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Bill· HRH.R. 3967 (98th)referred

A bill to amend title XVIII of the Social Security Act to apply the so-called 'swing-bed' provision to hospitals with up to 125 beds.

United States · United States Congress · 22 September 1983

Amends title XVIII (Medicare) of the Social Security Act to permit hospital of up to 125 beds (currently, 50 beds) in a rural area to use its inpatient hospital facilities to provide services which if provided by a skilled nursing facility would constitute extended care services.

Bill· SS. 1862 (98th)referred

A bill to establish a Select Commission on Drug Interdiction and Enforcement.

United States · United States Congress · 20 September 1983

Establishes a Select Commission on Drug Interdiction and Enforcement. Provides that the Commission be composed of: (1) four members appointed by the President; (2) four members appointed by the Speaker of the House of Representatives from the membership of the House Committee on the Judiciary; (3) four members appointed by the President pro tempore of the Senate from the membership of the Senate Committee on the Judiciary; and (4) the Attorney General, the Secretary of the Treasury, the Secretary of Transportation and the Secretary of State. Requires the Commission to study and evaluate existing laws, policies, and procedures governing drug interdiction and make administrative, legislative, and procedural recommendations to the President and Congress. Authorizes appropriations.

Bill· HRH.R. 3884 (98th)referred

Health Service Act

United States · United States Congress · 14 September 1983

Health Service Act - Title I: Establishment and Operation of the United States Health Service - Establishes the United States Health Service as an independent agency of the executive branch. Directs the President to appoint an Interim National Health Board to govern the service during the months before a Permanent National Health Board is appointed. Requires the Interim Board to establish health care delivery regions throughout the United States, with an interim regional board for each region which shall in turn establish health care delivery districts and communities. Specifies procedures for the election of community boards by the community users and health care workers, and subsequent appointment of permanent district and regional boards, culminating, by this selection process from the bottom up, in the appointment of the permanent National Health Board from among regional users. Title II: Delivery of Health Care and Supplemental Services - Enumerates the basic health rights which the Service shall ensure in the delivery of services to users, among them: (1) the right to receive high quality health care and supplemental services without charge or discrimination; (2) the right to choose the health facilities from which to receive such services; (3) the right of access to all health information; (4) the right to an explanation of benefits and risks; (5) the right, in the event of terminal illness, to die with a maximum degree of dignity; and (3) the right to legal assistance to enforce these rights. Amends the Fair Labor Standards Act to entitle each employee of an employer subject to compensation to one hour of necessary health care services for every 35 hours of employment. Lists the range of services which the Health Service shall provide. Makes all individuals within the United States and its territories eligible to receive them. Requires: (1) each community board to establish community health care facilities providing certain primary and specialized services; (2) each district board to establish a general hospital; and (3) each regional board to establish a regional medical facility with highly specialized services. Specifies additional duties of regional, district, and community boards, including education on personal health matters and environmental monitoring services. Prohibits any individual employed by a health board from engaging in the private delivery of health care services. Title III: Health Labor Force - Makes the Health Service the sole judge of the qualifications of its employees, pre-emptying all State or local laws to the contrary. Directs the National Health Board to issue guidelines for the classification, certification, and employment of health workers by job category. Requires each regional board to establish a health team school for the education of health workers in its region. Applies certain Federal Standards to labor-management relations within the Service, including collective-bargaining procedures and agreements. Provides for the defense of malpractice and negligence suits brought against Service employees. Title IV: Other Functions of Health Boards - Directs the National Board to establish a health rights legal service program to assist users and workers with legal problems related to health rights and health care services. Requires each regional, district, and community board to set up a health advocacy program to ensure full realization of health rights. Provides a grievance procedure for users and workers before a regional board or the National Board. Directs the National Board to oversee occupational safety and health programs at the regional level and to contribute to the development and administration of standards under the Occupational Safety and Health Act of 1970. Requires the establishment of regional occupational safety and health programs and community safety and health action councils (OSHACs). Requires employers to provide a health facility in or near any workplace having 25 or more employees. Transfers the National Institutes of Health to the National Health Board, and requires the creation of additional National Institutes of: (1) Epidemiology; (2) Evaluative Clinical Research; (3) Health Care Services; (4) Pharmacy and Medical Supply; and (5) Sociology of Health and Health Care. Directs the National Board to formulate one-year and five-year national health plan budgets based on data collected and evaluated by the community, district, and regional boards. Requires the publication of a National Pharmacy and Medical Supply Formulary listing drugs, therapeutic devices and other medical equipment, and a comprehensive dictionary of health care terms for users. Title V: Financing of the Service - Amends the Internal Revenue Code to impose additional income taxes (health service taxes) on individuals and corporations to finance the health service program. Denies exclusion from gross income of amounts paid by employers on behalf of their employees to accident and health plans which provide insurance for medical expenses covered by this Act. Eliminates income tax deductions for certain health care expenses and charitable contributions to medical and hospital facilities where the services paid for could have been provided by the Health Service. Repeals the hospital insurance tax. Creates in the Treasury the Health Service Trust Fund. Transfers to such Fund all the assets and liabilities of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Directs the National Board to prepare a national health budget for each fiscal year based on plans and budgets submitted annually by the regional, district, and community boards. Title VI: Miscellaneous Provisions - Makes conforming amendments to specified Acts.

