Medicare Prescription Drug, Improvement, and Modernization Act of 2003

Summary

Medicare Prescription Drug and Modernization Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Voluntary Prescription Drug Benefit Program) under which each individual who is entitled to benefits under Medicare part A (Hospital Insurance) or enrolled under Medicare part B (Supplemental Medical Insurance) is entitled to obtain qualified prescription drug coverage. Authorizes the individual to elect to enroll: (1) in a Medicare Advantage (MA) plan (replacing the current Medicare+Choice plans under Medicare part C (Medicare+Choice)); (2) in an enhanced fee-for-service (EFFS) plan; or (3) in a prescription drug plan (PDP) if the individual is not enrolled in an MA-EFFS plan (a Medicare Advantage plan and an EFFS plan). Establishes a Medicare Prescription Drug Trust Fund. Outlines standard coverage benefit packages for FY 2006. Includes for the standard package an annual deductible of $250, and requires insurers to cover 80 percent of enrollees drug costs up to the initial coverage limit of $2,000. Requires enrollees to cover all costs between $2,001 and $3,500, and Medicare to cover the entire cost once the beneficiary has reached the $3,500 catastrophic out-of-pocket threshold. Prescribes a formula for adjustment of: (1) such deductible and annual limits for inflation; and (2) such catastrophic limit for each enrollee in a PDP or in an MA-EFFS Rx plan (an MA-EFFS plan which provides qualified prescription drug coverage) whose adjusted gross income exceeds $60,000. Establishes a competitive bidding process for negotiating the terms and conditions of PDP sponsors. Provides for full premium subsidy and reduction of cost-sharing for individuals with incomes below 135 percent of the Federal poverty level. Contains subsidy payments for qualifying entities to promote the participation of PDP and MA-EFFS Rx plan sponsors. Sets out: (1) a new Medicare prescription drug discount card and assistance program under the Medicare program; and (2) requirements for combating waste, fraud, and abuse under Medicare. Makes a number of other changes with regard to Medicare: (1) part A concerning rural health care, inpatient hospital services, skilled nursing facility services, and hospices; (2) part B concerning physicians services and other services; and (3) part A and B concerning home health services, direct graduate medical education, and voluntary chronic care improvement. Establishes the Medicare Benefits Administration in the Department of Health and Human Services. Amends SSA title XVIII part F (Miscellaneous) (currently part D) to include a number of regulatory, contracting, and administrative changes, such as the: (1) coordination of educational funding; (2) transfer of responsibility for Medicare appeals; (3) provision of expedited access to judicial review of Medicare appeals; (4) recovery of overpayments; and (5) revision of reassignment provisions. Amends the Federal Food, Drug, and Cosmetic Act (FFDCA) with regard to: (1) the 30-month of Food and Drug Administration approval for any new drug in certain circumstances; and (2) forfeiture of the 180-day marketing exclusivity period by the first new drug applicant to a subsequent applicant. Provides for manufacture, marketing, or sale agreements between a generic drug applicant and a brand name drug applicant, subject to Federal Trade Commission review. Amends the FFDCA to direct the Secretary of Health and Human Services to promulgate regulations permitting pharmacists, wholesalers, and individuals to import prescription drugs from Canada into the United States, subject to specified conditions.

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

Timeline

1. 25 June 2003

   Introduced

   Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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

2. 25 June 2003

   Introduced

   Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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. 25 June 2003

   Referred

   Referred to the Subcommittee on Health.

