S. 3606Senate109th Congress (2005-2007)In Committee

Save Our Safety Net Act of 2005

Introduced June 29, 2006

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S6792-6793)

June 29, 2006

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SenateIntro Referral

Introduced in Senate

June 29, 2006

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S6791-6792)

June 29, 2006

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S6792-6793)

June 29, 2006

Floor Debate

18 members

What members said about S. 3606 on the floor

8 Republicans10 Democrats
Barack Obama
Sen. Barack ObamaD-IL · Jun 29, 2006

Mr. President, today, I wish to join my good friend, Senator Bayh, in introducing the Responsible Fatherhood and Healthy Families Act of 2006. This bill addresses a crisis afflicting too many…

Arlen Specter
Sen. Arlen SpecterR-PA · Jun 29, 2006

Mr. President, I have sought recognition to discuss the case of Hamdan v. Rumsfeld which was decided by the Supreme Court of the United States today and to address the question as to where we go from…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Jun 29, 2006

Mr. President, today I am introducing another piece of legislation with Senator Feinstein that addresses the critical issue of the Nation's energy policy, the EXTEND the Energy Efficiency Incentives…

Charles E. Schumer
Sen. Charles E. SchumerD-NY · Jun 29, 2006

Mr. President, today I rise to introduce mine and Senator Gordon Smith's bill, The Affordable Housing Preservation Act of 2006. Our bill provides a solution to preserve federally assisted affordable…

Jeff Bingaman
Sen. Jeff BingamanD-NM · Jun 29, 2006

Mr. President, I am pleased to introduce legislation today to protect a site of worldwide scientific significance in the Robledo Mountains in New Mexico. The bill, which is cosponsored by my…

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Tom Harkin
Sen. Tom HarkinD-IA · Jun 29, 2006

Mr. President, today I am introducing the Agricultural Cooperative Renewable Fuel Stations Act of 2006. This legislation closes a gap in the existing tax incentive for installing alternative…

Herb Kohl
Sen. Herb KohlD-WI · Jun 29, 2006

Mr. President, I rise to introduce the Railroad Antitrust Enforcement Act of 2006. This legislation will eliminate obsolete antitrust exemptions that protect freight railroads from competition. The…

Carl Levin
Sen. Carl LevinD-MI · Jun 29, 2006

Mr. President, I join my colleague, Senator Stabenow, in introducing the Great Lakes Migratory Bird Research and Management Act to learn more about a potential problem regarding double-crested…

John Cornyn
Sen. John CornynR-TX · Jun 29, 2006

Mr. President, I rise today to introduce legislation-- previously introduced in the 108th Congress--which I believe is important to the long-term competitiveness of North America. And I would like to…

Elizabeth Dole
Sen. Elizabeth DoleR-NC · Jun 29, 2006

Mr. President, across North Carolina and our Nation, many local communities face the challenge of what to do with blighted lands where factories and businesses once thrived. Though abandoned, these…

Hillary Rodham Clinton
Sen. Hillary Rodham ClintonD-NY · Jun 29, 2006

Mr. President, I am proud to introduce legislation which would designate the United States Postal Service located at 2951 New York Highway 43 in Averill Park, NY, as the Major George Quamo Post…

Mary L. Landrieu
Sen. Mary L. LandrieuD-LA · Jun 29, 2006

Mr. President, this is a bill that will reduce the estate tax and reform a system that needs to be reformed. It is an issue that many of us have been working on for several--not only several months…

Jeff Bingaman
Sen. Jeff BingamanD-NM · Jun 29, 2006

Mr. President, I rise today to introduce legislation entitled the Save Our Safety--SOS--Net Act of 2006. This legislation will help repair the fraying safety net that provides critical health care to…

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Harry Reid
Sen. Harry ReidD-NV · Jun 29, 2006

Mr. President, I rise today to reintroduce legislation I originally introduced last Congress, a bill to make air travel safer by allowing local law enforcement to carry their firearms on aircrafts,…

Jim Bunning
Sen. Jim BunningR-KY · Jun 29, 2006

Mr. President, I rise today to introduce a bill to provide for relief from duties on the import of certain parts of motor vehicles. It is my intention that this duty suspension bill will be…