Bill· SS. 1792 (98th)open

A bill to amend title XIX of the Social Security Act to extend medicaid coverage of home care to certain disabled individuals over 18 years of age.

United States · United States Congress · 4 August 1983

Amends title XIX (Medicaid) of the Social Security Act to authorize a State to provide home care services to all individuals who are disabled as defined in title XVI (Supplemental Security Income) of the Act and with respect to whom it has been determined that: (1) they can receive appropriate care outside an institution; and (2) they would have to be institutionalized (but for such home care) at a cost that is equal to or greater than home care. (Under current law, such services are limited to individuals 18 years of age or younger.)

Bill· SS. 1819 (98th)referred

A bill to specify the manner in which uncompensated services provided by a skilled nursing facility or an intermediate care facility shall be calculated for purposes of titles VI and XVI of the Public Health Services Act, and to require the Secretary of Health and Human Services to promulgate regulations under section 1621 (b) (1) (K) of the Public Health Service Act.

United States · United States Congress · 4 August 1983

Directs the Secretary of Health and Human Services to promulgate admission standards for nursing homes and intermediate care facilities receiving assistance under the Hill-Burton Act which are similar to medicare and medicaid-certified facilities. Permits "Hill-Burton" nursing homes to count, as uncompensated care for the poor, the difference between actual costs and medicare or medicaid reimbursement for patients who have lived in the residence for more than 12 days.

Bill· SS. 1778 (98th)referred

Health Planning Block Grant Act of 1983

United States · United States Congress · 4 August 1983

Health Planning Block Grant Act of 1983 - Repeals the current health planning law, Title XV of the Public Health Service Act, and replaces it with the Health Planning Block Grant Act of 1983. Authorizes appropriations for FY 1984-1986. Provides formulae for the allotment of appropriated funds to the States. Establishes a minimum allotment of $100,000 for each State. Enumerates the purposes for which the states may use allotments at their discretion. Details the application procedures and grant requirements. Prohibits the Secretary of Health and Human Services from prescribing for a State the manner of compliance with such requirements. Requires the chief executive officer of a State to: (1) describe the purposes for which the State intends to use the block grant; and (2) facilitate public comment upon such purposes. Repeals this Act as of October 1, 1986.

Bill· HRH.R. 3850 (98th)open

Children's Preventive Health Act of 1983

United States · United States Congress · 4 August 1983

Children's Preventive Health Act of 1983 - Amends the Public Health Service Act to authorize grants (through the Centers for Disease Control) for children's preventive health programs of: (1) lead poisoning prevention; (2) school-based fluoridation; and (3) new-born infant genetic disease screening. Sets forth grant application requirements. Authorizes appropriations for FY 1984 through FY 1986.

Bill· HRH.R. 3851 (98th)referred

A bill to amend the Federal Food, Drug, and Cosmetic Act to remove the prohibition against stating in the labeling and advertising of a drug that it has been approved under that Act.

United States · United States Congress · 4 August 1983

Amends the Federal Food, Drug, and Cosmetic Act to permit drug labeling and advertising to note Food and Drug Administration approval. Directs the Secretary of Health and Human Services to promulgate related regulations within one year. Permits a drug with an approved application to include on its label the statement "FDA Approved" followed by the new drug application number. Permits the advertising use of such information.