   Source: Committee

4. 25 June 2003

   Introduced

   Introduced in House

   Source: IntroReferral

5. 25 June 2003

   Introduced

   Introduced in House

   Source: IntroReferral

6. 26 June 2003

   Floor

   Rule provides for consideration of H.R. 1 and H.R. 2596 with 3 hours of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. A specified amendment is in order. Amendment in the nature of a substitute by, and if offered by, Mr. Rangel is debatable for one hour. H.R. 2596 shall be considered in the House and after final adoption, shall be appended to the text of H.R. 1. H.R. 2596 will then be laid on the table. Concurrent resolutions providing for adjournment of the House and Senate in July shall be in order for consideration. Finally, the Committee on Appropriations shall have until midnight on Thursday, July 3, 2003 to file a report making appropriations for

   Source: Floor

7. 26 June 2003

   Floor

   Considered under the provisions of rule H. Res. 299. (consideration: CR H6007-6105, H6107-6256; text of measure as introduced: CR H6007-6077)

   Source: Floor

8. 26 June 2003

   Reported

   Rules Committee Resolution H. Res. 299 Reported to House. Rule provides for consideration of H.R. 1 and H.R. 2596 with 3 hours of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. A specified amendment is in order. Amendment in the nature of a substitute by, and if offered by, Mr. Rangel is debatable for one hour. H.R. 2596 shall be considered in the House and after final adoption, shall be appended to the text of H.R. 1. H.R. 2596 will then be laid on the table. Concurrent resolutions providing for adjournment of the House and Senate in July shall be in order for consideration. Finally, the Committee on Appropriations shall have until midnight on Thursday, July 3, 2003 to file a report making appropriations for

   Source: Floor

9. 27 June 2003

   Passed

   Motion to reconsider laid on the table Agreed to without objection.

   Source: Floor

10. 27 June 2003

    Vote

    On passage Passed by recorded vote: 216 - 215, 1 Present (Roll no. 332).

    Source: Floor

11. 27 June 2003

    Vote

    Passed/agreed to in House: On passage Passed by recorded vote: 216 - 215, 1 Present (Roll no. 332).

    Source: Floor

12. 27 June 2003

    Vote

    On motion to recommit with instructions Failed by recorded vote: 208 - 223 (Roll no. 331). (text: CR 6/26/2003 H6181-6254)

    Source: Floor

13. 27 June 2003

    Floor

    The previous question on the motion to recommit with instructions was ordered without objection.

    Source: Floor

14. 27 June 2003

    Floor

    Mr. Thompson (CA) moved to recommit with instructions to Ways and Means. (consideration: CR 6/26/2003 H6181-6255)

    Source: Floor

15. 27 June 2003

    Floor

    DEBATE - The House continued with the balance of the debate on H.R. 1.

    Source: Floor

16. 7 July 2003

    ResolvingDifferences

    Senate insists on its amendments, asks for a conference, appoints conferees Grassley; Hatch; Nickles; Frist; Kyl; Baucus; Rockefeller; Daschle; Breaux.

    Source: ResolvingDifferences

17. 7 July 2003

    Passed

    Passed/agreed to in Senate: Passed Senate in lieu of S.1 with an amendment and an amendment to the Title by Unanimous Consent.(text: CR S8898-8997)

    Source: Floor

18. 7 July 2003

    Floor

    Measure laid before Senate by unanimous consent. (consideration: CR S8898-8997)

    Source: Floor

19. 7 July 2003

    Introduced

    Received in the Senate.

    Source: IntroReferral

20. 8 July 2003

    Floor

    Message on Senate action sent to the House.

    Source: Floor

21. 14 July 2003

    ResolvingDifferences

    The Speaker appointed conferees for consideration of the House bill and the Senate amendments, and modifications committed to conference: Tauzin, Thomas, Bilirakis, Johnson (CT), DeLay, Dingell, Rangel, and Berry.

    Source: ResolvingDifferences

22. 14 July 2003

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

23. 14 July 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Davis (TN) motion to instruct conferees.

    Source: Floor

24. 14 July 2003

    ResolvingDifferences

    The previous question was ordered without objection.

    Source: ResolvingDifferences

25. 14 July 2003

    ResolvingDifferences

    The motion instructs conferees to (1) reject the provisions of subtitle C of title II of the House bill and; (2) that the House recede to the Senate on the provisions to guarantee access to prescription drug coverage under section1860D-13(e) of the Social Security Act, as added by section 101(a) of the Senate amendment.

