108th CONGRESS

1st Session

H. R. 1004

To amend title XVIII of the Social Security Act to provide for payment under the Medicare Program for more frequent hemodialysis treatments.

IN THE HOUSE OF REPRESENTATIVES

February 27, 2003

Mr. MCDERMOTT (for himself, Ms. DUNN, Mr. LEWIS of Georgia, Mr. CUMMINGS, Mr. DICKS, Mr. RANGEL, Mr. MCNULTY, Mr. GOODE, Mr. HASTINGS of Washington, Mr. INSLEE, Mr. KIRK, and Mrs. CHRISTENSEN) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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


A BILL

To amend title XVIII of the Social Security Act to provide for payment under the Medicare Program for more frequent hemodialysis treatments.

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

SECTION 1. SHORT TITLE.

This Act may be cited as the `Kidney Patient Daily Dialysis Quality Act of 2003'.

SEC. 2. COVERAGE OF MORE FREQUENT HEMODIALYSIS TREATMENTS.

(a) IN GENERAL- Section 1881(b) of the Social Security Act (42 U.S.C. 1395rr(b)) is amended--

(1) in the first sentence of paragraph (7), by inserting before the period the following: `, including payment for more frequent hemodialysis furnished to qualified individuals under paragraph (12)'; and

(2) by adding at the end the following new paragraph:

`(12)(A)(i) Not later than the date that is 1 year after the date of enactment of this paragraph, the Secretary shall cause to have published in the Federal Register final regulations for equivalent per treatment prospective payment rates for more frequent hemodialysis furnished at home and furnished in a facility (commonly known as composite `Method I' rates and `Method II Cap' payment rates), and prospective payment rates for in-facility training for more frequent hemodialysis.

`(ii) For the year beginning more than 12 months after the date described in clause (i), and for each subsequent year, the Secretary shall provide for an appropriate update to the per treatment prospective payment rates developed under clause (i).

`(B) In developing per treatment prospective payment rates under subparagraph (A), the Secretary shall consider--

`(i) actual reasonable costs of operating more frequent hemodialysis programs; and

`(ii) data from the Health Care Financing Administration on actual expenditures under this title for more frequent hemodialysis patients, compared to--

`(I) data on expenditures for the same patients before those patients underwent more frequent hemodialysis, and

`(II) data on expenditures for patients undergoing hemodialysis treatment 3 times per week with similar clinical and demographic characteristics.

`(C) Not later than 1 year after the date of enactment of this paragraph, the Secretary shall develop, in consultation with the renal community, a standard of care and quality standards for more frequent hemodialysis. The Secretary shall periodically review and update as necessary such standards.

`(D) The Secretary shall collect data with respect to--

`(i) documented savings in expenditures under this title by reason of more frequent hemodialysis that are attributable to reduced medications, hospitalizations, outpatient services, and such other factors as the Secretary determines appropriate; and

`(ii) the improved quality of care and improved outcomes more frequent hemodialysis may bring to patients.

`(E) In this paragraph:

`(i) The term `more frequent hemodialysis' means hemodialysis treatment sessions, or equivalent therapy requiring blood access, performed at least 5 times per week.

`(ii) The term `qualified individual' means an individual who, in the clinical judgment of the physician of the individual, is likely to achieve better clinical outcomes, quality of life outcomes, or both from more frequent hemodialysis.'.

(b) CONFORMING AMENDMENTS- (1) Section 1881(b)(8) of the Social Security Act (42 U.S.C. 1395rr(b)(8)) is amended by inserting `and more frequent hemodialysis supplies and equipment' after `home dialysis supplies and equipment'.

(2) Section 1881(b)(9) of such Act (42 U.S.C. 1395rr(b)(9)) is amended by inserting `and more frequent hemodialysis support services' after `self-care home dialysis support services'.

(c) EFFECTIVE DATE- The amendments made by this section shall take effect on the date of the enactment of this Act and shall apply with respect to items and services furnished on or after the date that is 1 year after such date of enactment.

 

H.R.1004
Sponsor: Rep McDermott, Jim [WA-7] (introduced 2/27/2003)
Latest Major Action: 2/27/2003 Referred to House committee. Status: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Title: To amend title XVIII of the Social Security Act to provide for payment under the Medicare Program for more frequent hemodialysis treatments.


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TITLE(S):  (italics indicate a title for a portion of a bill)


STATUS: (color indicates Senate actions)

2/27/2003:

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.

2/27/2003:

Referred to House Energy and Commerce

2/27/2003:

Referred to House Ways and Means


COMMITTEE(S):

Committee/Subcommittee:

Activity:

House Energy and Commerce

Referral

House Ways and Means

Referral


RELATED BILL DETAILS:

***NONE***


AMENDMENT(S):

***NONE***


COSPONSORS(11), ALPHABETICAL [followed by Cosponsors withdrawn]:     (Sort: by date)

Rep Christensen, Donna M. - 2/27/2003 [VI]

Rep Cummings, Elijah E. - 2/27/2003 [MD-7]

Rep Dicks, Norman D. - 2/27/2003 [WA-6]

Rep Dunn, Jennifer - 2/27/2003 [WA-8]

Rep Goode, Virgil H., Jr. - 2/27/2003 [VA-5]

Rep Hastings, Doc - 2/27/2003 [WA-4]

Rep Inslee, Jay - 2/27/2003 [WA-1]

Rep Kirk, Mark Steven - 2/27/2003 [IL-10]

Rep Lewis, John - 2/27/2003 [GA-5]

Rep McNulty, Michael R. - 2/27/2003 [NY-21]

Rep Rangel, Charles B. - 2/27/2003 [NY-15]

 


SUMMARY: