Provisions Reducing Spending in Programs within the Jurisdiction of Senate Committee on Finance=
Amends the Federal-State Extended Unemployment Compensation Act of 1970 to:
(1) eliminate the national trigger under the extended benefits program;
(2) delay the payment of benefits (except in those States requiring State legislation, until after the first legislative session after enactment);
(3) give the States options as to the criteria for State "on" and "off" indicators;
(4) stop payment of extended benefits to individuals who move to States in which there is not a State "on" indicator; and
(5) revise the eligibility requirements.
Redefines Federal service for ex-servicemen filing claims for unemployment compensation to mean active service of one year or more.
Amends title IX (Employment Security) of the Social Security Act to establish a Federal Employees Compensation Account in the Unemployment Trust Fund. Prohibits the Secretary of Labor from certifying State unemployment compensation laws which do not conform with these provisions.
Amends title XVI (Supplemental Security Income) of the Social Security Act to include the resources sold at less than fair market value (to establish eligibility for benefits) in determining the individual's resources.
Amends title XX (Grants to States for Services) of such Act to exclude child day care services from Federal day care regulations.
Amends title XI (General Provisions) of such Act to establish ceilings for fiscal years 1979 and thereafter on payments to Puerto Rico, the Virgin Islands, and Guam. Amends title II (Old Age, Survivors and Disability Insurance) of such Act to:
(1) reallocate OASDI taxes;
(2) limit retroactive benefits;
(3) exclude prisoners from specified benefits; and
(4) suspend benefits to prisoners in specified circumstances.
Amends title XVIII (Medicare) of such Act to set forth criteria for determining the reasonable cost of hospital services.
Amends title XI (General Provisions) of such Act to establish the Health Facilities Costs Commission to study the reimbursement of hospitals under Medicare and Medicaid. Amends title XVIII and title XIX (Medicaid) of such Act to prohibit providers of services from increasing amounts due from any individual, organization, or agency to offset reductions made based on the reasonable cost of hospital services.
Amends title XI of such Act to direct the Secretary of Health and Human Services to establish a Hospital Transitional Allowance Board to make payments to applicant hospitals to promote closings and conversions of underutilized facilities.
Directs the Secretary to require coordinated audits of entities providing services under titles V (Maternal and Child Health) XVIII, and XIX of such Act. Amends title XVIII of such Act to prohibit program payments in excess of the provider's proportional share of the costs, unless higher proportional payments are justified.
Amends title XI of such Act to authorize reimbursement for inappropriate inpatient hospital services in specified circumstances.
Amends title XVIII of such Act to authorize payments for detoxification facility services if such services are required on an inpatient basis.
Amends title XI of such Act to require Professional Standards Review Organizations to give priority to reviewing routine hospital admission testing, preoperative hospital stays, and elective admissions when services are not available.
Amends title XVIII of such Act to direct the Secretary to specify those surgical procedures and preoperative medical services which can be performed safely either on an inpatient basis or on an ambulatory basis.
Provides for payments for such procedures and services.
Sets forth criteria for determining the reasonable charges for physicians' services.
Amends title XI of such Act to exclude specified items in determining the reasonable costs and charges of health services.
Directs the Secretary to issue regulations limiting the amount of costs or charges that will be considered reasonable for outpatient services.
Amends title XVIII of such Act to prohibit payments where payments can be made under liability insurance.
Amends title XIX of such Act to set forth restrictions on the choice by recipients of medical service provided for by the State. Requires laboratory services to meet specified requirements.
Directs the Secretary to withhold periodic interim payments to hospitals under title XVIII to make the lag time for such reimbursements equal to that for hospitals not receiving such reimbursement.
Amends title XIX of such Act to withhold disputed payments to States until a final determination has been made.
Requires the States to develop methods for determining reasonable rates for payment of skilled nursing and intermediate care facilities.
Amends title XVIII of such Act to impose limits on home health agency reimbursements.
Requires reasonable physicians' charges to be determined as of the fiscal year in which the service is rendered.
Directs the Secretary of the Treasury to delay transferring funds from the general fund into the Federal Old-Age and Survivors Insurance Trust Fund, Federal Disability Insurance Trust Fund, or Federal Hospital Insurance Trust Fund. =