    Source: ResolvingDifferences

26. 14 July 2003

    Passed

    On motion that the House disagree to the Senate amendments, and agree to a conference Agreed to without objection. (consideration: CR H6658-6666, H6680-6681)

    Source: ResolvingDifferences

27. 14 July 2003

    ResolvingDifferences

    Mr. Davis (TN) moved that the House instruct conferees.

    Source: ResolvingDifferences

28. 14 July 2003

    ResolvingDifferences

    Mr. Tauzin asked unanimous consent that the House disagree to the Senate amendments, and agree to a conference.

    Source: ResolvingDifferences

29. 9 September 2003

    Floor

    NOTICE OF MOTION TO INSTRUCT CONFEREES - Mr. Michaud of Maine notified the House of his intention to offer a motion to instruct conferees on H.R. 1.

    Source: Floor

30. 10 September 2003

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

31. 10 September 2003

    Vote

    On motion that the House instruct conferees Failed by the Yeas and Nays: 189 - 220 (Roll no. 502). (consideration: CR 9/11/2003 H8182-8189, H8190-8191; text: CR 9/11/2003 H8182)

    Source: ResolvingDifferences

32. 10 September 2003

    Floor

    The House proceeded with one hour of debate on the Michaud motion to instruct conferees which was noticed in the Congressional Record on Tuesday, September 9, 2003.

    Source: Floor

33. 10 September 2003

    ResolvingDifferences

    Mr. Michaud moved that the House instruct conferees.

    Source: ResolvingDifferences

34. 16 September 2003

    Floor

    NOTICE MOTION TO INSTRUCT CONFEREES - Mr. Stenholm notified the House of his intention to offer a motion to instruct conferees on H.R. 1.

    Source: Floor

35. 17 September 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Stenholm motion to instruct conferees which was noticed in the Congressional Record on Tuesday, September 16, 2003.

    Source: Floor

36. 17 September 2003

    ResolvingDifferences

    Mr. Stenholm moved that the House instruct conferees. (consideration: CR H8361-8366; text: CR H8361)

    Source: ResolvingDifferences

37. 23 September 2003

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

38. 23 September 2003

    Floor

    NOTICE OF INTENT TO OFFER MOTION TO INSTRUCT - Mr. Kind notified the House of his intent to offer a motion to instruct conferees on H.R. 1.

    Source: Floor

39. 23 September 2003

    Vote

    On motion that the House instruct conferees Failed by the Yeas and Nays: 202 - 213 (Roll no. 510). (consideration: CR H8465-8466)

    Source: ResolvingDifferences

40. 24 September 2003

    Floor

    NOTICE OF INTENT TO OFFER MOTION TO INSTRUCT - Mr. Sandlin notified the House of his intent to offer a motion to instruct conferees on H.R. 1.

    Source: Floor

41. 24 September 2003

    ResolvingDifferences

    Mr. Kind moved that the House instruct conferees. (consideration: CR H8880-8887; text: CR H8880)

    Source: ResolvingDifferences

42. 25 September 2003

    Floor

    The previous question was ordered without objection.

    Source: Floor

43. 25 September 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Sandlin motion to instruct conferees.

    Source: Floor

44. 25 September 2003

    ResolvingDifferences

    Mr. Sandlin moved that the House instruct conferees. (consideration: CR H8925-8930; text: CR H8925)

    Source: ResolvingDifferences

45. 25 September 2003

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

46. 25 September 2003

    Vote

    On motion that the House instruct conferees Failed by the Yeas and Nays: 199 - 220 (Roll no. 522).

    Source: ResolvingDifferences

47. 30 September 2003

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

48. 30 September 2003

    Vote

    On motion that the House instruct conferees Failed by the Yeas and Nays: 202 - 205 (Roll no. 524). (consideration: CR H8989-8990)

    Source: ResolvingDifferences

49. 1 October 2003

    Vote

    On motion that the House instruct conferees Failed by the Yeas and Nays: 208 - 215 (Roll no. 528). (consideration: CR H9072)

    Source: ResolvingDifferences

50. 1 October 2003

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

51. 1 October 2003

    ResolvingDifferences

    The previous question was ordered without objection.

