S. 411Senate109th Congress (2005-2007)In Committee

MediFair Act of 2005

Introduced February 16, 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 S1556)

February 16, 2005

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SenateIntro Referral

Introduced in Senate

February 16, 2005

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S1555-1556)

February 16, 2005

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S1556)

February 16, 2005

Floor Debate

19 members

What members said about S. 411 on the floor

9 Republicans10 Democrats
John Cornyn
Sen. John CornynR-TX · Feb 16, 2005

Mr. President, I rise today to introduce a bill, along with the Senator from Vermont who we will hear from shortly, that will help enhance the openness of the Federal Government. This bill is called…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Feb 16, 2005

Mr. President, I am pleased to join Senator Coleman again this year to re-introduce the Ryan Haight Internet Pharmacy Consumer Protection Act. Our legislation will protect the safety of Americans who…

Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Feb 16, 2005

Mr. President, today I am introducing the second in a series of bills intended to support American companies and American workers. Yesterday, I submitted S. Con. Res. 12, which would set some minimum…

Norm Coleman
Sen. Norm ColemanR-MN · Feb 16, 2005

Mr. President, I rise to introduce two bills that expand Federal authority to prevent controlled substances from flooding into the U.S., authorizing States to shut down illegitimate virtual…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Feb 16, 2005

Mr. President, as Chair of the Committee on Small Business and Entrepreneurship, I rise to introduce the Small Business Health Fairness Act of 2005. I am joined in this bipartisan effort by Senators…

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Carl Levin
Sen. Carl LevinD-MI · Feb 16, 2005

Mr. President, during the last Session of the 108th Congress, I informed my colleagues of my intention to introduce bipartisan legislation in the 109th Congress, to authorize the awarding of the…

Rick Santorum
Sen. Rick SantorumR-PA · Feb 16, 2005

Mr. President, I am pleased to introduce with my colleague from Indiana, Senator Bayh, important legislation to encourage the cleanup of contaminated sites commonly known as ``brownfields.'' I urge…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Feb 16, 2005

Mr. President, I am pleased to join as a partner with the Senator from Texas in introducing the OPEN Government Act of 2005. I have devoted a considerable portion of my work in the Senate to…

Tom Harkin
Sen. Tom HarkinD-IA · Feb 16, 2005

Mr. President, today, Senator Specter and I and others introduce the Medicaid Community-Based Attendant Services and Supports Act of 2003 (MiCASSA). This legislation is needed to truly bring people…

Mike DeWine
Sen. Mike DeWineR-OH · Feb 16, 2005

Mr. President, I rise today, along with my good friend and colleague Senator Dodd, to reintroduce the Sober Truth on Preventing Underage Drinking Act--also known as the STOP Underage Drinking Act. I…

Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · Feb 16, 2005

Mr. President, I rise to introduce the Credit Card Minimum Payment Warning Act. I thank Senators Durbin, Leahy, Sarbanes, and Schumer for working with me on this legislation and for cosponsoring this…

Frank R. Lautenberg
Sen. Frank R. LautenbergD-NJ · Feb 16, 2005

Mr. President, I rise to introduce the Federal Election Integrity Act on behalf of myself and Senators Kerry, Boxer and Clinton. This bill creates a direct prohibition on chief State election…

Larry E. Craig
Sen. Larry E. CraigR-ID · Feb 16, 2005

Mr. President, I am pleased to join with Senator Baucus in introducing the Protection of Lawful Commerce in Arms Act. This bill addresses the abuse of our Nation's courts through predatory lawsuits…

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Christopher S. Bond
Sen. Christopher S. BondR-MO · Feb 16, 2005

Mr. President, with approximately 45 million uninsured Americans, expanding access to quality, affordable health care should be a top priority for the Senate. We hear about the cost explosion that…

Harry Reid
Sen. Harry ReidD-NV · Feb 16, 2005

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record. Mr. President, I rise today, for myself and Senator Ensign, to introduce legislation to establish a public…

Patty Murray
Sen. Patty MurrayD-WA · Feb 16, 2005

Mr. President, I rise today to again join my colleague, Senator Cantwell, in introducing the MediFair Act of 2005. My bill will restore fairness to the Medicare program and provide greater equity for…

Patty Murray
Sen. Patty MurrayD-WA · Feb 16, 2005

Mr. President, I rise today to again join my colleague, Senator Cantwell, in introducing the MediFair Act of 2005. My bill will restore fairness to the Medicare program and provide greater equity for…

Arlen Specter
Sen. Arlen SpecterR-PA · Feb 16, 2005

Mr. President, I have sought recognition to join Senator Tom Harkin, my colleague and distinguished ranking member of the Appropriations Subcommittee on Labor, Health and Human Services and…

Byron L. Dorgan
Sen. Byron L. DorganD-ND · Feb 16, 2005

Mr. President, I rise today to introduce a bill that would reauthorize the Native American Programs Act. This Act provides authority for the social and economic development grants that are so…

John McCain
Sen. John McCainR-AZ · Feb 16, 2005

Mr. President, the recent ``Orange Revolution'' in Ukraine marked a huge victory for the advancement of democracy in the world. The Ukrainian people made clear that they would not stand idle as a…

Bill Text

Latest available legislative text

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Introduced in SenateIssued February 16, 2005

II

109th CONGRESS

1st Session

S. 411

IN THE SENATE OF THE UNITED STATES

February 16, 2005

Mrs. Murray (for herself and Ms. Cantwell) 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 improve the provision of items and services provided to Medicare beneficiaries residing in States with more cost-effective health care delivery systems.

