To amend title XVIII of the Social Security Act to provide for payment of hospitals under the DRG prospective payment system on the basis of a blend of hospital-specific rates and a national rate, depending on the degree of variation of costs within specific diagnosis-related groups.

Summary

Amends title XVIII (Medicare) of the Social Security Act to determine the payments to be made to hospitals under Medicare's prospective payment system on the basis of a blend of hospital-specific rates and a national rate, depending on the degree to which costs vary within specific diagnosis-related groups. Eliminates the urban or rural classification of an area as a consideration in hospital payment determinations. Requires the Secretary of Health and Human Services to: (1) identify relevant labor markets for hospitals; (2) establish a methodology to determine the proportion of hospital costs which are wage-related and compare the hospital wage level in each labor market with the national average hospital wage level; and (3) take into account differences among hospitals in part- and full-time employment patterns.

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Timeline

1. 23 February 1989

   Introduced

   Referred to the House Committee on Ways and Means.

   Source: IntroReferral

2. 23 February 1989

   Introduced

   Introduced in House

   Source: IntroReferral

3. 23 February 1989

   Introduced

   Introduced in House

   Source: IntroReferral

4. 1 March 1989

   Referred

   Referred to the Subcommittee on Health.

   Source: Committee

Votes

No vote records are attached yet.

Versions

• Introduced in House · undated · Official file

Documents

2 official files

• Introduced in House (text)

  Introduced in House · EN

  ViewDownloadOpen at official source

• Introduced in House

  summary · EN · 23 February 1989

  Open at official source

Sponsors

• Rep. Skelton, Ike [D-MO-4] · D · Sponsor
• Rep. Chapman, Jim [D-TX-1] · D · Sponsor
• Rep. Emerson, Bill [R-MO-8] · R · Sponsor
• Rep. Coleman, E. Thomas [R-MO-6] · R · Cosponsor
• Rep. Baker, Richard H. [R-LA-6] · R · Cosponsor
• DON YOUNG · R · Cosponsor
• Rep. Oxley, Michael G. [R-OH-4] · R · Cosponsor
• Marcy Kaptur · D · Cosponsor
• Rep. Herger, Wally [R-CA-2] · R · Cosponsor
• Rep. Walsh, James T. [R-NY-27] · R · Cosponsor
• Rep. Nelson, Bill [D-FL-11] · D · Cosponsor
• Rep. Petri, Thomas E. [R-WI-6] · R · Cosponsor
• Rep. Ireland, Andrew P. [R-FL-10] · R · Cosponsor
• Rep. Gordon, Bart [D-TN-6] · D · Cosponsor
• Rep. Jontz, Jim [D-IN-5] · D · Cosponsor
• Rep. Lloyd, Marilyn [D-TN-3] · D · Cosponsor
• Rep. Whitten, Jamie L. [D-MS-1] · D · Cosponsor
• Rep. Lancaster, H. Martin [D-NC-3] · D · Cosponsor
• Rep. Volkmer, Harold L. [D-MO-9] · D · Cosponsor
• Rep. Tanner, John S. [D-TN-8] · D · Cosponsor
• Rep. McEwen, Bob [R-OH-6] · R · Cosponsor
• Rep. Schuette, Bill [R-MI-10] · R · Cosponsor
• Rep. Valentine, Tim [D-NC-2] · D · Cosponsor
• Rep. Shumway, Norman D. [R-CA-14] · R · Cosponsor
• Rep. Clement, Bob [D-TN-5] · D · Cosponsor
• Rep. Miller, Clarence E. [R-OH-10] · R · Cosponsor
• Rep. Espy, Mike [D-MS-2] · D · Cosponsor
• Rep. Bevill, Tom [D-AL-4] · D · Cosponsor
• Rep. Campbell, Ben Nighthorse [D-CO-3] · D · Cosponsor
• Harold Rogers · R · Cosponsor
• · hswm00 · Standing

Related records

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