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H.R. 1791 (104th): Medicaid Certification Act of 1995

The text of the bill below is as of Sep 24, 1996 (Reported by House Committee).

Source: GPO

HR 1791 RH

Union Calendar No. 454

104th CONGRESS

2d Session

H. R. 1791

[Report No. 104-826]

To amend title XIX of the Social Security Act to make certain technical corrections relating to physicians’ services.

IN THE HOUSE OF REPRESENTATIVES

JUNE 8, 1995

Mr. BARTON of Texas (for himself, Mr. COLEMAN, Mr. GREENWOOD, Mr. ACKERMAN, Ms. PRYCE, Mr. DINGELL, Mr. LEACH, Mr. LEVIN, Mr. EMERSON, Mr. SKELTON, Mr. UPTON, Mr. JACOBS, Mr. KIM, Mr. RAHALL, Mr. KILDEE, Mr. DEUTSCH, Mr. SMITH of New Jersey, Mr. BRYANT of Texas, Mr. STUPAK, Mr. BARCIA, Mr. FROST, and Mr. BROWN of Ohio) introduced the following bill; which was referred to the Committee on Commerce

September 24, 1996

Additional sponsors: Ms. RIVERS, Mrs. THURMAN, Mrs. JOHNSON of Connecticut, Mr. PASTOR, Mr. GENE GREEN of Texas, Mr. BURR, Mr. EHLERS, Mr. CARDIN, Mr. KOLBE, Mr. HOEKSTRA, Mr. ROBERTS, Mr. VOLKMER, Mr. CRAPO, Mr. PETE GEREN of Texas, Mr. MCDERMOTT, Mr. LEWIS of Georgia, Mr. TRAFICANT, Mr. CANADY of Florida, Mrs. MEEK of Florida, Mr. NEY, Mrs. LINCOLN, Mr. ANDREWS, Mr. HALL of Texas, Mr. HOKE, Mr. GANSKE, Ms. KAPTUR, Mr. BONIOR, Mr. HANCOCK, Mr. FOX of Pennsylvania, Ms. DANNER, Mr. HUTCHINSON, Mr. REED, Mr. WELDON of Florida, Mr. BUNNING of Kentucky, Mr. BARRETT of Wisconsin, Mr. OLVER, Mr. MCCOLLUM, and Mr. Nethercutt

September 24, 1996

Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed

[Strike out all after the enacting clause and insert the part printed in italic]


A BILL

To amend title XIX of the Social Security Act to make certain technical corrections relating to physicians’ services.

    Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

[Struck out->] SECTION 1. SHORT TITLE. [<-Struck out]

    [Struck out->] This Act may be cited as the ‘Medicaid Certification Act of 1995’. [<-Struck out]

[Struck out->] SEC. 2. TECHNICAL CORRECTIONS RELATING TO PHYSICIANS’ SERVICES. [<-Struck out]

    [Struck out->] (a) IN GENERAL- [<-Struck out]

      [Struck out->] (1) UNIQUE IDENTIFIERS- Paragraph (59) of section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended by striking ‘subsection (v)’ and inserting ‘subsection (x)’. [<-Struck out]

      [Struck out->] (2) EXPENDITURES FOR PHYSICIANS’ SERVICES- Section 1903(i)(12) of the Social Security Act (42 U.S.C. 1396b(i)(12)) is amended-- [<-Struck out]

        [Struck out->] (A) by amending clause (i) of subparagraph (A) to read as follows: [<-Struck out]

          [Struck out->]

          ‘(i) is certified in family practice or pediatrics by the medical specialty board recognized by the American Board of Medical Specialties for family practice or pediatrics or is certified in family practice or pediatrics by the medical specialty board recognized by the American Osteopathic Association,’; [<-Struck out]

        [Struck out->] (B) by amending clause (i) of subparagraph (B) to read as follows: [<-Struck out]

          [Struck out->]

          ‘(i) is certified in family practice or obstetrics by the medical specialty board recognized by the American Board of Medical Specialties for family practice or obstetrics or is certified in family practice or obstetrics by the medical specialty board recognized by the American Osteopathic Association,’; and [<-Struck out]

        [Struck out->] (C) in subparagraphs (A) and (B)-- [<-Struck out]

          [Struck out->] (i) by striking ‘or’ at the end of clause (v); [<-Struck out]

          [Struck out->] (ii) by redesignating clause (vi) as clause (vii); and [<-Struck out]

          [Struck out->] (iii) by inserting after clause (v) the following new clause: [<-Struck out]

          [Struck out->]

          ‘(vi) delivers such services in the emergency department of a hospital participating in the State plan approved under this title, or’. [<-Struck out]

    [Struck out->] (b) EFFECTIVE DATE- The amendments made by subsection (a) shall be effective as if included in the enactment of the Omnibus Budget Reconciliation Act of 1990. [<-Struck out]

SECTION 1. TECHNICAL CORRECTIONS RELATING TO PHYSICIANS’ SERVICES.

    (a) CORRECTING REFERENCE TO UNIQUE IDENTIFIER SYSTEM-

      (1) IN GENERAL- Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended, in the paragraph redesignated as paragraph (59) by section 13623(a)(6) of the Omnibus Budget Reconciliation Act of 1993 and inserted by section 4752(c)(1)(C) of the Omnibus Budget Reconciliation Act of 1990, by striking ‘subsection (v)’ and inserting ‘subsection (x)’.

      (2) EFFECTIVE DATE- The amendment made by paragraph (1) shall be effective as if included in the enactment of the amendments made by section 4752(c)(1) of the Omnibus Budget Reconciliation Act of 1990.

    (b) CORRECTION IN MINIMUM QUALIFICATIONS FOR BILLING FOR PHYSICIANS’ SERVICES TO CHILDREN AND PREGNANT WOMEN-

      (1) IN GENERAL- Section 1903(i) of the Social Security Act (42 U.S.C. 1396b(i)) is amended, in the paragraph redesignated as paragraph (12) by section 13631(c)(3) of the Omnibus Budget Reconciliation Act of 1993 and inserted by section 4752(a)(2)(B) of the Omnibus Budget Reconciliation Act of 1990--

        (A) in subparagraph (A)(i), by inserting ‘or is certified in family practice or pediatrics by the medical specialty board recognized by the American Osteopathic Association’ before the comma at the end;

        (B) in subparagraph (B)(i), by inserting ‘or is certified in family practice or obstetrics by the medical specialty board recognized by the American Osteopathic Association’ before the comma at the end; and

        (C) in each of subparagraphs (A) and (B)--

          (i) by striking ‘or’ at the end of clause (v),

          (ii) in clause (vi), by inserting ‘(or certified by the State in accordance with policies of the Secretary)’ after ‘Secretary’,

          (iii) by redesignating clause (vi) as clause (vii), and

          (iv) by inserting after clause (v) the following new clause:

          ‘(vi) delivers such services in the emergency department of a hospital participating in the State plan approved under this title, or’.

      (2) EFFECTIVE DATE- The amendments made by paragraph (1) shall apply to physicians’ services furnished on or after January 1, 1992.