Bill· SS. 1728 (98th)referred

National Task Force on Organ Procurement and Transplant Reimbursement Act

United States · United States Congress · 2 August 1983

National Task Force on Organ Procurement and Transplant Reimbursement Act - Directs the Secretary of Health and Human Services to establish within 60 days a National Task Force on Organ Procurement and Transplant Reimbursement to develop a plan for a comprehensive organ donor network and organ procurement system. Sets forth membership and operating provisions. Authorizes the Task Force to submit interim reports to the President and each House of Congress, and a final report within six months after its establishment. Terminates such Task Force three months after submitting such final report.

Bill· HRH.R. 3696 (98th)open

A bill to amend title XVIII of the Social Security Act to provide that certain hospice programs may provide nursing care through arrangements with certified medicare providers in rural and medically underserved regions.

United States · United States Congress · 28 July 1983

Amends title XVIII (Medicare) of the Social Security Act to permit a hospice to contract out for nursing services with a Medicare certified agency if the hospice: (1) was licensed before September 2, 1982; (2) is located in a rural area; or (3) is located in an area with a medical manpower shortage.

Bill· HRH.R. 3702 (98th)referred

A bill to amend the Public Health Service Act to provide funds for the prevention and treatment of public health emergencies.

United States · United States Congress · 28 July 1983

Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, acting through the Centers for Disease Control, to make grants and enter into contracts for State and local public health emergency prevention and treatment programs. Establishes in the Treasury a Public Health Emergency Fund for such purposes. Authorizes $60,000,000 for FY 1984 and for subsequent years such sums as necessary to have $60,000 in the Fund at the beginning of each fiscal year. Requires a report to the appropriate congressional committees on any such expenditures made during a fiscal year.

Bill· HRH.R. 3703 (98th)referred

A bill to amend section 1086(c) of title 10, United States Code, to provide for payment under the CHAMPUS program of certain health care expenses incurred by certain members and former members of the uniformed services and their dependents to the extent that such expenses are not payable under medicare.

United States · United States Congress · 28 July 1983

Amends the Civilian Health and Medical Program of the Unformed Services (CHAMPUS) to provide payments for the differences between expenses incurred for health services and the amount paid for such services under another plan.

Bill· HRH.R. 3649 (98th)referred

A bill to amend the Public Health Service Act to revise the system under which communities pay the United States for the services of National Health Service Corps personnel.

United States · United States Congress · 26 July 1983

Amends the Public Health Service Act to revise community pay-back provisions for National Health Service Corps personnel services to provide that the pay-back amount shall be the difference between expected annual fees and other revenues and expected costs. States that in order to make such annual computation, an entity shall submit to the Secretary of Health and Human Services a description of needed primary and supplemental health services and an expected budget. States that from such submission the Secretary shall determine needed health services and anticipated revenues and costs, which shall be used to determine community pay-back amounts. Authorizes the Secretary to waive such pay-back in whole or in part if an entity demonstrates it needs such money to: (1) expand services; (2) increase patient capacity; (3) construct or modernize facilities; (4) improve administration; or (5) establish a financial reserve.

Bill· HRH.R. 3664 (98th)open

A bill to amend the Drug Abuse Prevention, Treatment, and Rehabilitation Act to revise the authority of the Office of Drug Abuse Policy, to establish a Deputy Director for Drug Abuse Prevention and a Deputy Director for Drug Enforcement in the Office, and for other purposes.

United States · United States Congress · 26 July 1983

Amends the Drug Abuse Prevention, Treatment, and Rehabilitation Act to establish an Office of Drug Abuse Policy within the Executive Office of the President, headed by a Director appointed by the President. Requires Deputy Directors for Drug Abuse Prevention and for Drug Enforcement. Requires the Director to establish, plan, and coordinate Federal drug abuse functions. Directs the Director to make recommendations to the President and consult and assist State and local governments in order to implement such policies. Directs the Attorney General to notify the Director that a certain drug has a potential for abuse or should be transferred or removed from a schedule under the Controlled Substances Act. Requires the Director to submit an annual report to Congress on the activities conducted under this Act.

Resolution· HRESH.Res. 281 (98th)referred

A resolution expressing the sense of the House of Representatives in support of affordable health care for the elderly and all Americans.

United States · United States Congress · 25 July 1983

Expresses the sense of the House of Representatives that: (1) legislation is immediately required to protect Medicare and Medicaid (titles XVIII and XIX of the Social Security Act); and (2) an urgency exists to assure affordable health care for older Americans. States that Congress should enact legislation to reduce and control the rising cost of health care.

