Bill Summary & Status for the 106th Congress

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H.R.5039
Sponsor: Rep Hayworth, J. D. (introduced 7/27/2000)
Latest Major Action: 8/31/2000 Referred to House subcommittee
Title: To amend part C of title XVIII of the Social Security Act to revise and improve the Medicare+Choice Program.
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TITLE(S):  (italics indicate a title for a portion of a bill)
STATUS: (color indicates Senate actions)
7/27/2000:
Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, 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.
7/27/2000:
Referred to House Ways and Means
7/27/2000:
Referred to House Commerce
8/31/2000:
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

COMMITTEE(S):
RELATED BILL DETAILS:

***NONE***


AMENDMENT(S):

***NONE***


COSPONSOR(S):

***NONE***


SUMMARY AS OF:
7/27/2000--Introduced.

TABLE OF CONTENTS:

Medicare Choice Preservation Act of 2000 - Title I: Improvements in Payments - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSA) to provide for: (1) increasing the national per capita Medicare+Choice growth percentage in 2001 and 2002; (2) increasing the minimum payment amount in 2001 for any of the 50 States and the District of Columbia; (3) allowing a Medicare+Choice organization to elect to apply an area-specific percentage of 50 percent and a national percentage of 50 percent for 2002 rather than the rate currently applicable for that year in determining the blended capitation rate used in determining the calculation of annual Medicare+Choice capitation rates; (4) increasing the minimum percentage increase in 2001 under provisions for calculation of annual Medicare+Choice capitation rates; (5) increasing the update for payment areas with only one or no Medicare+Choice contracts; (6) eliminating the budget neutrality adjustment for 2001 and 2002 under blended capitation rate provisions; (7) revising calculation of area-specific and national percentage capitation rates; and (8) phasing-in over a ten year period of risk adjustment methodology based on data from all settings.

Title II: Additional Improvements - Delays from July to November 2000 the deadline for withdrawing the offer, rescinding the withdrawal, of Medicare+Choice plans for 2001.

Amends SSA title XVIII part C to revise data collection requirements under the Medicare+Choice program with regard to: (1) issuance of encounter data submission; (2) post-stabilization guidelines; (3) effectiveness of elections and changes of elections; (4) uniform premium and benefits; and (5) Medicare+Choice program compatibility with employer or union group health plans.