Wayne Allard
Sen. Wayne AllardR-CO · Jun 29, 2006

Mr. President, I rise today on the 100th anniversary of Mesa Verde National Park to offer legislation that would expand the boundary of this national treasure. Mesa Verde is one of our Nation's most…

Gordon H. Smith
Sen. Gordon H. SmithR-OR · Jun 29, 2006

Mr. President, I rise to join Senator Schumer in offering legislation that will help maintain our Nation's affordable housing inventory. Our country's stock of affordable rental housing is shrinking.…

Pete V. Domenici
Sen. Pete V. DomeniciR-NM · Jun 29, 2006

Mr. President, the fossilized trackways near the Robledo Mountains in Dona Ana County came to my attention in the early 1990s. During the 101st Congress, I cosponsored Senator Bingaman's legislation…

John D. Rockefeller IV
Sen. John D. Rockefeller IVD-WV · Jun 29, 2006

Mr. President, today, I am introducing legislation to correct an unfair decision that hurts aging, retired VA nurses. This legislation is designed to correct a problem from a bill we passed in 2001,…

Bill Text

Latest available legislative text

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Latest
Introduced in SenateIssued June 29, 2006

II

109th CONGRESS

2d Session

S. 3606

IN THE SENATE OF THE UNITED STATES

June 29, 2006

Mr. Bingaman 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 provide fair payments for care provided in a hospital emergency department.

1.

Short title; table of contents

(a)

Short title

This Act may be cited as the Save Our Safety Net Act of 2005.

(b)

Table of contents

The table of contents of this Act is as follows:

Sec. 1. Short title; table of contents.

Sec. 2. Ensuring adequate physician payment for emergency department visits.

Sec. 3. Ensuring adequate hospital outpatient fee schedule amounts for clinic and emergency department visits.

Sec. 4. Permanent extension of adjustment to limit decline in payments for certain hospitals under hospital outpatient PPS.

Sec. 5. Fairness in the Medicare disproportionate share hospital (DSH) adjustment for rural hospitals.

2.

Ensuring adequate physician payment for emergency department visits

Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended by adding at the end the following new subsection:

(v)

Save our safety net payments for physicians’ services provided in an emergency department

In the case of physicians’ services furnished to an individual covered under the insurance program established by this part in an emergency department on or after January 1, 2006, in addition to the amount of payment that would otherwise be made for such services under this part, there also shall be paid to the physician or other person (or to an employer or entity in the cases described in clause (A) of section 1842(b)(6)) from the Federal Supplementary Insurance Trust Fund an amount equal to 10 percent of the payment amount for the service under this part.

.

3.

Ensuring adequate hospital outpatient fee schedule amounts for clinic and emergency department visits

(a)

In general

Section 1833(t) of the Social Security Act (42 U.S.C. 1395l(t)) is amended—

(1)

in paragraph (3)(C)(ii), by striking paragraph (8)(B) and inserting paragraphs (8)(B), (11)(B), and (13)(A)(i);

(2)

in paragraph (3)(C)(iii), by inserting (but not the conversion factor computed under paragraph (13)(B)) after this subparagraph;

(3)

in paragraph (3)(D)—

(A)

in clause (i), by striking conversion factor computed under subparagraph (C) for the year and inserting applicable conversion factor computed under subparagraph (C), paragraph (11)(B), or paragraph (13)(B) for the year; and

(B)

in clause (ii), by inserting , paragraph (9)(A), or paragraph (13)(C) after paragraph (2)(C);

(4)

in paragraph (9), by amending subparagraph (B) to read as follows:

(B)

Budget neutrality adjustment

(i)

In general

If the Secretary makes revisions under subparagraph (A), then the revisions for a year may not cause the estimated amount of expenditures under this part for the year to increase or decrease from the estimated amount of expenditures under this part (including expenditures attributable to the special rules specified in paragraph (13)) that would have been made if the revisions had not been made.

(ii)

Exemption from reduction

The relative payment weights determined under paragraph (13)(C) and the conversion factor computed under paragraph (13)(B) shall not be reduced by any budget neutrality adjustment made pursuant to this subparagraph.