    Source: ResolvingDifferences

52. 1 October 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Case motion to instruct conferees on H.R. 1.

    Source: Floor

53. 1 October 2003

    ResolvingDifferences

    Mr. Case moved that the House instruct conferees. (consideration: CR H9062-9067; text: CR H9062)

    Source: ResolvingDifferences

54. 2 October 2003

    ResolvingDifferences

    The previous question was ordered without objection.

    Source: ResolvingDifferences

55. 2 October 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Bishop (NY) motion to instruct conferees on H.R. 1.

    Source: Floor

56. 2 October 2003

    ResolvingDifferences

    Mr. Bishop (NY) moved that the House instruct conferees. (consideration: CR H9171-9187; text: CR H9171)

    Source: ResolvingDifferences

57. 7 October 2003

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

58. 7 October 2003

    Vote

    On motion that the House instruct conferees Failed by the Yeas and Nays: 181 - 214 (Roll no. 533). (consideration: CR H9249)

    Source: ResolvingDifferences

59. 8 October 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Schakowsky motion to instruct conferees which was noticed in the Congressional Record on Tuesday, October 7, 2003.

    Source: Floor

60. 8 October 2003

    ResolvingDifferences

    The previous question was ordered without objection.

    Source: ResolvingDifferences

61. 8 October 2003

    ResolvingDifferences

    Ms. Schakowsky moved that the House instruct conferees. (consideration: CR H9349-9354; text: CR H9349)

    Source: ResolvingDifferences

62. 15 October 2003

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

63. 15 October 2003

    Vote

    On motion that the House instruct conferees Failed by the Yeas and Nays: 190 - 218 (Roll no. 542). (consideration: CR H9441-9442)

    Source: ResolvingDifferences

64. 21 October 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Brown (OH) motion to instruct conferees on H.R. 1.

    Source: Floor

65. 21 October 2003

    ResolvingDifferences

    Mr. Brown (OH) moved that the House instruct conferees. (consideration: CR H9780-9784)

    Source: ResolvingDifferences

66. 28 October 2003

    Vote

    On motion to instruct conferees Failed by the Yeas and Nays: 194 - 209 (Roll no. 573). (consideration: CR H9967)

    Source: ResolvingDifferences

67. 29 October 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Davis (FL) motion to instruct conferees.

    Source: Floor

68. 29 October 2003

    ResolvingDifferences

    The previous question was ordered without objection.

    Source: ResolvingDifferences

69. 29 October 2003

    ResolvingDifferences

    Mr. Davis (FL) moved that the House instruct conferees. (consideration: CR H10106-10112; text: CR H10106)

    Source: ResolvingDifferences

70. 30 October 2003

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

71. 30 October 2003

    Vote

    On motion that the House instruct conferees Failed by the Yeas and Nays: 195 - 217 (Roll no. 599). (consideration: CR 10/31/2003 H10210-10211)

    Source: ResolvingDifferences

72. 5 November 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Capps motion to instruct conferees on H.R. 1.

    Source: Floor

73. 5 November 2003

    ResolvingDifferences

    The previous question was ordered without objection.

    Source: ResolvingDifferences

74. 5 November 2003

    ResolvingDifferences

    Mrs. Capps moved that the House instruct conferees. (consideration: CR H10438-10443; text: CR H10438)

    Source: ResolvingDifferences

75. 6 November 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Cardoza motion to instruct conferees.

