H.R. 3865House110th Congress (2007-2009)In Committee

Home Health Care Access Protection Act of 2007

Introduced October 17, 2007

Legislative Activity

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3 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

November 9, 2007

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HouseIntro Referral

Introduced in House

October 17, 2007

HouseIntro Referral

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

October 17, 2007

HouseCommittee

Referred to the Subcommittee on Health.

November 8, 2007

HouseCommittee

Referred to the Subcommittee on Health.

November 9, 2007

Floor Debate

24 members

What members said about H.R. 3865 on the floor

12 Republicans12 Democrats
Mark E. Souder
Rep. Mark E. SouderR-IN-3 · Nov 7, 2007

I thank our distinguished ranking member. ``Perceived'' is, in fact, a real problem because many businesses simply won't go to court. Obviously they will negotiate or not bother with it. That's the…

George Miller
Rep. George MillerD-CA-7 · Nov 7, 2007

I thank the Chair, and I yield myself 3 minutes. Madam Chairman and Members of the House, it is disgraceful but true that in much of the United States, it is perfectly legal for employers to fire…

Howard P. "Buck" McKeon
Rep. Howard P. "Buck" McKeonR-CA-25 · Nov 7, 2007

Madam Chairman, I yield myself such time as I may consume. I rise in opposition to H.R. 3685, a proposal fraught with burdensome mandates, litigation traps, and constitutional concerns. This bill…

Barney Frank
Rep. Barney FrankD-MA-4 · Nov 7, 2007

I am grateful for the obscurity of the opposition's argument. I first filed a bill 35 years ago to say that you couldn't fire someone because he was gay or she was a lesbian, and at the time people…

Robert E. Andrews
Rep. Robert E. AndrewsD-NJ-1 · Nov 7, 2007

I thank my chairman and friend for yielding. Madam Chairman, we very often hear people say in this House that they oppose discrimination. Today there's a chance to do something more than just say…

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John Kline
Rep. John KlineR-MN-2 · Nov 7, 2007

I thank my colleague, the gentleman from California, for yielding the time. Madam Chair, I rise today in opposition to the Employment Non- Discrimination Act, H.R. 3685. As the ranking member of the…

Dave Weldon
Rep. Dave WeldonR-FL-15 · Nov 7, 2007

Madam Chairman, I rise to express my concerns about H.R. 3685, the Employment Non-Discrimination Act (ENDA). Unfortunately, this bill goes far beyond simply providing protections against…

J. Randy Forbes
Rep. J. Randy ForbesR-VA-4 · Nov 7, 2007

Mr. Speaker, I offer a motion to recommit. In its present form I am. Mr. Speaker, one of the big concerns that many of us have with legislation of this type is that courts across the country have…

Steny H. Hoyer
Rep. Steny H. HoyerD-MD-5 · Nov 7, 2007

Madam Chairman, I thank the gentleman from California, the chairman of the committee, for yielding the time. Madam Chairman, America was regaled today by the President of France, and he talked about…

Tammy Baldwin
Rep. Tammy BaldwinD-WI-2 · Nov 7, 2007

Madam Chairman, I offer an amendment. Madam Chairman, I yield myself 3\1/2\ minutes. Madam Chairman, in the United States, the law forbids discrimination in employment on the basis of a person's…

Roy Blunt
Rep. Roy BluntR-MO-7 · Nov 7, 2007

Madam Chairman, I thank the gentleman for yielding. Madam Chairman, I am in opposition to the bill. It goes without saying that the authors of our Nation's founding document understood better than…

Nancy Pelosi
Rep. Nancy PelosiD-CA-8 · Nov 7, 2007

Madam Chairman, I thank the gentleman for yielding and I thank Mr. Andrews of New Jersey for his leadership on this important issue. He knows, as does the chairman of the full committee, Mr. Miller,…

Carolyn B. Maloney
Rep. Carolyn B. MaloneyD-NY-14 · Nov 7, 2007

Madam Chairman, I rise in strong support of this bill, and I urge my colleagues to help make history today by taking this important step forward. Madam Chairman, I rise in strong support of this…

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Linda T. Sánchez
Rep. Linda T. SánchezD-CA-39 · Nov 7, 2007

Madam Chairman, at the outset, I'd like to note that I did not vote for this bill in Committee, not because I don't support its goals--I do--but because I strongly believe that we could have done…

Louie Gohmert
Rep. Louie GohmertR-TX-1 · Nov 7, 2007

Madam Chairman, my time is short. I'll get right to some of these issues. I just have a copy of the bill here. Under the definition of ``religious organization,'' it actually excludes by definition…

James R. Langevin
Rep. James R. LangevinD-RI-2 · Nov 7, 2007

Madam Chairman, I rise in strong support of H.R. 3685, the Employment Non-Discrimination Act. This important measure demonstrates Congress's commitment to combating prejudice and ensures that…

Paul D. Ryan
Rep. Paul D. RyanR-WI-1 · Nov 7, 2007

Madam Chairman, today, the House will consider H.R. 3685, the Employment Non-Discrimination Act of 2007. In essence, the bill would expand the protections of Title VII of the Civil Rights Act that…

Bart Stupak
Rep. Bart StupakD-MI-1 · Nov 7, 2007

Madam Chairman, I thank the chairman of the committee. I rise in support of the Miller-Stupak amendment to the Employment Non-Discrimination Act of 2007. This amendment makes two important…

