An Act to amend titles II and XVIII of the Social Security Act to make improvements in the end stage renal disease program presently authorized under section 226 of that Act, and for other purposes.

Summary

Amends Titles II and XVIII (Old-Age, Survivors, and Disability Insurance, and Medicare, respectively) of the Social Security Act to specify the types of treatment and amount of coverage which will be provided for individuals disabled by end stage renal disease. Defines the time at which coverage begins for programs of renal dialysis, and for kidney transplant operations. States that coverage for home dialysis programs shall begin with the month in which such program begins. Extends coverage for a regular course of renal dialysis to individuals who received a kidney transplant in the case of the failure of such transplant. Extends coverage under the Medicare program to kidney donors. Authorizes the making of payments under the Medicare program to providers of services and renal dialysis facilities on behalf of individuals who have end-stage renal disease. Directs the Secretary of Health, Education, and Welfare to establish annually a target reimbursement rate for home dialysis. Sets forth factors to be considered by the Secretary in determining such rate. Directs the Secretary to establish renal disease network areas, including a medical review board for each area, and a national end stage renal disease medical information system. Defines the goals of the network organizations and medical review boards to be the assurance of the most appropriate form of renal disease treatment for each individual having such disease, and the identification of treatment facilities and providers that are not cooperating toward meeting network goals. Declares it to be a national objective to have a majority of new patients being accepted for end-stage renal disease treatment in self-dialysis settings or in preparation for, or undertaking, kidney transplantation. Directs the Secretary, where it is found that self-training programs in any network are of insufficient capacity or are not distributed throughout the network in a manner which assures that self- dialysis training is adequate to meet the needs of individuals with renal disease, to place in effect a program under which self-dialysis training is provided in renal disease facilities or providers which shall be designated for this purpose. Directs the Secretary of Health, Education, and Welfare to establish a medical review board to assess the appropriateness of patients for proposed treatment procedures, and to review and evaluate the comparative performance of facilities and physicians. Directs the Secretary to establish pilot projects under which assistance is provided to individuals in the purchase of home dialysis equipment. Directs the Secretary to report to Congress annually on the end stage renal disease program.

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

Timeline

1. 19 July 1977

   Introduced

   Introduced in House

   Source: IntroReferral

2. 19 July 1977

   Introduced

   Introduced in House

   Source: IntroReferral

3. 19 July 1977

   Introduced

   Referred to House Committee on Ways and Means.

   Source: IntroReferral

4. 29 July 1977

   Reported

   Reported to House from the Committee on Ways and Means with amendment, H. Rept. 95-549.

   Source: Committee

5. 29 July 1977

   Reported

   Reported to House from the Committee on Ways and Means with amendment, H. Rept. 95-549.

   Source: Committee

6. 12 September 1977

   Passed

   Measure passed House, amended.

   Source: Floor

7. 12 September 1977

   Passed

   Passed/agreed to in House: Measure passed House, amended.

   Source: Floor

8. 12 September 1977

   Floor

   Measure called up under motion to suspend rules and pass in House.

   Source: Floor

9. 13 September 1977

   Introduced

   Referred to Senate Committee on Finance.

   Source: IntroReferral

10. 22 March 1978

    Reported

    Reported to Senate from the Committee on Finance with amendment, S. Rept. 95-714.

    Source: Committee

11. 22 March 1978

    Reported

    Reported to Senate from the Committee on Finance with amendment, S. Rept. 95-714.

    Source: Committee

12. 10 April 1978

    Floor

    Call of calendar in Senate.

    Source: Floor

13. 10 April 1978

    Passed

    Passed/agreed to in Senate: Measure passed Senate, amended.

    Source: Floor

14. 1 May 1978

    Passed

    House agreed to Senate amendment with an amendment.

    Source: ResolvingDifferences

15. 1 May 1978

    Passed

    Resolving differences -- House actions: House agreed to Senate amendment with an amendment.

    Source: NotUsed

16. 24 May 1978

    Passed

    Senate agreed to House amendment.

    Source: ResolvingDifferences

17. 24 May 1978

    Passed

    Resolving differences -- Senate actions: Senate agreed to House amendment.

    Source: NotUsed

18. 31 May 1978

    President

    Measure enrolled in House.

    Source: President

19. 1 June 1978

    President

    Measure enrolled in Senate.

    Source: President

20. 2 June 1978

    Floor

    Measure presented to President.

    Source: Floor

21. 2 June 1978

    President

    Measure presented to President.

    Source: President

22. 13 June 1978

    President

    Public law 95-292.

    Source: President

23. 13 June 1978

    Became law

    Signed by President.

    Source: BecameLaw

24. 13 June 1978

    President

    Signed by President.

    Source: President

Votes

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Versions

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Documents

3 official files

• Public Law (PDF)

  Public Law · EN · 14 June 1978

  ViewDownloadOpen at official source

• House agreed to Senate amendment with amendment

  summary · EN · 1 May 1978

  Open at official source

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• Introduced in House

  summary · EN · 19 July 1977

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Sponsors

• Rep. Rostenkowski, Dan [D-IL-8] · D · Sponsor
• Rep. Vanik, Charles A. [D-OH-22] · D · Cosponsor
• Rep. Corman, James C. [D-CA-21] · D · Cosponsor
• Rep. Cotter, William R. [D-CT-1] · D · Cosponsor
• Rep. Keys, Martha E. [D-KS-2] · D · Cosponsor
• Rep. Ford, Harold E. [D-TN-9] · D · Cosponsor
• Rep. Brodhead, William [D-MI-17] · D · Cosponsor
• Rep. Duncan, John J. [R-TN-2] · R · Cosponsor
• Rep. Martin, James G. [R-NC-9] · R · Cosponsor
• Rep. Gradison, Willis D., Jr. [R-OH-2] · R · Cosponsor
• · ssfi00 · Standing
• · hswm00 · Standing

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