Resolution· SRESS.Res. 180 (98th)open

A resolution expressing the sense of the Senate in support of affordable and decent health care for older Americans.

United States · United States Congress · 21 July 1983

Expresses the sense of the Senate that the Congress should enact legislation to control the rising cost of health care, without burdening the elderly and the poor, which: (1) uses the prospective payment method; (2) avoids additional cost sharing by Medicare and Medicaid (titles XVIII and XIX of the Social Security Act) recipients; (3) does not increase out-of-pocket costs or reduce benefits for older Americans; (4) provides incentives for States to have their own health care cost containment programs; and (5) provides better coverage for preventive and chronic care, and provides alternatives to institutionalization under Medicare and Medicaid.

Bill· HRH.R. 3633 (98th)referred

A bill to amend the Federal Food, Drug, and Cosmetic Act to strengthen the authority of the Food and Drug Administration to control the use of drugs which present risks to the public and to secure data on adverse reactions to drugs, and for other purposes.

United States · United States Congress · 21 July 1983

Amends the Federal Food, Drug, and Cosmetic Act to authorize the Secretary of Health and Human Services to impose restrictions on the distribution, dispensing, and administration of prescription drugs determined to present significant risks to patients or public health without such restrictions. Authorizes the imposition of such restrictions as a condition of approval for, or continued use of, new drugs. Prohibits the imposition of such restrictions on certain practitioners. Requires, for any drug determined to involve a risk of serious illness or injury, the voluntary and informed consent of the patient before the drug is dispensed. Requires a biennial evaluation of drug restrictions to determine whether they require modification or removal. Directs the Secretary, if necessary, to require persons approved to dispense new drugs to establish a system for identifying and collecting data on their effect on users and other clinical experience and to report to the Secretary on such data. Requires manufacturers of non-prescription drugs to establish a similar system and to make similar reports to the Secretary. Directs the Secretary to establish in the Food and Drug Administration a National Center for Drug Surveillance to coordinate such data collection. Requires the Secretary to report to Congress not later than six months after the end of a fiscal year on the information and data collected under this Act. Directs the Secretary to establish a program to encourage physicians, institutional health care providers, and patients to report adverse reactions to drugs to the National Center for Drug Surveillance.

Bill· HRH.R. 3624 (98th)referred

A bill to establish a trust fund which is financed from revenues from the windfall profit tax and which is used as a reserve for the Federal Hospital Insurance Trust Fund, and for other purposes.

United States · United States Congress · 21 July 1983

Amends title XVIII (Medicare) of the Social Security Act to establish in the Treasury the Federal Hospital Insurance Reserve Trust Fund. Appropriates to the Trust Fund for each fiscal year 25 percent of the revenues from the windfall profit tax for such year. Limits the aggregate amount appropriated to the Trust Fund to $70,000,000,000 for all fiscal years. Directs the Secretary of the Treasury to transfer to the Trust Fund amounts so appropriated at least quarterly. Creates a Board of Trustees to hold and manage the Trust Fund and report to Congress annually on the operation of the Trust Fund and whenever the Trust Fund amount is too small. Sets forth requirements for investment by the Trust Fund in interest-bearing obligations of the United States or in federally guaranteed obligations. Directs the Secretary to transfer from the Trust Fund to the Federal Hospital Insurance Trust Fund such amounts as may be provided by appropriation Acts.

Bill· HRH.R. 3616 (98th)referred

A bill to amend title XVIII of the Social Security Act with respect to provision of home health services.

United States · United States Congress · 20 July 1983

Amends title XVIII (Medicare) of the Social Security Act to provide that nursing care and home health aid services may be provided on a daily basis as home health services for up to 90 days with monthly physician certification of the need for such services, and after the 90 day period, on a physician certification of exceptional circumstances. Limits to 20 the number of home health service visits covered under Medicare in the case of individuals who were furnished certain home health services but continue to need nursing care or the services of a home health aide.

Bill· HRH.R. 3605 (98th)open

Drug Price Competition and Patent Term Restoration Act of 1984

United States · United States Congress · 19 July 1983

Drug Price Competition Act of 1983 - Amends the Federal Food, Drug, and Cosmetic Act to exempt from Food and Drug Administration (FDA) clinical application requirements new drugs that are the same as previously approved new drugs (extends FDA abbreviated drug application procedures to post-1962 new generic drugs).