; and

(5)

by redesignating paragraphs (13) through (16) as paragraphs (14) through (17), respectively, and by inserting after paragraph (12) the following new paragraph:

(13)

Special rules for calculating medicare OPD fee schedule amount for clinic and emergency visits

(A)

In general

In computing the medicare OPD fee schedule amount under paragraph (3)(D) for covered OPD services that are furnished on or after January 1, 2006, and classified within a group established or revised under paragraph (2)(B) or (9)(A), respectively, for clinic and emergency visits (as described in subparagraph (D)), the Secretary shall—

(i)

substitute for the conversion factor calculated under paragraph (3)(C) the conversion factor calculated under subparagraph (B); and

(ii)

substitute for the relative payment weight established or revised under paragraph (2)(C) or (9)(A), respectively, the relative payment weight determined under subparagraph (C) for such group.

(B)

Calculation of conversion factor

For purposes of subparagraph (A)(i), the conversion factor calculated under this subparagraph is—

(i)

for services furnished during 2006, an amount equal to the product of—

(I)

the conversion factor specified for such year in the final rule published on November 10, 2005, increased by the percentage by which such conversion factor is reduced for such year pursuant to paragraph (2)(E), and not taking into account any subsequent amendments to such final rule; and

(II)

1.10; and

(ii)

for services furnished in a year beginning on or after January 1, 2007, the conversion factor computed under this subparagraph for the previous year increased by the OPD fee schedule increase factor specified under paragraph (3)(C)(iv) for the year involved.

(C)

Determination of relative payment weights

For purposes of subparagraph (A)(ii), the relative payment weight determined under this subparagraph for a covered OPD service that is classified within such a group is—

(i)

for services furnished during 2006, the relative payment weight specified for such group for such period in the final rule published November 10, 2005, and not taking into account any subsequent amendments to such final rule; and

(ii)

for services furnished in a year beginning on or after January 1, 2007—

(I)

for ambulatory patient classification group 0601 (relating to mid-level clinic visits), or a successor to such group, the relative payment weight specified for such group in the final rule referred to in clause (i); and

(II)

for other ambulatory patient classification groups described in subparagraph (D), the relative payment weight established or revised under paragraph (2)(C) or (9)(A), respectively, for such group for such year (but without regard to any budget neutrality adjustment under paragraph (9)(B)).

(D)

Groups for clinic and emergency visits

For purposes of this paragraph, the groups established or revised under paragraph (2)(B) or (9)(A), respectively, for clinic and emergency visits are ambulatory patient classification groups 0600, 0601, 0602, 0610, 0611, 0612, and 0620 as defined for purposes of the final rule referred to in subparagraph (C)(i) (and any successors to such groups).

.

(b)

Limitation on secretarial authority

Notwithstanding section 1833(t) of the Social Security Act (42 U.S.C. 1395l(t)), as amended by subsection (a), the Secretary of Health and Human Services may not make any adjustment under—

(1)

paragraph (2)(F), (3)(C)(iii), (9)(B), or (9)(C) of section 1833(t) of the Social Security Act (42 U.S.C. 1395l(t)); or

(2)

any other provision of such section;

to ensure that the amendments made by subsection (a) do not cause the estimated amount of expenditures under part B of title XVIII of such Act (42 U.S.C. 1395j et seq.) to exceed the estimated amount of expenditures that would have been made under such part but for such amendments.
4.

Permanent extension of adjustment to limit decline in payments for certain hospitals under hospital outpatient PPS

(a)

In general

Section 1833(t)(7)(D)(i) of the Social Security Act (42 U.S.C. 1395l(t)(7)(D)(i)), as amended by section 5105 of the Deficit Reduction Act of 2005 (Public Law 109–171), is amended—

(1)

in the clause heading—

(A)

by striking Temporary and inserting Permanent; and

(B)

by striking Rural

(2)

by striking subclause (II);

(3)

by striking (I) In the case and inserting In the case;

(4)

by striking located in a rural area, for and inserting , for; and

(5)

by striking furnished before January 1, 2006.

(b)

Effective date

The amendments made by subsection (a) shall apply to covered OPD services furnished on or after January 1, 2006.

5.

Fairness in the Medicare disproportionate share hospital (DSH) adjustment for rural hospitals

Section 1886(d)(5)(F)(xiv)(II) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(F)(xiv)(II)) is amended—

(1)

by striking or, in the case and all that follows through subparagraph (G)(iv); and

(2)

by inserting at the end the following new sentence: The preceding sentence shall not apply to any hospital with respect to discharges occurring on or after October 1, 2006..