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United States · Bill · HR

H.R. 2546 (106th)

Preserve Access to Care in the Home (PATCH) Act of 1999

referredUnited States· United States Congress· EN

Introduced

16 July 1999

Last action

30 July 1999 · Referred

Status

Referred to the Subcommittee on Health and Environment.

Sponsors

Rep. Riley, Bob [R-AL-3], Rep. Etheridge, Bob [D-NC-2], Rep. Frost, Martin [D-TX-24], Rep. Sandlin, Max [D-TX-1], Rep. Rush, Bobby L. [D-IL-1], Rep. Hall, Ralph M. [R-TX-4], Del. Christensen, Donna M. [D-VI-At Large], Rep. Cramer, Robert E. (Bud), Jr. [D-AL-5], Rep. Filner, Bob [D-CA-51]

Subjects

Healthcare, Taxation, Budget

Source updated

3 June 2026

Healthcare · Taxation · Budget

Official sourceDownload fileView documentsShare

Summary

Preserve Access to Care in the Home (PATCH) Act of 1999 - Amends title XVIII (Medicare) of the Social Security Act (SSA) and the Balanced Budget Act of 1997 (BBA '97) to eliminate the scheduled automatic 15 percent reduction in payment amounts to home health agencies furnishing home health services under the Medicare program. Amends SSA title XVIII to: (1) create outlier provisions for home health services; (2) revise the definition of homebound; and (3) restructure the review process for claims submitted by home health agencies. Amends BBA '97 for the stated purpose of restoring periodic interim payments for home health agencies. Expresses the sense of the Senate that the Secretary of Health and Human Services should: (1) ensure that the prospective payment system (PPS) for home health services provides for appropriate payment of services provided to beneficiaries at rates that include incentives to provide services efficiently to all beneficiaries and do not create unintentional incentives to discriminate against beneficiaries with complex medical conditions; (2) ensure that the establishment of the case mix adjustment for such services does not penalize agencies that serve such beneficiaries, provides some predictive value, and accounts for appropriate variables, such as age and health status; (3) establish a nationally uniform process to ensure that fiscal intermediaries have the training and ability to provide timely and accurate coverage and payment information to Medicare home health agencies; (4) assess home health agency regulatory costs associated with the PPS for home health services and consider the cost impact on the agency's ability to provide such services; and (5) provide periodic updates to Congress and home health agencies on the Secretary's progress in implementing such PPS.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 16 July 1999

    Introduced

    Referred to the Committee on Ways and Means, and in addition to the Committee on 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.

    Source: IntroReferral

  2. 16 July 1999

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 16 July 1999

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 16 July 1999

    Introduced

    Referred to the Committee on Ways and Means, and in addition to the Committee on 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.

    Source: IntroReferral

  5. 28 July 1999

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

  6. 30 July 1999

    Referred

    Referred to the Subcommittee on Health and Environment.

    Source: Committee

Votes

No vote records are attached yet.

Versions

Documents

3 official files

Introduced in House (text)

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  • Introduced in House (text)

    Introduced in House · EN · 16 July 1999

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  • Introduced in House (PDF)

    Introduced in House · EN · 16 July 1999

    ViewDownloadOpen at official source

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  • Introduced in House

    summary · EN · 16 July 1999

    Open at official source

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Sponsors

Related records

Sources

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