Paul C. Broun
Rep. Paul C. BrounR-GA-10 · Nov 7, 2007

I thank the gentleman for yielding. Madam Chairman, the House of Representatives is debating H.R. 3685, the Employment Non-Discrimination Act, today. As well meaning as the title of this bill sounds,…

Mike Pence
Rep. Mike PenceR-IN-6 · Nov 7, 2007

Madam Chairman, I thank the gentleman for yielding. Madam Chairman, I come before the House today in strong opposition to H.R. 3685, the Employment Non-Discrimination Act. However well- intended, the…

Tim Walberg
Rep. Tim WalbergR-MI-7 · Nov 7, 2007

I thank the ranking member for the opportunity to stand today in strong opposition to the ENDA Act. I use that acronym because I believe it is mistitled, that this is not a nondiscrimination act but…

Jim Jordan
Rep. Jim JordanR-OH-4 · Nov 7, 2007

I thank the ranking member. Madam Chair, I rise today to express my opposition to the so-called Employment Non-Discrimination Act. Far from actually protecting new workers, this legislation will add…

Fortney Pete Stark
Rep. Fortney Pete StarkD-CA-13 · Nov 7, 2007

Madam Chairman, I rise today in strong support of equal rights for all people. No job applicant should be discriminated against because of his or her race, religion, gender, ethnicity, age,…

Henry A. Waxman
Rep. Henry A. WaxmanD-CA-30 · Nov 7, 2007

Madam Chairman, I rise in strong support of the Employment Non-Discrimination Act, or ENDA. This legislation is long overdue. Prejudice has no place in the workplace. Nearly 10 years ago, the Federal…

Bill Text

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Introduced in HouseIssued October 17, 2007

I

110th CONGRESS

1st Session

H. R. 3865

IN THE HOUSE OF REPRESENTATIVES

October 17, 2007

Mr. McGovern (for himself and Mr. Jones of North Carolina) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

A BILL

To amend title XVIII of the Social Security Act to protect Medicare beneficiaries’ access to home health services under the Medicare Program.

1.

Short title

This Act may be cited as the Home Health Care Access Protection Act of 2007.

2.

Protecting access to Medicare home health services

(a)

In general

Section 1895(b)(3) of the Social Security Act (42 U.S.C. 1395fff(b)(3)) is amended—

(1)

in subparagraph (B)(iv), by adding at the end the following: Such adjustment shall not be made with respect to home health services for payment in 2008 and in making such an adjustment with respect to home health services for payment in a subsequent year, the Secretary shall evaluate changes in case mix using standards developed by the Secretary consistent with the processes described in subparagraph (D)(i) and taking into account the criteria described in subparagraph (D)(ii).; and

(2)

by adding at the end the following new subparagraph:

(D)

Processes and criteria for evaluating changes in case mix

For purposes of subparagraph (B)(iv)—

(i)

Processes

The processes described in this clause are the following:

(I)

In developing standards referred to in such subparagraph, the Secretary shall convene a Technical Advisory Group consisting of stakeholders, including individuals and organizations representing the interests of Medicare beneficiaries, the National Association for Home Care & Hospice, and the Visiting Nurse Associations of America, health care academia, and health care professionals, in equal numbers from each and limited to parties without an existing contractual relationship with the Secretary, to advise the Secretary concerning the establishment of such standards in order to distinguish between real changes in case mix and changes in coding or classification of different units of services that do not reflect real changes in case mix. The Technical Advisory Group shall be given the opportunity to review and comment on any proposed rulemaking or final determination by the Secretary on such standards prior to such rulemaking or determination.

(II)

If the Secretary engages an outside contractor to participate in the evaluation of case mix changes described in subclause (I), the Secretary shall only utilize a contractor that has not previously participated in the design and establishment of the case mix adjustment factors under subparagraph (B).

(III)

If the Secretary determines that any increase in case mix relates to changes in the volume or nature of services provided to home health services patients, the Secretary shall evaluate that increase through actual review of claims and services and shall not use any proxy or surrogate for determining whether the change in volume or nature of services is reasonable and necessary.

(IV)

The Secretary shall establish the standards referred to in subclause (I) by regulation.

(V)

With respect to establishment of such standards, the Secretary shall make public all data, reports, and supporting materials, including any comments by the Technical Advisory Group pursuant to subclause (I), regarding the standards at the time of notice of such standards.

(ii)

Criteria

The criteria described in this clause are the following:

(I)

The impact of changes in the program under this title that may affect the characteristics of individuals receiving home health services.

(II)

The impact of changes in the provision of health care services by providers of services other than home health agencies.

(III)

Distinctions in the characteristics of individuals initiating home health services from the community and institutional care settings.

(IV)

Whether any changes in coding resulted in a change in expenditures overall annually and disregarding changes in coding that do not have an overall expenditure impact.

(V)

Any other factors determined appropriate by the Secretary in consultation with the Technical Advisory Group under clause (i)(I).

.

(b)

Voiding of proposed case mix adjustment

The Secretary of Health and Human Services shall not take any action to implement or otherwise carry out provisions contained in the final rule published on August 29, 2007, on pages 49762–49945 of volume 72 of the Federal Register, insofar as such provisions propose to make a case mix adjustment to the standardized payment amounts under the prospective payment system for home health services under section 1895 of the Social Security Act (42 U.S.C. 1395fff) to account for changes in coding that were not related to an underlying change in patient health status. The Secretary shall republish any rates specified in such rule to take into account the application of the previous sentence. The Secretary shall only institute an adjustment under subparagraph (B)(iv) of such section in compliance with subparagraph (D) of such section, as added by subsection (a)(2).