1.

Short title

This Act may be cited as the MediFair Act of 2005.

2.

Findings

Congress makes the following findings:

(1)

Regional inequities in medicare reimbursement has created barriers to care for seniors and the disabled.

(2)

The regional inequities in medicare reimbursement penalize States that have cost-effective health care delivery systems and rewards those States with high utilization rates and that provide inefficient care.

(3)

Over a lifetime, those inequities can mean as much as a $50,000 difference in the cost of care provided per beneficiary.

(4)

Regional inequities have resulted in creating very different medicare programs for seniors and the disabled based on where they live.

(5)

Because the Medicare+Choice rate is based on the fee-for-service reimbursement rate, regional inequities have allowed some medicare beneficiaries access to plans with significantly more benefits including prescription drugs. Beneficiaries in States with lower reimbursement rates have not benefitted to the same degree as beneficiaries in other parts of the country.

(6)

Regional inequities in medicare reimbursement have created an unfair competitive advantage for hospitals and other health care providers in States that receive above average payments. Higher payments mean that those providers can pay higher salaries in a tight, competitive market.

(7)

Regional inequities in medicare reimbursement can limit timely access to new technology for beneficiaries in States with lower reimbursement rates.

(8)

Regional inequities in medicare reimbursement, if left unchecked, will reduce access to medicare services and impact healthy outcomes for beneficiaries.

(9)

Regional inequities in medicare reimbursement are not just a rural versus urban problem. Many States with large urban centers are at the bottom of the national average for per beneficiary costs.

3.

Improving fairness of payments to providers under the Medicare fee-for-service program

Title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) is amended by adding at the end the following new section:

1898.

Improving payment equity under the original Medicare fee-for-service program

(a)

Establishment of system

Notwithstanding any other provision of law, the Secretary shall establish a system for making adjustments to the amount of payment made to entities and individuals for items and services provided under the original medicare fee-for-service program under parts A and B.

(b)

System requirements

(1)

Increase for States below the national average

Under the system established under subsection (a), if a State average per beneficiary amount for a year is less than the national average per beneficiary amount for such year, then the Secretary (beginning in 2006) shall increase the amount of applicable payments in such a manner as will result (as estimated by the Secretary) in the State average per beneficiary amount for the subsequent year being equal to the national average per beneficiary amount for such subsequent year.

(2)

Reduction for certain States above the national average to enhance quality care and maintain budget neutrality

(A)

In general

The Secretary shall ensure that the increase in payments under paragraph (1) does not cause the estimated amount of expenditures under this title for a year to increase or decrease from the estimated amount of expenditures under this title that would have been made in such year if this section had not been enacted by reducing the amount of applicable payments in each State that the Secretary determines has—

(i)

a State average per beneficiary amount for a year that is greater than the national average per beneficiary amount for such year; and

(ii)

healthy outcome measurements or quality care measurements that indicate that a reduction in applicable payments would encourage more efficient use of, and reduce overuse of, items and services for which payment is made under this title.

(B)

Limitation

The Secretary shall not reduce applicable payments under subparagraph (A) to a State that—

(i)

has a State average per beneficiary amount for a year that is greater than the national average per beneficiary amount for such year; and

(ii)

has healthy outcome measurements or quality care measurements that indicate that the applicable payments are being used to improve the access of beneficiaries to quality care.

(3)

Determination of averages

(A)

State average per beneficiary amount

Each year (beginning in 2005), the Secretary shall determine a State average per beneficiary amount for each State which shall be equal to the Secretary’s estimate of the average amount of expenditures under the original medicare fee-for-service program under parts A and B for the year for a beneficiary enrolled under such parts that resides in the State.

(B)

National average per beneficiary amount

Each year (beginning in 2005), the Secretary shall determine the national average per beneficiary amount which shall be equal to the average of the State average per beneficiary amount determined under subparagraph (A) for the year.

(4)

Definitions

In this section:

(A)

Applicable payments

The term applicable payments means payments made to entities and individuals for items and services provided under the original medicare fee-for-service program under parts A and B to beneficiaries enrolled under such parts that reside in the State.

(B)

State

The term State has the meaning given such term in section 210(h).

(c)

Beneficiaries held harmless

The provisions of this section shall not affect—

(1)

the entitlement to items and services of a beneficiary under this title, including the scope of such items and services; or

(2)

any liability of the beneficiary with respect to such items and services.

(d)

Regulations

(1)

In general

The Secretary, in consultation with the Medicare Payment Advisory Commission, shall promulgate regulations to carry out this section.

(2)

Protecting rural communities

In promulgating the regulations pursuant to paragraph (1), the Secretary shall give special consideration to rural areas.

.

4.

Medpac recommendations on healthy outcomes and quality care

(a)

Recommendations

The Medicare Payment Advisory Commission established under section 1805 of the Social Security Act (42 U.S.C. 1395b–6) shall develop recommendations on policies and practices that, if implemented, would encourage—

(1)

healthy outcomes and quality care under the medicare program in States with respect to which payments are reduced under section 1898(b)(2) of such Act (as added by section 3); and

(2)

the efficient use of payments made under the medicare program in such States.

(b)

Submission

Not later than the date that is 9 months after the date of enactment of this Act, the Commission shall submit to Congress the recommendations developed under subsection (a).