Medicare Catastrophic Coverage Act of 1988

enactedUnited States· United States Congress· EN

Introduced

19 May 1987

Last action

1 July 1988 · President

Status

Became Public Law No: 100-360.

Summary

Medicare Catastrophic Protection Act of 1987 - Title I: Provisions Relating to Part A of Medicare Program - Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to require that an inpatient hospital deductible be paid only for the first period of continuous hospitalization in a calendar year. (Currently, such deductible must be paid for each "spell of illness" requiring inpatient hospital services.) Removes durational limitations on the coverage of inpatient hospital services, except with respect to inpatient psychiatric hospital services. Eliminates the coinsurance requirement for inpatient hospital services. Sets the inpatient hospital deductible for 1987 at $520, requiring cost-of-living adjustments to such deductible for succeeding years. Establishes the monthly part A premium, required of individuals who wish to buy into the Hospital Insurance program, at the monthly actuarial value of part A services provided to beneficiaries age 65 and over. Imposes a coinsurance rate, equal to 20 percent of the average per diem cost of post-hospital extended care services, for the first seven days of an individual's receipt of such services in a calendar year. Provides coverage for post-hospital extended care services for 150 days in each calendar year. (Currently, such coverage is limited to 100 days for each "spell of illness.") Drops restrictions on the coverage of extended care services which are not post-hospital extended care services. Creates an extension period of hospice care for terminally ill beneficiaries which is to follow the two 90-day periods and the subsequent 30-day period of hospice care coverage currently provided in an individual's lifetime. Reduces the deductible imposed under part A on the first three pints of blood furnished to an individual during a calendar year to the extent such blood is replaced or a blood deductible has been imposed on the individual under part B (Supplementary Medical Insurance) of the Medicare program within such year. Provides part A coverage for home health services only when an individual is not entitled to part B benefits. Amends the Internal Revenue Code to impose an annual supplemental Medicare premium on part A Medicare beneficiaries pursuant to a table which bases the amount of such premium due on the size of a beneficiary's gross income. Requires the Secretary of Health and Human Services to make returns setting forth certain information regarding part A Medicare beneficiaries. Title II: Provisions Relating to Part B of the Medicare Program - Amends part B (Supplementary Medical Insurance) of the Medicare program to cover all of the out-of-pocket part B expenses a beneficiary incurs in excess of $1,043 in 1989, adjusting such ceiling annually thereafter to reflect cost-of-living increases. Provides for the adjustment of Medicare payments to organizations providing health care on a prepaid basis so as to reimburse them for such excess out-of-pocket costs incurred on behalf of enrollees. Covers nursing care and home health aide services as home health services if such services are needed less than seven days each week or are needed for an initial period of up to 35 consecutive days and for a subsequent period on a physician's certification of exceptional circumstances. Increases the maximum Medicare payment allowed for outpatient mental health services. Directs the Secretary to: (1) mail a notice annually to Medicare beneficiaries of the extent to which Medicare coverage is provided for health care services and Medicare and Medicaid (title XIX of the Act) coverage is provided for long-term care services; and (2) send participating physician directories to part B enrollees. Amends title XVI (Supplemental Security Income) of the Act to provide Medicaid coverage to part A Medicare beneficiaries whose income does not exceed the Federal poverty level applicable to a family of one or two individuals which includes an individual age 65 or older. Amends the Medicare program to make permanent the provisions authorizing a State to arrange for Medicare coverage of individuals covered by certain other titles of the Act. Provides for the adjustment of Medicare part B premiums to take into account the costs of additional benefits provided by this Act's catastrophic coverage. Directs the Secretary to report to the Congress within 150 days of this Act's enactment on recommended changes in the certification requirements for Medicare supplemental policies. Requires a Medicare supplemental policy to: (1) mail notice to beneficiaries before 1989 of improved Medicare benefits contained in legislation of the 100th Congress and the effect such legislation will have on such policy; and (2) submit a copy of each of its advertisements to the State Commissioner of Insurance for his or her review. Extends, through September 30, 1992, certain projects demonstrating the concept of a social health maintenance organization. Directs the Comptroller General to report to the Congress within six months of this Act's enactment on the need for, and cost of, including within the Medicare program: (1) annual preventive care visits; (2) routine eye care; (3) dental services; (4) hearing aids for those with a significant hearing loss and biannual hearing testing; (5) comprehensive long-term care services; and (6) prescription drugs and biologicals. Requires the Secretary to provide for research on issues relating to the delivery and financing of Medicare long-term care services. Authorizes appropriations for FY 1988 through 1992 for such research.