    Source: Floor

76. 6 November 2003

    ResolvingDifferences

    Mr. Cardoza moved that the House instruct conferees. (consideration: CR H10528-10534; text: CR H10528)

    Source: ResolvingDifferences

77. 6 November 2003

    Vote

    On motion that the House instruct conferees Failed by the Yeas and Nays: 197 - 209 (Roll no. 615). (consideration: CR H10512)

    Source: ResolvingDifferences

78. 7 November 2003

    Vote

    On motion that the House instruct conferees Failed by the Yeas and Nays: 184 - 207 (Roll no. 619). (consideration: CR H11009-11010)

    Source: ResolvingDifferences

79. 7 November 2003

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

80. 18 November 2003

    Floor

    DEBATE - The House proceeded with one hour of debate on the Berkley motion to instruct conferees on H.R. 1.

    Source: Floor

Showing 80 of 119 timeline events.

Votes

Versions

• Enrolled Bill · — · Download file
• Public Law · 8 December 2003 · Download file
• Received in Senate · 7 July 2003 · Download file
• Engrossed Amendment Senate · 7 July 2003 · Download file
• Engrossed in House · 27 June 2003 · Download file
• Introduced in House · 25 June 2003 · Download file

Documents

15 official files

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  Enrolled Bill · EN

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• Public Law

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Sponsors

• Rep. Hastert, J. Dennis [R-IL-14] · R · Sponsor
• Rep. DeLay, Tom [R-TX-22] · R · Sponsor
• Sen. Blunt, Roy [R-MO] · R · Sponsor
• Rep. Pryce, Deborah [R-OH-15] · R · Sponsor
• Rep. Thomas, William M. [R-CA-21] · R · Sponsor
• Rep. Tauzin, W. J. (Billy) [R-LA-3] · R · Sponsor
• Rep. Johnson, Nancy L. [R-CT-5] · R · Sponsor
• Rep. Bilirakis, Michael [R-FL-9] · R · Sponsor
• Rep. Peterson, Collin C. [D-MN-7] · D · Sponsor
• Sen. Capito, Shelley Moore [R-WV] · R · Sponsor
• Rep. Brown-Waite, Ginny [R-FL-5] · R · Sponsor
• Rep. Bradley, Jeb [R-NH-1] · R · Sponsor
• Rep. Burns, Max [R-GA-12] · R · Sponsor
• Rep. Dunn, Jennifer [R-WA-8] · R · Sponsor
• Rep. Fletcher, Ernie [R-KY-6] · R · Sponsor
• Rep. Goss, Porter J. [R-FL-14] · R · Sponsor
• Rep. Graves, Sam [R-MO-6] · R · Sponsor
• Rep. McCrery, Jim [R-LA-4] · R · Sponsor
• Rep. Nunes, Devin [R-CA-22] · R · Sponsor
• Rep. Simmons, Rob [R-CT-2] · R · Sponsor
• Rep. Sullivan, John [R-OK-1] · R · Sponsor
• · hswm00 · Standing
• · hsif00 · Standing

Related records

• related to → Providing for consideration of the bill (H.R. 1) to amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program, and for other purposes and providing for consideration of the bill (H.R. 2596) to amend the Internal Revenue Code of 1986 to allow a deduction to individuals for amounts contributed to health savings security accounts and health savings accounts, to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements, and for other purposes.
• related to → Waiving points of order against the conference report to accompany the bill (H.R. 1) to amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program, to amend the Internal Revenue Code of 1986 to allow a deduction to individuals for amounts contributed to health savings security accounts and health savings accounts, to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements, and for other purposes.
• related to ← EMTALA Regulatory Improvement Act of 2003
• related to ← Safety Net Hospital Pharmacy Access Act of 2003
• related to ← Health Savings and Affordability Act of 2003
• related to ← Medicare Prescription Drug and Modernization Act of 2003
• related to ← Prescription Drug and Medicare Improvement Act of 2003
• related to ← Safety Net Hospital Pharmacy Access Act of 2003
• amends ← Pursuant to the provisions of H. Res. 299, the text of H.R. 2596 is appended to the text of H.R. 1.
• amends ← SAMDT 1134

Showing 10 of 11 related records.

Related across the Repo ecosystem

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