A bill 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 direct the Secretary of Health and Human Services to compute, and recompute biannually, for each diagnosis-related group a coefficient of variation which reflects the relative statistical distribution, from the mean, of the costs of discharges within that group among different hospitals located throughout the United States. Provides for a prospective payment rate utilizing a blend of national and individual hospital rates based on such coefficient of variation. Eliminates the distinction between rural and urban hospitals recognized under the prospective payment system.

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Timeline

1. 21 March 1985

   Introduced

   Referred to House Committee on Ways and Means.

   Source: IntroReferral

2. 21 March 1985

   Introduced

   Introduced in House

   Source: IntroReferral

3. 21 March 1985

   Introduced

   Introduced in House

   Source: IntroReferral

4. 26 March 1985

   Referred

   Referred to Subcommittee on Health.

   Source: Committee

Votes

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Versions

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Documents

1 official file

• Introduced in House

  summary · EN · 21 March 1985

  Open at official source

Sponsors

• Rep. Skelton, Ike [D-MO-4] · D · Sponsor
• Marcy Kaptur · D · Sponsor
• Rep. Bedell, Berkley W. [D-IA-6] · D · Sponsor
• Rep. Johnson, Nancy L. [R-CT-6] · R · Sponsor
• Rep. Bentley, Helen Delich [R-MD-2] · R · Cosponsor
• Rep. Jones, Walter B. [D-NC-1] · D · Cosponsor
• Rep. Schuette, Bill [R-MI-10] · R · Cosponsor
• Rep. Shumway, Norman D. [R-CA-14] · R · Cosponsor
• Rep. Martinez, Matthew G. [D-CA-30] · D · Cosponsor
• Rep. Kolter, Joseph P. [D-PA-4] · D · Cosponsor
• Rep. Volkmer, Harold L. [D-MO-9] · D · Cosponsor
• Rep. Emerson, Bill [R-MO-8] · R · Cosponsor
• DON YOUNG · R · Cosponsor
• Rep. Stangeland, Arlan [R-MN-7] · R · Cosponsor
• Rep. Kindness, Thomas N. [R-OH-8] · R · Cosponsor
• Rep. Henry, Paul B. [R-MI-5] · R · Cosponsor
• · hswm00 · Standing

Related records

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