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Text of the Providing for consideration of the bill (H.R. 1) to amend title XVIII of the Social Security Act to provide for ...

...to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program, and for o

This simple resolution was agreed to on June 26, 2003. That is the end of the legislative process for a simple resolution. The text of the bill below is as of Jun 25, 2003 (Reported by House Committee).

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HRES 299 RH

House Calendar No. 74

108th CONGRESS

1st Session

H. RES. 299

[Report No. 108-181]

Providing for consideration of the bill (H.R. 1) to amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program, and for other purposes, and for consideration of the bill (H.R. 2596) to amend the Internal Revenue Code of 1986 to allow a deduction to individuals for amounts contributed to health savings security accounts and health savings accounts, to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES

June 25, 2003

Ms. PRYCE, from the Committee on Rules, reported the following resolution; which was referred to the House Calendar and ordered to be printed


RESOLUTION

Providing for consideration of the bill (H.R. 1) to amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program, and for other purposes, and for consideration of the bill (H.R. 2596) to amend the Internal Revenue Code of 1986 to allow a deduction to individuals for amounts contributed to health savings security accounts and health savings accounts, to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements, and for other purposes.

    Resolved, That upon the adoption of this resolution it shall be in order without intervention of any point of order to consider in the House the bill (H.R. 1) to amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program, and for other purposes. The bill shall be considered as read for amendment. The previous question shall be considered as ordered on the bill and on any amendment thereto to final passage without intervening motion except: (1) three hours of debate on the bill equally divided among and controlled by the chairmen and ranking minority members of the Committee on Energy and Commerce and the Committee on Ways and Means; (2) the amendment printed in the report of the Committee on Rules accompanying this resolution, if offered by Representative Rangel of New York or his designee, which shall be in order without intervention of any point of order, shall be considered as read, and shall be separately debatable for one hour equally divided and controlled by the proponent and an opponent; and (3) one motion to recommit with or without instructions.

    SEC. 2. Upon the adoption of this resolution it shall be in order on the legislative day of June 26 or June 27, 2003, without intervention of any point of order to consider in the House the bill (H.R. 2596) to amend the Internal Revenue Code of 1986 to allow a deduction to individuals for amounts contributed to health savings security accounts and health savings accounts, to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements, and for other purposes. The bill shall be considered as read for amendment. The previous question shall be considered as ordered on the bill to final passage without intervening motion except: (1) one hour of debate on the bill equally divided and controlled by the chairman and ranking minority member of the Committee on Ways and Means; and (2) one motion to recommit.

    SEC. 3. (a) In the engrossment of H.R. 1, the Clerk shall await the disposition of H.R. 2596 under section 2.

    (b) If H.R. 2596 is passed by the House, the Clerk shall--

      (1) add the text of H.R. 2596 as new matter at the end of H.R. 1;

      (2) conform the title of H.R. 1 to reflect the addition of the text of H.R. 2596 of the engrossment;

      (3) assign appropriate designations to provisions within the engrossment; and

      (4) conform provisions for short titles within the engrossment.

    (c) Upon the addition of the text of H.R. 2596 to the engrossment of H.R. 1, H.R. 2596 shall be laid on the table.

    SEC. 4. During consideration of H.R. 1 and H.R. 2596 pursuant to this resolution, notwithstanding the operation of the previous question, the Chair may postpone further consideration of either bill to a time designated by the Speaker.

    SEC. 5. Upon the adoption of this resolution it shall be in order, any rule of House to the contrary notwithstanding, to consider concurrent resolutions providing for adjournment of the House and Senate during the month of July.

    SEC. 6. The Committee on Appropriations may have until midnight on Thursday, July 3, 2003, to file a report to accompany a bill making appropriations for the Department of Defense for the fiscal year ending September 30, 2004, and for the other purposes.

