Bill Summary & Status for the 106th Congress


Sponsor: Rep Kolbe, Jim (introduced 9/27/2000)
Latest Major Action: 10/20/2000 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, and for other purposes.
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TITLE(S):  (italics indicate a title for a portion of a bill)
STATUS: (color indicates Senate actions)
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.
Referred to House Ways and Means
Referred to the Subcommittee on Health.
Referred to House Commerce
Referred to the Subcommittee on Health and Environment.








Medicare+Choice Rescue Act of 2000 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSA), with respect to payments to Medicare+Choice organizations, to: (1) increase the national per capita Medicare+Choice growth percentage in 2001 and 2002; (2) eliminate the reduction in Medicare+Choice payment rates by budget neutrality adjustments; (3) establish a payment floor for Medicare+Choice plans, as well as an additional floor for an annual increase in Medicare+Choice capitation rates; and (4) apply a budget neutrality principle to the new Medicare+Choice risk adjustment methodology.

Directs the Secretary of Health and Human Services to correct for misestimates in the national per capita Medicare+Choice growth rate by providing for an increase by 3.6 percent in the amount of payment otherwise applicable to Medicare+Choice organizations offering Medicare+Choice plans in 2001. Limits retroactive adjustments.

Amends Medicare part C to provide for: (1) continuous open enrollment and disenrollment under Medicare+Choice and Medicare supplemental policy (Medigap) provisions on coverage election periods; and (2) variations in premiums and benefits under Medicare+Choice within counties.

Directs the Secretary of Health and Human Services to provide that risk-adjustment methodology under Medicare+Choice, insofar as it makes adjustments to capitation rates for health status, shall not only apply to ten percent of 1/12 of the annual Medicare+Choice capitation rate in the case of an eligible individual who is institutionalized until the first year in which the Secretary implements a modification of such methodology based on health status so that such methodology includes medical diagnostic factors from all provider settings (including hospital and nursing facility settings).