Bill· HRH.R. 3603 (98th)referred

A bill to amend title XVIII of the Social Security Act to permit physicians serving without compensation on the governing or advisory boards of home health agencies to make patient certifications for home health services furnished by such agencies.

United States · United States Congress · 19 July 1983

Amends title XVIII (Medicare) of the Social Security Act to provide that a physician serving without compensation as a member of a governing or advisory board of a home health agency shall not be considered as having a significant financial interest or contractual relationship with the agency, thereby permitting such a physician to make patient certifications.

Bill· SS. 1635 (98th)open

A bill to amend title XVIII of the Social Security Act to require that physicians who provide services under part B of such title shall be paid for such services only on the basis of an assignment, and for other purposes.

United States · United States Congress · 18 July 1983

Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to provide that payment for physicians' services will be made only to a physician entering into an annual agreement with the Secretary of Health and Human Services. Requires the agreement to provide that a physician shall be paid only on the basis of an assignment for all services provided to individuals enrolled under part B. Directs the Secretary to: (1) publish a list of all participating physicians; (2) develop a uniform claims form for use by all participating physicians; and (3) establish an advisory committee on physician reimbursement.

Bill· HRH.R. 3590 (98th)open

Medicare Pacemaker Payment Reform and Patient Protection Act

United States · United States Congress · 18 July 1983

Medicare Pacemaker Payment Reform and Patient Protection Act - Amends title XVIII (Medicare) of the Social Security Act to reduce the reimbursement: (1) for new cardiac pacemakers by 15 percent; (2) for replacement cardiac pacemakers by 25 percent; and (3) for payments to physicians for cardiac pacemaker implantations and monitoring by 25 percent. Prohibits coverage for the expenses, in any 12 month period, of routine monitoring of a cardiac pacemaker or pacemaker lead in excess of six transtelephonic monitorings, or in excess of four monitorings at a physician's office. Directs the Secretary of Health and Human Services, through the Administrator of the Food and Drug Administration, to provide for a registry of all cardiac pacemaker devices and pacemaker leads for which payment under title XVIII was made. Requires the Secretary to report to Congress on diagnosis-related group type reimbursement for physicians' services related to cardiac pacemaker device implantation.

Bill· SS. 1623 (98th)open

National Commission on Neurofibromatosis Act

United States · United States Congress · 14 July 1983

National Commission on Neurofibromatosis Act - Directs the Secretary of Health and Human Services to establish within 60 days a National Commission on Neurofibromatosis which shall formulate a plan to identify the research needed to develop an effective treatment and a cure for neurofibromatosis. Sets forth operating and related provisions. Authorizes the Commission to transmit interim reports. Requires the Commission to make a final report to the President and to each House of Congress within two years. Terminates the Commission three months after submission of the final report.

Bill· SS. 1622 (98th)open

Pacemaker Patient Protection Act

United States · United States Congress · 14 July 1983

Peacemaker Patient Protection Act - Amends title XVIII (Medicare) of the Social Security Act to reduce the reimbursement: (1) for new cardiac pacemakers by 15 percent; (2) for replacement cardiac pacemakers by 30 percent; and (3) for payments to physicians for cardiac pacemaker implantations and monitoring by 25 percent. Prohibits coverage for the expenses, in any 12 month period, of routine monitoring of a cardiac pacemaker or pacemaker lead in excess of six transtelephonic monitorings or in excess of four monitorings at a physician's office. Directs the Secretary of Health and Human Services, through the Administrator of the Food and Drug Administration, to provide for a registry of all cardiac pacemaker devices and pacemaker leads for which payment under title XVIII was made. Requires the Secretary to report to Congress on diagnosis-related group type reimbursement for physicians' services related to cardiac pacemaker device implantation.

Bill· SS. 1618 (98th)open

Preventive Health Care Incentive Act

United States · United States Congress · 14 July 1983

Preventive Health Care Incentive Act - Amends the Internal Revenue Code to allow employers an income tax credit for up to ten percent of the costs of providing a preventive health care program to employees. Limits such credit to $50 times the average number of full-time employees regularly participating in such a program. Requires that such a preventive health care program must: (1) be administered by or for the employer; (2) have regular participation of at least 25 percent of the full-time employees of the employer; (3) not discriminate in favor of employees who are officers, shareholders, or highly compensated employees; (4) be recognized as contributing to and fostering improved health; and (5) be approved by the Secretary of the Treasury (after consultation with the Secretary of Health and Human Services). Requires the President's Council on Physical Fitness and Sports to study the effectiveness of such preventive health care programs. Requires the Council to report the results of such study to specified committees of the Congress before January 1, 1986.

