Medicare Prospective Payment Rates Act

Summary

Medicare Prospective Payment Rates Act - Amends title XVIII (Medicare) of the Social Security Act to provide that payments for inpatient hospital services shall be made on a prospective basis, except for psychiatric, long term, or children's hospitals. Bases payments to hospitals not paid on the prospective basis on target amounts. Sets forth a method for determining prospective Medicare payments which shall be based upon the national standard rate per discharge for the diagnosis related group to which that discharge belongs. Permits a Health Maintenance Organization (HMO) or a Competitive Medical Plan (CMP) receiving payments on a risk basis to choose to be reimbursed either on a reasonable cost basis or on a prospective basis for inpatient hospital services furnished to HMO or CMP enrollees. Provides that any reimbursement will be deducted from Medicare payments to an HMO or CMP. States that this Act shall not affect the authority of the Secretary of Health and Human Services to develop, carry out, or continue experiments and demonstration projects. Sets forth conforming amendments and effective dates.

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

Timeline

1. 23 February 1983

   Introduced

   Read twice and referred to the Committee on Finance.

   Source: IntroReferral

2. 23 February 1983

   Introduced

   Introduced in Senate

   Source: IntroReferral

3. 5 March 1983

   Committee

   Committee on Finance requested executive comment from OMB, Treasury Department, Health and Human Services Department.

   Source: Committee

4. 10 March 1983

   Reported

   Committee on Finance. Provisions of measure incorporated into measure S. 1 ordered to be reported.

   Source: Committee

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

1 official file

• Introduced in Senate

  summary · EN · 23 February 1983

  Open at official source

Sponsors

• Sen. Dole, Robert J. [R-KS] · R · Sponsor
• · ssfi00 · Standing

Related records

• related to → Social Security Amendments of 1983
• related to → Medicare Prospective Payment Rates Act