United States · Bill · HR
H.R. 4727 (105th)
To amend title XVIII of the Social Security Act to delay the 15% reduction and to make revisions in the per beneficiary and per visit payment limits on payment for health services under the Medicare Program, and for other purposes.
Introduced
7 October 1998
Last action
20 October 1998 · Referred
Status
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.
Sponsors
Rep. Stark, Fortney Pete [D-CA-13], Rep. Dingell, John D. [D-MI-12], Sen. Brown, Sherrod [D-OH], Rep. Matsui, Robert T. [D-CA-5], Rep. Coyne, William J. [D-PA-14], Rep. Levin, Sander M. [D-MI-12], Sen. Cardin, Benjamin L. [D-MD], Rep. McDermott, Jim [D-WA-7], Rep. McGovern, James P. [D-MA-2], Rep. Murtha, John P. [D-PA-12], Rep. Stupak, Bart [D-MI-1], Rep. Pallone, Frank [D-NJ-6]
Subjects
Healthcare, Budget
Source updated
3 June 2026
Summary
Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the computation formula for the interim system of limited payments for services provided by home health agencies, as amended by the Balanced Budget Act of 1997 (BBA '97). Creates a new formula for calculation of the agency-specific per beneficiary annual limitation for cost reporting periods beginning on or after October 1, 1998. Revises the rules for new providers for such cost reporting periods. Increases reasonable per visit costs for reporting periods beginning on or after October 1, 1998, from 105 percent to 110 percent of the median of the labor-related and nonlabor per visit costs for free standing home health agencies. Amends BBA '97 to postpone from October 1, 1999, to October 1, 2000, implementation of the mandatory 15 percent reduction in cost and per beneficiary limits under such interim system. Amends part C (Medicare+Choice) of SSA title XVIII to: (1) change the number of individuals eligible to enroll for coverage in a demonstration Medical Savings Account plan from 390,000 to 100,000 (for any date before January 1, 2004) or 500,000 (for any date thereafter); and (2) provide for a three-year extension of such type of coverage.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
7 October 1998
Introduced
Referred to House Ways and Means
Source: IntroReferral
7 October 1998
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
7 October 1998
Introduced
Introduced in House
Source: IntroReferral
7 October 1998
Introduced
Introduced in House
Source: IntroReferral
8 October 1998
Introduced
Sponsor introductory remarks on measure. (CR E1962)
Source: IntroReferral
20 October 1998
Referred
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 7 October 1998 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 7 October 1998
Introduced in House (PDF)
Introduced in House · EN · 7 October 1998
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Introduced in House
summary · EN · 7 October 1998
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Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Rep. Stark, Fortney Pete [D-CA-13] · D · Sponsor
- Rep. Dingell, John D. [D-MI-12] · D · Sponsor
- Sen. Brown, Sherrod [D-OH] · D · Sponsor
- Rep. Matsui, Robert T. [D-CA-5] · D · Sponsor
- Rep. Coyne, William J. [D-PA-14] · D · Sponsor
- Rep. Levin, Sander M. [D-MI-12] · D · Sponsor
- Sen. Cardin, Benjamin L. [D-MD] · D · Sponsor
- Rep. McDermott, Jim [D-WA-7] · D · Sponsor
- Rep. McGovern, James P. [D-MA-2] · D · Sponsor
- Rep. Murtha, John P. [D-PA-12] · D · Cosponsor
- Rep. Stupak, Bart [D-MI-1] · D · Cosponsor
- Rep. Pallone, Frank [D-NJ-6] · D · Cosponsor
- · hsif00 · Standing
- · hswm00 · Standing
Related records
No cross-record relationships stored yet.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/105th-congress/house-bill/4727
- Open data entity: https://api.congress.gov/v3/bill/105/hr/4727
- us · 105-hr-4727 · source updated 3 June 2026