United States · Law · HR
H.R. 6331 (110th)
Medicare Improvements for Patients and Providers Act of 2008
Introduced
20 June 2008
Last action
15 July 2008 · President
Status
Became Public Law No: 110-275.
Sponsors
Rep. Rangel, Charles B. [D-NY-19], Rep. Dingell, John D. [D-MI-16]
Subjects
Healthcare, Defence, Taxation, Education
Source updated
21 January 2026
Healthcare · Defence · Taxation · Education
Summary
Medicare Improvements for Patients and Providers Act of 2008 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for coverage of additional preventive services. Provides for gradual elimination of copayment rates for Medicare psychiatric services. Places prohibitions and limitations on certain sales and marketing activities under Medicare Advantage (MA) plans and prescription drug plans. Requires offering of a range of Medicare supplemental policies. Extends the qualifying individual program. Provides for application of a full low-income subsidy assets test under the Medicare Savings Program. Eliminates Medicare part D (Voluntary Prescription Drug Benefit Program) late enrollment penalties paid by subsidy-eligible individuals. Directs the Secretary of Health and Human Services to make grants to states for state health insurance assistance programs, area agencies on aging, and aging and disability resource centers. Authorizes the Secretary to award grants to states for increasing the delivery of mental health services or other health care services to meet the needs of veterans of Operation Iraqi Freedom and Operation Enduring Freedom living in rural areas. Permits rebasing for sole community hospitals. Directs the Secretary to establish a demonstration project for development and testing of new community health integration models in certain rural counties. Amends the Tax Relief and Health Care Act of 2006, as amended by the Medicare, Medicaid, and SCHIP Extension Act of 2007, to extend through FY2009 the reclassification of certain hospitals. Increases physicians' payments. Revises requirements for and extends the quality reporting system, including incentive payments. Directs the Secretary to establish a Physician Feedback Program. Provides for: (1) incentives for electronic prescribing of medicine; (2) expanded access to primary care services; (3) extension of the floor on Medicare work geographic adjustment under the Medicare physician fee schedule; and (4) an accreditation requirement for advanced diagnostic imaging services. Revises requirements for Medicare anesthesia teaching programs. Makes permanent the exception to the 60-day limit on Medicare reciprocal billing arrangements between two physicians over a longer continuous period during all of which one of them is ordered to active duty as a member of a reserve component of the armed forces. Provides for coverage of pulmonary and cardiac rehabilitation. Extends increased Medicare payments for ground ambulance services. Amends the Public Health Services Act to direct the Secretary to establish pilot projects with respect to chronic kidney disease. Revises requirements for renal dialysis. Amends title XVIII (Medicare) of the Social Security Act to delay generally until after 2011 full implementation of the Medicare competitive acquisition program for the purchase of durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS). Revises such program, dividing its implementation into two rounds, and specifying covered item updates for 2009-2014. Directs the Secretary of Health and Human Services to provide for a competitive acquisition ombudsman within the Centers for Medicare & Medicaid Services to respond to complaints and inquiries by suppliers and individuals. Provides for phase-out of indirect costs of medical education from capitation rates. Revises requirements for MA private fee-for-service plans as well as MA plans for special needs individuals. Modifies requirements for quality improvement programs. Requires prompt payment of clean claims by prescription drug plans and MA-Prescription Drug plans under Medicare part D. Revises the definition of medically accepted indication for drugs. Directs the Secretary to: (1) contract with a consensus-based entity for certain activities relating to health care performance measurement; and (2) evaluate and report to Congress on approaches for the collection of data regarding health care disparities. Creates the Medicare Improvement Fund. Extends the transitional medical assistance (TMA), the abstinence education program, and allotments for disproportionate share hospitals (DSHs) under SSA title XIX (Medicaid). Amends the Deficit Reduction Act of 2005 to extend supplemental grants under SSA title IV part D (Temporary Assistance for Needy Families) (TANF). Amends the Public Health Service Act to extend special diabetes grant programs.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
20 June 2008
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
20 June 2008
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
20 June 2008
Introduced
Introduced in House
Source: IntroReferral
20 June 2008
Introduced
Introduced in House
Source: IntroReferral
24 June 2008
Calendars
Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
Source: Calendars
24 June 2008
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
24 June 2008
Vote
On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 355 - 59 (Roll no. 443). (text: CR H5876-5904)
Source: Floor
24 June 2008
Vote
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 355 - 59 (Roll no. 443).(text: CR H5876-5904)
Source: Floor
24 June 2008
Floor
DEBATE - The House proceeded with forty minutes of debate on H.R. 6331.
Source: Floor
24 June 2008
Floor
Considered under suspension of the rules. (consideration: CR H5876-5904, H5905-5916)
Source: Floor
24 June 2008
Floor
Mr. Pallone moved to suspend the rules and pass the bill, as amended.
Source: Floor
25 June 2008
Calendars
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 836.
Source: Calendars
26 June 2008
Floor
Motion to proceed to consideration of measure made in Senate. (consideration: CR S6223-6224, S6225-6231)
Source: Floor
9 July 2008
Action
Cleared for White House.