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Timeline

19 May 1987
Reported
Ordered to be Reported.
Source: Committee
19 May 1987
Committee
For Previous Action See H.R.1280.
Source: Committee
19 May 1987
Introduced
Referred to House Committee on Energy and Commerce.
Source: IntroReferral
19 May 1987
Introduced
Introduced in House
Source: IntroReferral
19 May 1987
Introduced
Introduced in House
Source: IntroReferral
22 May 1987
Reported
Reported to House by House Committee on Ways and Means. Report No: 100-105 (Part I).
Source: Committee
22 May 1987
Reported
Reported to House by House Committee on Ways and Means. Report No: 100-105 (Part I).
Source: Committee
27 May 1987
Committee
Subcommittee Hearings Held.
Source: Committee
27 May 1987
Referred
Referred to Subcommittee on Health and the Environment.
Source: Committee
28 May 1987
Committee
Subcommittee Hearings Held.
Source: Committee
2 June 1987
Committee
Subcommittee Hearings Held.
Source: Committee
9 June 1987
Committee
Forwarded by Subcommittee to Full Committee (Amended).
Source: Committee
9 June 1987
Committee
Subcommittee Consideration and Mark-up Session Held.
Source: Committee
16 June 1987
Committee
Committee Consideration and Mark-up Session Held.
Source: Committee
17 June 1987
Reported
Ordered to be Reported (Amended).
Source: Committee
17 June 1987
Committee
Committee Consideration and Mark-up Session Held.
Source: Committee
1 July 1987
Calendars
Placed on Union Calendar No: 121.
Source: Calendars
1 July 1987
Reported
Reported to House (Amended) by House Committee on Energy and Commerce. Report No: 100-105 (Part II).
Source: Committee
1 July 1987
Reported
Reported to House (Amended) by House Committee on Energy and Commerce. Report No: 100-105 (Part II).
Source: Committee
21 July 1987
Floor
Committee on Rules Granted a Modified Closed Rule Providing Two Hours of General Debate; Waiving All Points of Order.
Source: Floor
21 July 1987
Reported
Rules Committee Resolution H.Res.227 Reported to House.
Source: Floor
22 July 1987
Vote
Motion to Recommit (with Instructions) Failed in House by Yea-Nay Vote: 187 - 244 (Record Vote No: 280).
Source: Floor
22 July 1987
Vote
Passed House (Amended) by Yea-Nay Vote: 302 - 127 (Record Vote No: 281).
Source: Floor
22 July 1987
Vote
Passed/agreed to in House: Passed House (Amended) by Yea-Nay Vote: 302 - 127 (Record Vote No: 281).
Source: Floor
22 July 1987
Passed
Rule Passed House.
Source: Floor
22 July 1987
Floor
Called up by House by Rule.
Source: Floor
24 July 1987
Introduced
Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 258.
Source: Calendars
27 October 1987
Floor
Measure laid before Senate by unanimous consent.
Source: Floor
27 October 1987
Vote
Passed/agreed to in Senate: Passed Senate in lieu of S. 1127 with an amendment by Yea-Nay Vote. 86-11. Record Vote No: 353.
Source: Floor
3 November 1987
Floor
Message on Senate action sent to the House.
Source: Floor
9 December 1987
Passed
Resolving differences -- House actions: House Disagreed to Senate Amendments by Unanimous Consent.
Source: NotUsed
9 December 1987
ResolvingDifferences
House Requested a Conference and Speaker Appointed Conferees: Rostenkowski, Stark, Donnelly, Duncan, Gradison, Dingell, Waxman, Wyden, Lent, Madigan, Hawkins, Clay, Jeffords.
Source: ResolvingDifferences
9 December 1987
Passed
House Disagreed to Senate Amendments by Unanimous Consent.
Source: ResolvingDifferences
10 December 1987
Floor
Message on House action received in Senate and held at desk: House requests a conference.
Source: Floor
2 February 1988
Passed
Senate agreed to request for conference. Appointed conferees. Bentsen; Baucus; Bradley; Mitchell; Pryor; Dole; Chafee; Heinz; Durenberger.
Source: ResolvingDifferences
2 February 1988
Floor
Senate insists on its amendments by Voice Vote.
Source: Floor
3 February 1988
Floor
Message on Senate action sent to the House.
Source: Floor
14 April 1988
ResolvingDifferences
Conference held.
Source: ResolvingDifferences
14 April 1988
ResolvingDifferences
Conference committee actions: Conference held.
Source: ResolvingDifferences
25 May 1988
ResolvingDifferences
Conference held.
Source: ResolvingDifferences
25 May 1988
ResolvingDifferences
Conference committee actions: Conference held.
Source: ResolvingDifferences
31 May 1988
ResolvingDifferences
Conference Report 100-661 Filed in House.
Source: ResolvingDifferences
31 May 1988
ResolvingDifferences
Conference report filed: Conference Report 100-661 Filed in House.
Source: ResolvingDifferences
1 June 1988
Reported
Rules Committee Resolution H.Res.463 Reported to House.
Source: Floor
1 June 1988
Floor
Committee on Rules Granted a Rule Waiving All Points of Order Against Consideration of the Conference Report.
Source: Floor
2 June 1988
Passed
Rule Passed House.
Source: Floor
2 June 1988
Vote
House Agreed to Conference Report by Yea-Nay Vote: 328 - 72 (Record Vote No: 164).
Source: ResolvingDifferences
2 June 1988
Vote
Conference report agreed to in House: House Agreed to Conference Report by Yea-Nay Vote: 328 - 72 (Record Vote No: 164).
Source: ResolvingDifferences
6 June 1988
ResolvingDifferences
Conference papers: message on House action held at the desk in Senate.
Source: ResolvingDifferences
7 June 1988
ResolvingDifferences
Conference papers: Senate report and managers' statement held at the desk in Senate.
Source: ResolvingDifferences
8 June 1988
ResolvingDifferences
Conference report considered in Senate.
Source: ResolvingDifferences
8 June 1988
Vote
Conference report agreed to in Senate: Senate agreed to conference report by Yea-Nay Vote. 86-11. Record Vote No: 170.
Source: ResolvingDifferences
9 June 1988
Floor
Message on Senate action sent to the House.
Source: Floor
22 June 1988
Floor
Measure Signed in Senate.
Source: Floor
23 June 1988
Floor
Presented to President.
Source: Floor
23 June 1988
President
Presented to President.
Source: President
1 July 1988
Became law
Signed by President.
Source: BecameLaw
1 July 1988
Became law
Became Public Law No: 100-360.
Source: President
1 July 1988
President
Signed by President.
Source: President

