DialysisEthics2_Forum
Other => Historical Posts => Topic started by: admin on September 16, 2009, 08:16:08 PM
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Bill
Joined: 15 Feb 2003
Posts: 7
Posted: Sat Feb 15, 2003 7:56 am Post subject: 107th Congress
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<
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> 1st Session<
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> H. R. 1759<
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>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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> IN THE HOUSE OF REPRESENTATIVES<
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> May 8, 2001<
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>Mr. MCDERMOTT (for himself and Ms. DUNN of Washington) 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 <
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><
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> A BILL<
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>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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> Be it enacted by the Senate and House of Representatives of the United States of America in Congress<
> assembled,<
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>SECTION 1. SHORT TITLE.<
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> This Act may be cited as the `Kidney Patient Daily Dialysis Quality Act of 2001'.<
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>SEC. 2. COVERAGE OF MORE FREQUENT HEMODIALYSIS TREATMENTS.<
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> (a) IN GENERAL- Section 1881(b) of the Social Security Act (42 U.S.C. 1395rr(b)) is amended--<
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> (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<
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> (2) by adding at the end the following new paragraph:<
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> `(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.<
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> `(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).<
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> `(B) In developing per treatment prospective payment rates under subparagraph (A), the Secretary shall consider--<
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> `(i) actual reasonable costs of operating more frequent hemodialysis programs; and<
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> `(ii) data from the Health Care Financing Administration on actual expenditures under this title for more frequent<
> hemodialysis patients, compared to--<
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> `(I) data on expenditures for the same patients before those patients underwent more frequent<
> hemodialysis, and<
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> `(II) data on expenditures for patients undergoing hemodialysis treatment 3 times per week with similar<
> clinical and demographic characteristics.<
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> `(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.<
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> `(D) The Secretary shall collect data with respect to--<
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> `(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<
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> `(ii) the improved quality of care and improved outcomes more frequent hemodialysis may
ing to patients.<
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> `(E) In this paragraph:<
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> `(i) The term `more frequent hemodialysis' means hemodialysis treatment sessions, or equivalent therapy requiring<
> blood access, performed at least 5 times per week.<
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> `(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.'.<
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> (b) CONFORMING AMENDMENTS- (1) Section 1881(b)( of the Social Security Act (42 U.S.C. 1395rr(b)( ) is<
> amended by inserting `and more frequent hemodialysis supplies and equipment' after `home dialysis supplies and<
> equipment'.<
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> (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'.<
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> (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.<
>
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jfwag
Joined: 11 Jan 2003
Posts: 140
Posted: Sat Feb 15, 2003 2:58 pm Post subject: Let's...
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...get this through congress everyone.!!!!!!