United States · Bill · HR
H.R. 1519 (100th)
A bill to limit medicare denials by peer review organizations of medically necessary inpatient hospital services.
Introduced
10 March 1987
Last action
—
Status
Referred to Subcommittee on Health and the Environment.
Sponsors
—
Subjects
Discovery layer
Source updated
3 June 2026
Summary
Prohibits the Secretary of Health and Human Services or a peer review organization from denying Medicare payments (under title XVIII of the Social Security Act) for inpatient hospital services on the basis that the services were not reasonable and medically necessary, if a physician has certified the services as reasonable and medically necessary and has not established a clear pattern of making faulty certifications.
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Timeline
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Votes
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Versions
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Documents
1 official file
Introduced in House
summary · EN · 10 March 1987
Sponsors
No sponsors or actors listed by the source.
Related records
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Sources
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- Official source: https://www.congress.gov/bill/100th-congress/house-bill/1519
- Open data entity: https://api.congress.gov/v3/bill/100/hr/1519