Bill· HJRESH.J.Res. 320 (98th)referred

A joint resolution to amend the Social Security Act to delay the imposition of certain requirements on public hospitals until the expiration of their current fiscal years.

United States · United States Congress · 14 July 1983

Amends the Social Security Act (as amended by the Social Security Amendments of 1983) to delay the imposition of certain requirements relating to reimbursement procedures for services performed in public hospitals under title XVIII (Medicare) of the Act until the expiration of a hospital's current fiscal year.

Bill· SS. 1614 (98th)open

Health Care Coordination Act of 1983

United States · United States Congress · 13 July 1983

Health Care Coordination Act of 1983 - Amends title XIX (Medicaid) of the Social Security Act to authorize any State, subject to a waiver being granted, to establish as a component of its State plan a comprehensive program under which individuals who are eligible for benefits under Medicaid and under title XVIII (Medicare) of the Act (other than an individual having end stage renal disease) shall be furnished health care and other services as described by such program. Requires any such program to provide at least the following services: (1) all services for which payment would be made under title XVIII; (2) all medical assistance for which an individual would otherwise be eligible under the State Medicaid plan; (3) case management, including assessments and periodic reassessments; and (4) to the extent the State determines such services to be required by an individual enrolled in the program homemaker and home health aid services, and adult day health care services. Authorizes a State to provide, in addition, any other community-based services necessary to maintain an enrolled individual in the community who would otherwise be institutionalized. Provides that: (1) a program established under this Act need not be in effect statewide; and (2) in any case in which more than one program is in effect in a State, each program shall be considered independently for purposes of meeting program requirements. Requires all services provided under the program to be provided by providers qualified under title XVIII or XIX. Makes any individual eligible for coverage under the program who is eligible for both Medicaid and Medicare (excluding those with end stage renal disease). Makes enrollment optional with the individual. Prohibits enrollment of any individual who is an inpatient in a skilled nursing or intermediate care facility if more than 25 percent of the individuals enrolled in the program already are inpatients in such facilities. Requires the percentage of individuals enrolled in a program who are disabled or frail elderly individuals to be approximately equal to or greater than the percentage of the population of such individuals eligible under Medicare and Medicaid in the area served by the program. Provides that the amounts and methods of payment under the program may be any one of several specified methods used under titles XVIII and XIX. Authorizes the Secretary of Health and Human Services to grant a waiver of Medicaid and Medicare requirements to any State as may be necessary to establish a program or programs if such State provides satisfactory assurances that: (1) the total cost to State and Federal Governments will not exceed the total cost which would have been incurred if the program were not in effect; (2) quality of and access to health care under the program will be maintained; and (3) the program meets the requirements of this paragraph. Permits a waiver of: (1) the skilled care, intermittent care, and homebound requirements for the provision of home health services under Medicare; (2) the skilled care and post hospital requirement for extended care under Medicare; (3) Medicaid requirements relating to state coverage, comparability of services, and freedom of choice of providers; (4) any Medicaid or Medicare provision relating to methods and amounts of reimbursement; and (5) specified other Medicare and Medicaid requirements relating to amount and duration of covered services, enrollment fees, premiums, deductions, cost sharing, and similar charges. Requires a State to provide for quality assurance review of any program established under this Act. Directs the Secretary to make payments to a State on a per capita basis with respect to each individual enrolled in a program. Provides that the amount of such payment shall be 95 percent of the adjusted average per capita cost of institutionalized individuals as determined for purposes of Medicare health maintenance organization reimbursments in the case of any individual who is an inpatient in a skilled nursing facility or intermediate care facility, or who: (1) has been determined to require the level of care provided in a skilled nursing facility or intermediate care facility, but for the provision of home or community-based services under this program; and (2) is dependent on personal assistance on a daily basis for at least two of the following activities eating, bathing, use of the toilet, transferring to and from bed, or dressing. Requires the State to pay the premium under part B (Supplementary Medical Insurance) of title XVIII for each individual enrolled in the program. Requires: (1) each State with a program under this Act to report to the Secretary at least annually; and (2) the Secretary to report to Congress one year after enactment, and then again three years after enactment.

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