would like to add to what my colleague from Minnesota said about the Fuels Security Act offered…

Thomas A. Daschle
Sen. Thomas A. DaschleD-SD · Feb 13, 2003

Madam President, headlines in daily papers all across the country underscore our economy's vulnerability to foreign oil. Today, a new generation is learning what many Americans have known since the…

Norm Coleman
Sen. Norm ColemanR-MN · Feb 13, 2003

Madam President, if I may, in contrast to the very partisan tone of the Estrada filibuster and this partisan divide that is stopping us from moving forward, I want to spend a few minutes talking…

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Chuck Hagel
Sen. Chuck HagelR-NE · Feb 13, 2003

Madam President, I come to the floor this morning to speak briefly about an important, comprehensive fuels bill that I will introduce today, along with Senators Daschle, Lugar, Johnson, Voinovich,…

Tim Johnson
Sen. Tim JohnsonD-SD · Feb 13, 2003

Madam President, I am pleased that we are reintroducing renewable fuels legislation and that we are taking time today to talk about the benefits and importance of this bill. I want to acknowledge the…

Pat Roberts
Sen. Pat RobertsR-KS · Feb 13, 2003

Mr. President, I am pleased and honored to join with my colleagues to introduce two pieces of legislation to help meet the child care challenges facing families around the Nation. These bills…

Byron L. Dorgan
Sen. Byron L. DorganD-ND · Feb 13, 2003

Madam President, I am pleased to join my colleagues, Senator Daschle, as well as Senator Lugar, Senator Hagel, Senator Johnson and others in introducing this bipartisan piece of legislation today.…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Feb 13, 2003

Mr. President, I rise today to introduce important tax legislation on behalf of myself and Senators Baucus, Conrad, Crapo, Breaux, Leahy, Harkin, Durbin, Craig, Johnson, Chafee, Snowe, and Kerry.…

John McCain
Sen. John McCainR-AZ · Feb 13, 2003

Madam President, I first introduced legislation on this issue all the way back in 1992. Then again in 1993, then again in 1994, then again in 1995. In 1999, I drafted legislation that became law--as…

Richard G. Lugar
Sen. Richard G. LugarR-IN · Feb 13, 2003

Madam President, I am pleased to join with my colleague, Senator Daschle, in reintroducing the Renewable Fuels Act. I am thankful for this opportunity to remind my colleagues about the importance of…

Jon S. Corzine
Sen. Jon S. CorzineD-NJ · Feb 13, 2003

Mr. President, I rise today with my colleagues, Senators Fitzgerald, Sarbanes, and Akaka to introduce the Education for Retirement Security Act of 2003. This bill will provide access to badly needed…

Jim Bunning
Sen. Jim BunningR-KY · Feb 13, 2003

Mr. President, I rise to introduce, along with Senator Sam Brownback, the Child Modeling Exploitation Prevention Act. Many Senators may not be aware of what I am talking about. I was not until…

Mary L. Landrieu
Sen. Mary L. LandrieuD-LA · Feb 13, 2003

Mr. President, I rise today to speak on an issue of great importance to our military retirees. This issue I want to address is the Survivor's Benefit Plan and the need to eliminate the Social…

Carl Levin
Sen. Carl LevinD-MI · Feb 13, 2003

Mr. President, I ask unanimous consent that the text of this bill be printed in the Record.

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued February 13, 2003
        [Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 412 Introduced in Senate (IS)]

108th CONGRESS
1st Session
S. 412

To amend the Balanced Budget Act of 1997 to extend and modify the
reimbursement of State and local funds expended for emergency health
services furnished to undocumented aliens.

_______________________________________________________________________

IN THE SENATE OF THE UNITED STATES

February 13, 2003

Mr. Kyl (for himself, Mr. McCain, Mr. Domenici, Mrs. Feinstein, Mr.
Cornyn, and Mr. Schumer) introduced the following bill; which was read
twice and referred to the Committee on Finance

_______________________________________________________________________

A BILL

To amend the Balanced Budget Act of 1997 to extend and modify the
reimbursement of State and local funds expended for emergency health
services furnished to undocumented aliens.

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 ``Local Emergency Health Services
Reimbursement Act of 2003''.

SEC. 2. FEDERAL REIMBURSEMENT OF EMERGENCY HEALTH SERVICES FURNISHED TO
UNDOCUMENTED ALIENS.

Section 4723 of the Balanced Budget Act of 1997 (8 U.S.C. 1611
note) is amended to read as follows:

``SEC. 4723. FEDERAL REIMBURSEMENT OF EMERGENCY HEALTH SERVICES
FURNISHED TO UNDOCUMENTED ALIENS.

