S. 1733Senate109th Congress (2005-2007)In Committee

A bill to establish pilot projects under the medicare program to provide incentives for home health agencies to utilize home monitoring and communications technologies.

Sponsored by John ThuneSen. John Thune (R-SD)
Introduced September 20, 2005

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

September 20, 2005

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SenateIntro Referral

Introduced in Senate

September 20, 2005

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S10237)

September 20, 2005

SenateIntro Referral

Read twice and referred to the Committee on Finance.

September 20, 2005

Floor Debate

18 members

What members said about S. 1733 on the floor

7 Republicans11 Democrats
Robert F. Bennett
Sen. Robert F. BennettR-UT · Sep 20, 2005

Mr. President, I ask for a voice vote. I move to lay that motion on the table. The motion to lay on the table was agreed to. Amendment No. 1749 Mr. President, I thank the Senator from Illinois for…

Kent Conrad
Sen. Kent ConradD-ND · Sep 20, 2005

Mr. President, I rise today to join Senator Voinovich of Ohio in introducing a new Social Security lockbox proposal, the Truth in Budgeting Act of 2005. For years, I have urged my colleagues to stop…

Maria Cantwell
Sen. Maria CantwellD-WA · Sep 20, 2005

Mr. President, I rise today to introduce the Energy Emergency Consumer Protection Act of 2005. I want to thank the original cosponsors of this legislation, which include Senate Minority Leader Reid,…

Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · Sep 20, 2005

Mr. President, what is the pending order of business? I ask unanimous consent to set the pending amendment aside. Mr. President, I have two amendments to offer. I call up amendment No. 1729 to H.R.…

John Ensign
Sen. John EnsignR-NV · Sep 20, 2005

Mr. President, I ask unanimous consent that the order for the quorum call be dispensed with. Mr. President, I ask unanimous consent that the pending amendment be set aside. Mr. President, I ask…

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Jeff Bingaman
Sen. Jeff BingamanD-NM · Sep 20, 2005

Mr. President, I rise today to introduce legislation to preserve a special place in my home state of New Mexico, the Valle Vidal. New Mexico is a State filled with natural wonders, so when you hear…

Daniel K. Inouye
Sen. Daniel K. InouyeD-HI · Sep 20, 2005

Mr. President, today, I offer an amendment that would prohibit the Animal and Plant Health Inspection Services, APHIS, from using appropriated funds to demolish or dismantle the Hawaii Fruit Fly…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Sep 20, 2005

Mr. President, I believe this has been cleared on the other side. Mr. President, I send an amendment to the desk on behalf of Senator Reid and ask for its immediate consideration. Mr. President, I…

John Thune
Sen. John ThuneR-SD · Sep 20, 2005

Mr. President, as I traveled across my State of South Dakota this August, I heard from many constituents about the high cost of health care. Concerns about the cost of health care are not limited,…

John Thune
Sen. John ThuneR-SD · Sep 20, 2005

Mr. President, as I traveled across my State of South Dakota this August, I heard from many constituents about the high cost of health care. Concerns about the cost of health care are not limited,…

Jim Talent
Sen. Jim TalentR-MO · Sep 20, 2005

Mr. President, I ask unanimous consent that the order for the quorum call be dispensed with. Mr. President, I send an amendment to the desk. Mr. President, I ask unanimous consent that reading of the…

Herb Kohl
Sen. Herb KohlD-WI · Sep 20, 2005

Mr. President, I rise today to join Senator Cantwell in co- sponsoring the Energy Emergency Consumer Protection Act of 2005. This bill will, for the first time, give our Federal Government the needed…

Robert C. Byrd
Sen. Robert C. ByrdD-WV · Sep 20, 2005

Mr. President, Winston Churchill said, ``when you are on a great horse, you have the best seat you will ever have.'' Indeed, throughout the ages, the horse has carried mankind across continents,…

Show 10 more
Arlen Specter
Sen. Arlen SpecterR-PA · Sep 20, 2005

Mr. President, I wish to describe my amendment to the fiscal year 2006 Agriculture appropriations legislation. My amendment would extend the Milk Income Loss Contract, MILC, program for 2 years. It…

Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · Sep 20, 2005

Mr. President, today I want to discuss one of the many potential problems that will face this Nation in the aftermath of Hurricane Katrina. We have all heard the stories of the displacement of…

Tom Harkin
Sen. Tom HarkinD-IA · Sep 20, 2005

I understand that the House report on this appropriations measure includes language that directs the APHIS to adopt a particular standard with respect to microchip identification tags for pets, but…

Pat Roberts
Sen. Pat RobertsR-KS · Sep 20, 2005

Will the Senator yield? I have an amendment. I would like to offer it. Mr. President, I have an amendment pending at the desk numbered 1742. I ask for its immediate consideration. I ask unanimous…

Herb Kohl
Sen. Herb KohlD-WI · Sep 20, 2005

Mr. President, on behalf of Senator Harkin, I send an amendment to the desk. Mr. President, I ask unanimous consent that the reading of the amendment be dispensed with. I ask for adoption of the…