9 July 2008
Passed
Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
Source: Floor
9 July 2008
Passed
Motion to proceed to the motion by Senator Reid to reconsider the vote by which cloture on the motion to proceed to the measure was not invoked (Record Vote Number 160) agreed to in Senate. (consideration: CR S6451)
Source: Floor
10 July 2008
Floor
Presented to President.
Source: Floor
10 July 2008
President
Presented to President.
Source: President
15 July 2008
Became law
Became Public Law No: 110-275.
Source: President
15 July 2008
Became law
Became Public Law No: 110-275.
Source: BecameLaw
15 July 2008
Floor
Message on Senate action sent to the House.
Source: Floor
15 July 2008
Veto
Veto message received in Senate. Ordered held at the desk.
Source: Veto
15 July 2008
Vote
Passed Senate over veto: Passed Senate over veto by Yea-Nay Vote. 70 - 26. Record Vote Number: 177.(consideration: CR S6710)
Source: Veto
15 July 2008
Vote
Two-thirds of the Members present having voted in the affirmative the bill is passed, the Passed by the Yeas and Nays: (2/3 required): 383 - 41 (Roll no. 491).
Source: Veto
15 July 2008
Vote
Passed House over veto: Two-thirds of the Members present having voted in the affirmative the bill is passed, the Passed by the Yeas and Nays: (2/3 required): 383 - 41 (Roll no. 491).
Source: Veto
15 July 2008
President
The Chair announced the unfinished business to be the consideration of the veto. (consideration: CR H6533)
Source: President
15 July 2008
Floor
DEBATE - The House proceeded with one hour of debate on the question of passage, the objections of the President to the contrary, notwithstanding. (consideration: CR H6521-6531)
Source: Floor
15 July 2008
Veto
The Chair laid before the House the veto message from the President.
Source: Veto
15 July 2008
President
Vetoed by President. (text of veto message: CR H6520-6521)
Source: President
15 July 2008
President
Vetoed by President.(text of veto message: CR H6520-6521)
Source: President
Votes
15 July 2008 · Veto Overridden · On Overriding the Veto H.R. 6331 · Veto Overridden · Official source
Yes 70 · No 26 · Abstain — · Absent/not voting 4
- Sen. Allard, Wayne [R-CO]Nay
- Amy KlobucharYea
- Sen. Specter, Arlen [R-PA]Yea
- Sen. Obama, Barack [D-IL]Not Voting
- Rep. Boxer, Barbara [D-CA-6]Yea
- Sen. Mikulski, Barbara A. [D-MD]Yea
- Rep. Cardin, Benjamin L. [D-MD-3]Yea
- Bernie SandersYea
Showing the first 8 recorded positions. Vote totals above are complete.
Versions
- Public Law · 15 July 2008 · Official file
- Enrolled Bill · 9 July 2008 · Official file
- Placed on Calendar Senate · 25 June 2008 · Official file
- Engrossed in House · 24 June 2008 · Official file
- Introduced in House · 20 June 2008 · Official file
Documents
14 official files
Public Law (text)
Public Law · EN · 15 July 2008
Public Law (PDF)
Public Law · EN · 15 July 2008
Public Law
summary · EN · 15 July 2008
Enrolled Bill (text)
Enrolled Bill · EN · 9 July 2008
Enrolled Bill (PDF)
Enrolled Bill · EN · 9 July 2008
Passed Senate without amendment
summary · EN · 9 July 2008
Placed on Calendar Senate (text)
Placed on Calendar Senate · EN · 25 June 2008
Placed on Calendar Senate (PDF)
Placed on Calendar Senate · EN · 25 June 2008
Engrossed in House (text)
Engrossed in House · EN · 24 June 2008
Engrossed in House (PDF)
Engrossed in House · EN · 24 June 2008
Passed House amended
summary · EN · 24 June 2008
Introduced in House (text)
Introduced in House · EN · 20 June 2008
Introduced in House (PDF)
Introduced in House · EN · 20 June 2008
Introduced in House
summary · EN · 20 June 2008
Sponsors
- Rep. Rangel, Charles B. [D-NY-19] · D · Sponsor
- Rep. Dingell, John D. [D-MI-16] · D · Sponsor
- · hswm00 · Standing
- · hsif00 · Standing
Related records
- related to → Medicare Access to Rehabilitation Services Act of 2007
- related to → Medicare Efficiency and Development of Improvement of Care and Services Act (MEDICS Act) of 2008
- related to → Medicare DMEPOS Competitive Acquisition Reform Act of 2008
- related to ← A bill to amend title XVIII of the Social Security Act to make a technical correction in the definition of outpatient speech-language pathology services.
- related to ← Medicare Access to Rehabilitation Services Act of 2007
- related to ← Medicare Ambulance Payment Extension Act
- related to ← Medicare Electronic Medication and Safety Protection (E-MEDS) Act of 2007
- related to ← Relief for Rural Veterans in Crisis Act of 2008
- related to ← Medicare Improvements for Patients and Providers Act of 2008
- related to ← Medicare DMEPOS Competitive Acquisition Reform Act of 2008
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/110th-congress/house-bill/6331
- Open data entity: https://api.congress.gov/v3/bill/110/hr/6331
- us · 110-hr-6331 · source updated 21 January 2026