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United States · Bill · HR

H.R. 326 (101st)

To limit medicare denials by peer review organizations of medically necessary inpatient hospital services.

referredUnited States· United States Congress· EN

Introduced

3 January 1989

Last action

Status

Referred to the 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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Documents

2 official files

Introduced in House (text)

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Sources

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