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United States · Bill · HR

H.R. 4214 (102nd)

To amend title XVIII of the Social Security Act to limit to $50,000,000 the aggregate amount of budget-neutrality adjustments in payments to urban hospitals for the operating costs of inpatient hospital services under the medicare program during fiscal year 1993 that are required as a result of decisions of the Medicare Geographic Classification Review Board, and for other purposes.

referredUnited States· United States Congress· EN

Introduced

11 February 1992

Last action

28 February 1992 · Referred

Status

Referred to the Subcommittee on Health and the Environment.

Sponsors

Rep. Kostmayer, Peter H. [D-PA-8], Rep. Foglietta, Thomas M. [D-PA-1], Rep. Borski, Robert A. [D-PA-3], Rep. Blackwell, Lucien E. [D-PA-2], Sen. Johnson, Tim [D-SD], Rep. Frank, Barney [D-MA-4], Del. Norton, Eleanor Holmes [D-DC-At Large], Rep. Studds, Gerry E. [D-MA-10], Rep. Atkins, Chester G. [D-MA-5], Rep. Towns, Edolphus [D-NY-10], Sen. Schumer, Charles E. [D-NY], Rep. LaFalce, John J. [D-NY-29], Rep. Scheuer, James H. [D-NY-8], Rep. Smith, Lawrence [D-FL-16], Rep. Wheat, Alan [D-MO-5], Rep. Murphy, Austin J. [D-PA-20], Rep. Nowak, Henry [D-NY-33], Rep. Synar, Mike [D-OK-2], Rep. Solarz, Stephen J. [D-NY-13], Rep. Slaughter, Louise McIntosh [D-NY-25], Rep. Collins, Cardiss [D-IL-7], Rep. Owens, Major R. [D-NY-11], Rep. Lagomarsino, Robert J. [R-CA-19], Rep. Lowey, Nita M. [D-NY-17], Rep. Geren, Pete [D-TX-12], Rep. Williams, Pat [D-MT-At Large]

Subjects

Healthcare, Defence, Taxation, Budget

Source updated

3 June 2026

Healthcare · Defence · Taxation · Budget

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Summary

Amends title XVIII (Medicare) of the Social Security Act to limit aggregate payment reductions to urban hospitals in FY 1993 that are attributable to geographical reclassifications in an effort to maintain budget neutrality. Requires the Secretary of Health and Human Services, in a report to the Congress, to make recommendations for: (1) modifications to the methodology used to determine the initial geographic areas in which hospitals are located for purposes of adjusting payments to hospitals under part A (Hospital Insurance) of Medicare for differences in area wage levels; (2) appropriate bases for determining the geographic classification of hospitals under Medicare that recognize the unique labor market conditions affecting hospitals; and (3) modifications to the payment adjustments required under Medicare to offset increases in aggregate payments resulting from changes in geographic classification. Requires the Prospective Payment Commission to submit comments to the Congress on such report. Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide that, to the extent that budget neutrality is not achieved under such limitation above, payment of any increase in aggregate hospital payments attributable to such reclassifications will be made through reductions in discretionary defense spending. Amends title XIX (Medicaid) of the Social Security Act to provide that disproportionate share payment adjustments to hospitals that are geographically reclassified shall be computed as if such hospitals had not been so reclassified.

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

Timeline

  1. 11 February 1992

    Introduced

    Referred to the House Committee on Government Operations.

    Source: IntroReferral

  2. 11 February 1992

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 11 February 1992

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 14 February 1992

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

  5. 28 February 1992

    Referred

    Referred to the Subcommittee on Health and the Environment.

    Source: Committee

Votes

No vote records are attached yet.

Versions

Documents

2 official files

Introduced in House (text)

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  • Introduced in House (text)

    Introduced in House · EN

    ViewDownloadOpen at official source

  • Introduced in House

    summary · EN · 11 February 1992

    Open at official source

    Leesvertaling

    Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

    Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

Sponsors

Related records

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Sources

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