S. 1403Senate109th Congress (2005-2007)In Committee

Medicare Cost Contract Extension and Refinement Act of 2005

A bill to amend title XVIII of the Social Security Act to extend reasonable cost contracts under medicare.

Sponsored by Ron WydenSen. Ron Wyden (D-OR)
Introduced July 14, 2005

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S8318)

July 14, 2005

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SenateIntro Referral

Introduced in Senate

July 14, 2005

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S8317-8318)

July 14, 2005

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S8318)

July 14, 2005

Floor Debate

13 members

What members said about S. 1403 on the floor

8 Republicans5 Democrats
Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Jul 14, 2005

Mr. President, today I will introduce the Lobbying and Ethics Reform Act of 2005. This bill builds on similar legislation that was introduced in the House by Representatives Marty Meehan and Rahm…

Judd Gregg
Sen. Judd GreggR-NH · Jul 14, 2005

Mr. President, sustained military operations in Afghanistan and Iraq have brought to light another example of how outdated and burdensome government policies can punish generous employers. Employers…

Bill Nelson
Sen. Bill NelsonD-FL · Jul 14, 2005

Mr. President, I rise today on behalf of myself and Senator Hillary Rodham Clinton of New York, to introduce the Jessica Lunsford and Sarah Lunde Act. This bill will provide grants for State and…

Gordon H. Smith
Sen. Gordon H. SmithR-OR · Jul 14, 2005

Mr. President, I rise today with Senators Bill Nelson, Stevens, Inouye, McCain, and Pryor to introduce the Identity Theft Protection Act of 2005. The introduction of this bill has been a bipartisan…

George Allen
Sen. George AllenR-VA · Jul 14, 2005

Mr. President, I am pleased to join with my distinguished colleague, Senator Santorum, in introducing the Increased Capital Access for Growing Businesses Act. The legislation would help many small…

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Ben Nelson
Sen. Ben NelsonD-NE · Jul 14, 2005

Mr. President, today I am introducing the ``Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005'' to make changes to a rule issued by the Centers for Medicare and Medicaid…

Ted Stevens
Sen. Ted StevensR-AK · Jul 14, 2005

Mr. President, I am pleased to join Senators Inouye, Smith, McCain, Nelson, and Pryor in introducing a bipartisan bill to address the growing perpetration of identity theft against American…

John Cornyn
Sen. John CornynR-TX · Jul 14, 2005

Mr. President, I rise today to introduce the ``Respirator Access Assurance Act of 2005.'' This legislation is not a complex or lengthy proposal, but it is critically important for our men and women…

Christopher S. Bond
Sen. Christopher S. BondR-MO · Jul 14, 2005

Mr. President, I rise today to introduce legislation that will allow for the continued expansion of non-primary hub airports across the country. The simple fact of the matter is that demand for…

Lisa Murkowski
Sen. Lisa MurkowskiR-AK · Jul 14, 2005

Mr. President, I rise to introduce a bill that will allow the Environmental Protection Agency to continue to provide grant funding and technical assistance to small, rural communities in Alaska for…

Ron Wyden
Sen. Ron WydenD-OR · Jul 14, 2005

Mr. President, when Congress passed the Medicare Modernization Act, Medicare cost contracts were kept as a health plan option for seniors. However, Congress also limited the ability of cost contracts…

Ron Wyden
Sen. Ron WydenD-OR · Jul 14, 2005

Mr. President, when Congress passed the Medicare Modernization Act, Medicare cost contracts were kept as a health plan option for seniors. However, Congress also limited the ability of cost contracts…

Joseph I. Lieberman
Sen. Joseph I. LiebermanD-CT · Jul 14, 2005

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

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Lincoln Chafee
Sen. Lincoln ChafeeR-RI · Jul 14, 2005

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

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued July 14, 2005

II

109th CONGRESS

1st Session

S. 1403

IN THE SENATE OF THE UNITED STATES

July 14, 2005

Mr. Wyden introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend title XVIII of the Social Security Act to extend reasonable cost contracts under medicare.

1.

Short title

This Act may be cited as the Medicare Cost Contract Extension and Refinement Act of 2005.

2.

Extension of reasonable cost contracts

(a)

Extension of period reasonable cost plans can remain in the market

Section 1876(h)(5)(C)(ii) of the Social Security Act (42 U.S.C. 1395mm(h)(5)(C)(ii) is amended—

(1)

in the matter preceding subclause (I)—

(A)

by striking January 1, 2008 and inserting January 1, 2012;

(B)

by striking year and inserting two years; and

(C)

by inserting entirely after was;

(2)

in subclause (I), by inserting , provided that all such plans are not offered by the same Medicare Advantage organization before the semicolon at the end; and

(3)

in subclause (II), by inserting , provided that all such plans are not offered by the same Medicare Advantage organization before the semicolon at the end.

(b)

Extension of period reasonable cost plans can expand their service area

Section 1876(h)(5)(B)(i) of the Social Security Act (42 U.S.C. 1395mm(h)(5)(B)(i)) is amended to read as follows:

(i)

the conditions for prohibiting an extension or renewal of a contract under subparagraph (C)(ii) are not applicable to such service area at the time of the application.

.

3.

Application of certain Medicare Advantage requirements to cost contracts extended or renewed after 2003

Section 1876(h) of the Social Security Act (42 U.S.C. 1395mm(h)), as amended by section (2), is amended—

(1)

by redesignating paragraph (5) as paragraph (6); and

(2)

by inserting after paragraph (4) the following new paragraph:

(5)
(A)

Any reasonable cost reimbursement contract with an eligible organization under this subsection that is extended or renewed on or after the date of enactment of the Medicare Cost Contract Extension and Refinement Act of 2005 shall provide that the provisions of the Medicare Advantage program under part C described in subparagraph (B) shall apply to such organization and such contract in a substantially similar manner as such provisions apply to Medicare Advantage organizations and Medicare Advantage plans under such part.

(B)

The provisions described in this subparagraph are as follows:

(i)

Section 1851(d) (relating to the provision of information to promote informed choice).

(ii)

Section 1851(h) (relating to the approval of marketing material and application forms).

(iii)

Section 1852(a)(3)(A) (regarding the authority of organizations to include mandatory supplemental health care benefits under the plan subject to the approval of the Secretary).

(iv)

Section 1852(e) (relating to the requirement of having an ongoing quality improvement program and treatment of accreditation in the same manner as such provisions apply to Medicare Advantage local plans that are preferred provider organization plans).

(v)

Section 1852(j)(4) (relating to limitations on physician incentive plans).

(vi)

Section 1854(c) (relating to the requirement of uniform premiums among individuals enrolled in the plan).

(vii)

Section 1854(g) (relating to restrictions on imposition of premium taxes with respect to payments to organizations).

(viii)

Section 1856(b)(3) (relating to relation to State laws).

(ix)

Section 1857(i) (relating to Medicare Advantage program compatibility with employer or union group health plans).

(x)

The provisions of part C relating to timelines for contract renewal and beneficiary notification.

.