SUMMARY OF AMENDMENT MADE IN ORDER

Rangel/Dingell: Amendment in the Nature of a Substitute. Title I--Medicare Prescription Medicine Benefit. Adds new Part D in Medicare that provides voluntary prescription drug coverage for all Medicare beneficiaries beginning in 2006. Provides a $25 a month premium, a $100 a year deductible, a co-insurance of 20/40 (Beneficiaries/Medicare), and a $2,000 out-of-pocket limit per beneficiary per year. Beneficiaries with incomes between 150 percent of poverty pay no premium or cost sharing. Beneficiaries with incomes between 150 percent and 175 percent of poverty pay no cost-sharing and receive assistance with the Part D premium on a sliding scale. Medicare contractors will obtain guaranteed reductions in prices, and the Secretary of Health and Human Services will have the authority to use the collective purchasing power of Medicare’s 40 million beneficiaries to negotiate lower drug prices, taking into account prices paid in other countries and by other payers in the U.S. The Secretary could also implement measures that will further reduce costs and improve quality for beneficiaries, such as: encouraging use of generic drugs, lowering co-insurance for preferred drugs, disease management, and beneficiary and provider education. Medicare would also require contractors to put in place safeguards to check for adverse drug interactions and proper use of medications. Title II--Medicare+Choice. Includes a two-year payment enhancement for Medicare+Choice plans (2004 and 2005) as well as provisions pertaining to specialized plans for special needs beneficiaries and the extension of Medicare cost-contracts. Title III--Combating Waste, Fraud, and Abuse. Improves payments for oncology providers to administer cancer drugs and also directs the Centers for Medicare and Medicaid Services to pay for drug administration services, chemotherapy support services, therapy management services and related services. Reimburses for the cost of oncology drugs by not involving a new bureaucracy and middle-man and paying 105 percent of the average sales price of medicines. Protects beneficiaries from undue consequences of competitive bidding for durable medical equipment (DME) by delaying the start of DME competitive bidding until 2009 and phasing it in over three years. Title IV--Rural Health Care Improvements. Includes all of the provisions from the Ways and Means reported bill pertaining to rural providers. In addition, it: eliminates the 10 percent cap on disproportionate share hospital payments to rural hospitals; adds a provision providing up to 25 percent increase in low-volume adjustment for small hospitals; increases rural home health payments by 10 percent (rather than 5 percent); allows lab payments on reasonable costs for sole community hospitals; increases the floors for physician work in rural areas to 1.0; eliminates the 35-mile rule for critical access hospital ambulance services; increases the ground ambulance payment rate; and increases the critical access hospital bed limit to 25. Title V--Provisions Relating to Medicare Part A. Includes all the provisions from Ways and Means reported bill pertaining to Part A (hospitals) except it eliminate the 3-year cut in hospital inpatient reimbursement and adds a boost for indirect medical education (IME) to 6.5 percent for two years. It also replaces the MedPac study on specialty hospitals with the Senate provision that limits physician self-referral to these facilities. Title VI--Provisions Relating to Medicare Part B. Includes all of the provisions from the Ways and Means and Energy and Commerce reported bills except it does not increase the deductible that seniors must pay in order to receive Part B (primarily physicians) services. Title VII--Provisions Relating to Medicare Parts A and B. Includes all of the provisions from the Ways and Means and Energy and Commerce reported bills except it does not include a co-payment for home health care and does not continue the cap on payments for direct graduate medical education for facilities above 140 percent. Title VIII--Medicaid. Includes Whitfield-DeGette Medicaid DSH legislation that includes full restoration of funding for DSH and improvements for low-DSH States. Title IX--Regulatory Reduction and Contracting Reform. Includes the Energy and Commerce reported provision on Medicare contractor and regulatory reform. Title X--Importation of Prescription Drugs. Incorporates reimportation amendments adopted on the Senate Floor on June 19, 2003, which will allow access to low-cost Canadian Drugs if the Secretary of the Department of Health and Human Services certifies that they are safe. Title XI--Access to Affordable Pharmaceuticals. Incorporates text of S. 1225 as adopted by the Senate, which will make lower cost generic drugs available more quickly.

House Calendar No. 74

108th CONGRESS

1st Session

H. RES. 299

[Report No. 108-181]

RESOLUTION

Providing for consideration of the bill (H.R. 1) to amend title XVIII of the Social Security Act to provide for a voluntary program for prescription drug coverage under the Medicare Program, to modernize the Medicare Program, and for other purposes, and for consideration of the bill (H.R. 2596) to amend the Internal Revenue Code of 1986 to allow a deduction to individuals for amounts contributed to health savings security accounts and health savings accounts, to provide for the disposition of unused health benefits in cafeteria plans and flexible spending arrangements, and for other purposes.


June 25, 2003

Referred to the House Calendar and ordered to be printed