``(a) Total Amount Available for Allotment.--There is appropriated,
out of any funds in the Treasury not otherwise appropriated,
$1,450,000,000 for each of fiscal years 2004 through 2008, for the
purpose of making allotments under this section to States described in
paragraph (1) or (2) of subsection (b). Funds appropriated under the
preceding sentence shall remain available until expended.
``(b) State Allotments.--
``(1) Based on percentage of undocumented aliens.--
``(A) In general.--Out of the amount appropriated
under subsection (a) for each fiscal year, the
Secretary shall use $957,000,000 of such amount to make
allotments for each such fiscal year in accordance with
subparagraph (B).
``(B) Formula.--The amount of the allotment for
each State for a fiscal year shall be equal to the
product of--
``(i) the total amount available for
allotments under this paragraph for the fiscal
year; and
``(ii) the percentage of undocumented
aliens residing in the State with respect to
the total number of such aliens residing in all
States, as determined by the Statistics
Division of the Immigration and Naturalization
Service, as of January 2003, based on the 2000
decennial census.
``(2) Based on number of undocumented alien apprehension
states.--
``(A) In general.--Out of the amount appropriated
under subsection (a) for a fiscal year, the Secretary
shall use $493,000,000 of such amount to make
allotments for each such fiscal year for each of the 6
States with the highest number of undocumented alien
apprehensions for such fiscal year.
``(B) Determination of allotments.--The amount of
the allotment for each State described in subparagraph
(A) for a fiscal year shall bear the same ratio to the
total amount available for allotments under this
paragraph for the fiscal year as the ratio of the
number of undocumented alien apprehensions in the State
in the fiscal year bears to the total of such numbers
for all such States for such fiscal year.
``(C) Data.--For purposes of this paragraph, the
highest number of undocumented alien apprehensions for
a fiscal year shall be based on the 4 most recent
quarterly apprehension rates for undocumented aliens in
such States, as reported by the Immigration and
Naturalization Service.
``(3) Rule of construction.--Nothing in this section shall
be construed as prohibiting a State that is described in both
of paragraphs (1) and (2) from receiving an allotment under
both paragraphs for a fiscal year.
``(c) Use of Funds.--
``(1) Authority to make payments.--From the allotments made
for a State under subsection (b) for a fiscal year, the
Secretary shall pay directly to local governments, hospitals,
or other providers located in the State (including providers of
services received through an Indian Health Service facility
whether operated by the Indian Health Service or by an Indian
tribe or tribal organization) that provide uncompensated
emergency health services furnished to undocumented aliens
during that fiscal year, and to the State, such amounts
(subject to the total amount available from such allotments) as
the local governments, hospitals, providers, or State
demonstrate were incurred for the provision of such services
during that fiscal year.
``(2) Limitation on state use of funds.--Funds paid to a
State from allotments made under subsection (b) for a fiscal
year may only be used for making payments to local governments,
hospitals, or other providers for costs incurred in providing
emergency health services to undocumented aliens or for State
costs incurred with respect to the provision of emergency
health services to such aliens.
``(3) Inclusion of costs incurred with respect to certain
aliens.--Uncompensated emergency health services furnished to
aliens who have been allowed to enter the United States for the
sole purpose of receiving emergency health services may be
included in the determination of costs incurred by a State,
local government, hospital, or other provider with respect to the
provision of such services.
``(d) Applications; Advance Payments; Reallotment of Unused
Funds.--
``(1) Deadline for establishment of application process.--
``(A) In general.--Not later than July 31, 2003,
the Secretary shall establish a process under which
States, local governments, hospitals, or other
providers located in the State may apply for payments
from allotments made under subsection (b) for a fiscal
year for uncompensated emergency health services
furnished to undocumented aliens during that fiscal
year.
``(B) Inclusion of measures to combat fraud.--The
Secretary shall include in the process established
under subparagraph (A) measures to ensure that
fraudulent payments are not made from the allotments
determined under subsection (b) or from amounts
reallotted under paragraph (3).
``(2) Advance payment; Retrospective adjustment.--The
process established under paragraph (1) shall allow for making
payments under this section for each quarter of a fiscal year
on the basis of advance estimates of expenditures submitted by
applicants for such payments and such other investigation as
the Secretary may find necessary, and for making reductions or
increases in the payments as necessary to adjust for any
overpayment or underpayment for prior quarters.
``(3) Reallotment of Unused Funds.--
``(A) In general.--With respect to allotments made
under subsection (b) for a fiscal year, the amount of
any allotment to a State for a fiscal year that the
Secretary determines will not be expended during that
fiscal year or the succeeding fiscal year shall be
available for reallotment during the second succeeding
fiscal year, on such date as the Secretary may
determine, to other States with allotments under that
subsection that the Secretary determines will use such
excess amounts during that second succeeding fiscal
year.
``(B) Determination of reallotments.--Reallotments
under subparagraph (A) shall be made in the same manner
as allotments are determined under paragraphs (1) and
(2) of subsection (b) but only with respect to those
States that the Secretary determines qualify for a
reallotment for a fiscal year under that subparagraph.
``(C) Treatment.--Any amount reallotted under
subparagraph (A) to a State is deemed to be part of its
allotment under subsection (b) for the fiscal year in
which the reallotment occurs.
``(e) Definitions.--In this section:
``(1) Hospital.--The term `hospital' has the meaning given
such term in section 1861(e) of the Social Security Act (42
U.S.C. 1395x(e)).
``(2) Indian tribe; tribal organization.--The terms `Indian
tribe' and `tribal organization' have the meanings given such
terms in section 4 of the Indian Health Care Improvement Act.
``(3) Provider.--The term `provider' includes a physician,
any other health care professional licensed under State law,
and any other entity that furnishes emergency health services,
including ambulance services.
``(4) Secretary.--The term `Secretary' means the Secretary
of Health and Human Services.
``(5) State.--The term `State' means the 50 States and the
District of Columbia.
``(f) Entitlement.--This section constitutes budget authority in
advance of appropriations Acts and represents the obligation of the
Federal Government to provide for the payment of amounts provided under
this section.''.
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