To amend title XVIII of the Social Security Act and section 4626 of the Balanced Budget Act of 1997 to prohibit the Secretary of Health and Human Services from providing any incentive payments to hospitals to reduce the number of residents in graduate medical education programs, and for other purposes.

Summary

Amends title XVIII (Medicare) of the Social Security Act (SSA), as amended by the Balanced Budget Act of 1997, to repeal the authority and mandate for incentive payments under plans for voluntary reduction in the number of residents in a graduate medical education residency training program. Amends the Balanced Budget Act of 1997 to prohibit the Secretary of Health and Human Services from approving or providing any payments for any demonstration project that provides for additional Medicare payments in connection with such a reduction for any residency training year beginning on or after July 1, 1998 (currently before July 1, 2006). Provides that the April 1995 Health Care Financing Administration interpretation of Medicare secondary payer requirements for group health plans with regard to individuals with end stage renal disease (ESRD) shall not apply retroactively to a group health plan that paid benefits primary to SSA title XVIII (but would have paid benefits secondary to such title in the absence of such requirements) on or after August 10, 1993, and before April 24, 1995, on behalf of certain individuals who became entitled or eligible for the ESRD program. Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act to extend COBRA continuation coverage for qualified ESRD Medicare beneficiaries for 36 months. Amends SSA title XVIII to provide for an extension of the Medicare ESRD secondary payer period from 30 to 36 months.

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Timeline

1. 1 October 1997

   Introduced

   Referred to House Ways and Means

   Source: IntroReferral

2. 1 October 1997

   Introduced

   Referred to the Committee on Ways and Means, and in addition to the Committees on Commerce, and Education and the Workforce, 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

3. 1 October 1997

   Introduced

   Introduced in House

   Source: IntroReferral

4. 1 October 1997

   Introduced

   Introduced in House

   Source: IntroReferral

5. 6 October 1997

   Referred

   Referred to the Subcommittee on Health.

   Source: Committee

6. 15 October 1997

   Referred

   Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

   Source: Committee

7. 23 October 1997

   Referred

   Referred to the Subcommittee on Employer-Employee Relations.

   Source: Committee

Votes

No vote records are attached yet.

Versions

• Introduced in House · 1 October 1997 · Download file

Documents

3 official files

• Introduced in House (text)

  Introduced in House · EN · 1 October 1997

  ViewDownloadOpen at official source

• Introduced in House (PDF)

  Introduced in House · EN · 1 October 1997

  ViewDownloadOpen at official source

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Sponsors

• Rep. Nussle, Jim [R-IA-2] · R · Sponsor
• Rep. Poshard, Glenn [D-IL-22] · D · Sponsor
• Sen. Moran, Jerry [R-KS] · R · Sponsor
• Rep. Minge, David [D-MN-2] · D · Sponsor
• Rep. DeFazio, Peter A. [D-OR-4] · D · Sponsor
• Rep. Bereuter, Doug [R-NE-1] · R · Sponsor
• Rep. Peterson, John E. [R-PA-5] · R · Sponsor
• Rep. Hilliard, Earl F. [D-AL-7] · D · Sponsor
• Rep. Pomeroy, Earl [D-ND-At Large] · D · Sponsor
• Rep. Hayworth, J. D. [R-AZ-5] · R · Sponsor
• Rep. Camp, Dave [R-MI-4] · R · Sponsor
• Rep. Costello, Jerry F. [D-IL-12] · D · Sponsor
• Rep. Cooksey, John [R-LA-5] · R · Sponsor
• Rep. Upton, Fred [R-MI-6] · R · Sponsor
• Rep. Deal, Nathan [R-GA-9] · R · Sponsor
• Rep. Myrick, Sue Wilkins [R-NC-9] · R · Sponsor
• Rep. Boswell, Leonard L. [D-IA-3] · D · Sponsor
• Rep. Latham, Tom [R-IA-3] · R · Sponsor
• Rep. Kind, Ron [D-WI-3] · D · Sponsor
• Del. Christensen, Donna M. [D-VI-At Large] · D · Sponsor
• Rep. Johnson, Sam [R-TX-3] · R · Cosponsor
• Rep. Hill, Rick [R-MT-At Large] · R · Cosponsor
• Rep. McIntyre, Mike [D-NC-7] · D · Cosponsor
• · hsed00 · Standing
• · hsif00 · Standing
• · hswm00 · Standing

Related records

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