Votes

· Official source

Yes 0 · No 0 · Abstain — · Absent/not voting 0

· Official source

Yes 0 · No 0 · Abstain — · Absent/not voting 0

Versions

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Documents

6 official files

Public Law (PDF)

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Public Law (PDF)
Public Law · EN · 2 July 1988
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Conference report filed in House
summary · EN · 31 May 1988
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Passed Senate amended
summary · EN · 27 October 1987
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Passed House amended
summary · EN · 22 July 1987
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Reported to House amended, Part II
summary · EN · 1 July 1987
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Introduced in House
summary · EN · 19 May 1987
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Related records

related to → Medicare Part A Catastrophic Protection Act of 1987
related to → Medicare Part B Catastrophic Protection Act of 1987
related to → Medicaid Community Spouse Protection Amendments of 1987
related to → Medicaid Catastrophic Protection Amendments of 1987
related to → Low-Income Elderly and Disabled Medicaid Amendments of 1987
related to → Low-Income Elderly Medicaid Drug Coverage Amendments of 1987
related to → Home Health and Hospice Care Waiver Extension Act of 1987
related to → Medicare and Medicaid Catastrophic Acute and Transitional Care Act
related to ← Medicare Catastrophic Prescription Drug Benefits Act of 1987
related to ← Medicare Prescription Drug Catastrophic Protection Act of 1987
related to ← Medicare Catastrophic Protection Act of 1987
related to ← A bill to amend title XVIII of the Social Security Act to provide protection against catastrophic medical expenses under the medicare program, and for other purposes.
related to ← A bill to amend title XVIII of the Social Security Act to increase from $250 to $1000 the maximum payment allowed for outpatient mental health services under part B of the medicare program.
related to ← A bill to amend title XVIII of the Social Security Act to provide for coverage of an annual mammogram under the medicare program.
related to ← A bill to amend title XVIII of the Social Security Act to provide for coverage of screening mammography under the medicare program.
related to ← A bill to amend title XVIII of the Social Security Act to improve access of medicare beneficiaries to extended care services and home health services after hospitalization.

Showing 16 of 23 related records.

Related across the Repo ecosystem

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Direct relationships

Legal framework · Medicare Catastrophic Coverage Act of 1988 · H.R. 2470 (100th) · US

Identifier matchPROJECTS_FROM
Same us record 100-hr-2470 projected from PoliticalRepo US row.
Medicare Catastrophic Coverage Act of 1988

Sources

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Official source: https://www.congress.gov/bill/100th-congress/house-bill/2470
Open data entity: https://api.congress.gov/v3/bill/100/hr/2470
us · 100-hr-2470 · source updated 3 June 2026