Kent Conrad
Sen. Kent ConradD-ND · Sep 20, 2005

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I thank my colleague from Utah for his graciousness, and my colleague from Wisconsin as well. I…

Mark Dayton
Sen. Mark DaytonD-MN · Sep 20, 2005

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. I thank the Chair. I ask unanimous consent that I speak in morning business for up to 10 minutes. I thank the…

Barbara Boxer
Sen. Barbara BoxerD-CA · Sep 20, 2005

Mr. President, in accordance with rule V of the Standing Rules of the Senate, I hereby give notice in writing that it is my intention to move to suspend paragraph 4 of rule XVI for the purpose of…

John Thune
Sen. John ThuneR-SD · Sep 20, 2005

I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I ask unanimous consent I be permitted to speak as in morning business for up to 10 minutes. I send the…

John E. Sununu
Sen. John E. SununuR-NH · Sep 20, 2005

I move to lay that motion on the table. The motion to lay on the table was agreed to.

Bill Text

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Introduced in SenateIssued September 20, 2005

II

109th CONGRESS

1st Session

S. 1733

IN THE SENATE OF THE UNITED STATES

September 20, 2005

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

A BILL

To establish pilot projects under the medicare program to provide incentives for home health agencies to utilize home monitoring and communications technologies.

1.

Remote monitoring pilot projects

(a)

Pilot projects

(1)

In general

Not later than 9 months after the date of enactment of this Act, the Secretary of Health and Human Services (in this section referred to as the Secretary) shall conduct pilot projects under title XVIII of the Social Security Act for the purpose of providing incentives to home health agencies to utilize home monitoring and communications technologies that—

(A)

enhance health outcomes for medicare beneficiaries; and

(B)

reduce expenditures under such title.

(2)

Site requirements

(A)

Urban and Rural

The Secretary shall conduct the pilot projects under this section in both urban and rural areas.

(B)

Site in a small state

The Secretary shall conduct at least 1 of the pilot projects in a State with a population of less than 1,000,000.

(3)

Definition of home health agency

In this section, the term home health agency has the meaning given that term in section 1861(o) of the Social Security Act (42 U.S.C. 1395x(o)).

(b)

Medicare beneficiaries within the scope of projects

The Secretary shall specify the criteria for identifying those medicare beneficiaries who shall be considered within the scope of the pilot projects under this section for purposes of the application of subsection (c) and for the assessment of the effectiveness of the home health agency in achieving the objectives of this section. Such criteria may provide for the inclusion in the projects of medicare beneficiaries who begin receiving home health services under title XVIII of the Social Security Act after the date of the implementation of the projects.

(c)

Incentives

(1)

Performance targets

The Secretary shall establish for each home health agency participating in a pilot project under this section a performance target using one of the following methodologies, as determined appropriate by the Secretary:

(A)

Adjusted historical performance target

The Secretary shall establish for the agency—

(i)

a base expenditure amount equal to the average total payments made to the agency under parts A and B of title XVIII of the Social Security Act for medicare beneficiaries determined to be within the scope of the pilot project in a base period determined by the Secretary; and

(ii)

an annual per capita expenditure target for such beneficiaries, reflecting the base expenditure amount adjusted for risk and adjusted growth rates.

(B)

Comparative performance target

The Secretary shall establish for the agency a comparative performance target equal to the average total payments under such parts A and B during the pilot project for comparable individuals in the same geographic area that are not determined to be within the scope of the pilot project.

(2)

Incentive

Subject to paragraph (3), the Secretary shall pay to each participating home care agency an incentive payment for each year under the pilot project equal to a portion of the medicare savings realized for such year relative to the performance target under paragraph (1).

(3)

Limitation on expenditures

The Secretary shall limit incentive payments under this section in order to ensure that the aggregate expenditures under title XVIII of the Social Security Act (including incentive payments under this subsection) do not exceed the amount that the Secretary estimates would have been expended if the pilot projects under this section had not been implemented.

(d)

Waiver authority

The Secretary may waive such provisions of titles XI and XVIII of the Social Security Act as the Secretary determines to be appropriate for the conduct of the pilot projects under this section.

(e)

Report to Congress

Not later than 5 years after the date that the first pilot project under this section is implemented, the Secretary shall submit to Congress a report on the pilot projects. Such report shall contain a detailed description of issues related to the expansion of the projects under subsection (f) and recommendations for such legislation and administrative actions as the Secretary considers appropriate.

(f)

Expansion

If the Secretary determines that any of the pilot projects under this section enhance health outcomes for medicare beneficiaries and reduce expenditures under title XVIII of the Social Security Act, the Secretary may initiate comparable projects in additional areas.

(g)

Incentive payments have no effect on other medicare payments to agencies

An incentive payment under this section—

(1)

shall be in addition to the payments that a home health agency would otherwise receive under title XVIII of the Social Security Act for the provision of home health services; and

(2)

shall have no effect on the amount of such payments.