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					  #                     Name                                            Co-      Intro.
                                                     Sponsor          sponsors    Date               Committee                                 Status

                                                                                             Ways and Means                   Referred to Committee 2/26/2003

         Rural Community Hospital Assistance Act
HR 937
                        of 2003

                                                                                                                              Referred to Health Subcommittee
                                                     Moran (R-KS)        24      2/26/2003   Energy and Commerce              3/10/2003
                                                                                                                              Referred to Health Subcommittee
         Rural Equity Payment Index Reform Act of                                            Ways and Means                   1/13/2003
HR 33
                          2003
                                                    Bereuter (R-NE)      66      1/7/2003    Energy and Commerce              Referred to Health Subcommittee 2/3/2003
                                                                                             Ways and Means                   Referred to Health Subcommittee 2/4/2003
           …Permanent Increase in Payment
HR 500                                                                                                                        Referred to Health Subcommittee
         Amounts for Home Health in Rural Areas
                                                     Stupak (D-MI)      None     1/29/2003   Energy and Commerce              2/14/2003
                                                                                                                              Referred to Health Subcommittee
                                                                                             Ways and Means                   2/19/2003
         Rural Communities Hospice Care Access
HR 754
                Improvement Act of 2003
                                                                                                                              Referred to Health Subcommittee
                                                    Wicker (R-MS)       None     2/12/2003   Energy and Commerce              2/26/2003
                                                                                                                              Referred to Health Subcommittee
                                                                                             Ways and Means                   2/19/2003


         Medicare Rural Health Care Preservation
HR 830
                      Act of 2003



                                                                                                                              Referred to Health Subcommittee
                                                    McInnis (R-CO)       21      2/13/2003   Energy and Commerce              2/26/2003
                                                                                             Agriculture                      Referred to Committee 2/11/2003
                                                                                                                               Referred to Econ. Develop., etc
          Southern Empowerment and Economic
                                                                                             Transportation and Infrastructure Subcommittee 2/12/2003
HR 678    Development Act to authorize the Delta
              Black Belt Regional Authority                                                                                   Referred to Domestic and International
                                                                                                                              Monetary Policy, Trade and Technology
                                                     Davis (D-AL)        13      2/11/2003   Financial Services               Subcommittee 3/10/2003
  #                     Name                                         Co-      Intro.
                                                   Sponsor         sponsors    Date             Committee                      Status


                                                                                                                Referred to Health Subcommittee
         Rural Community Hospital Assistance Act                                          Ways and Means        1/22/2003
HR 937
           Medicare Payment Restoration and
                         of 2003
HR 26
            Benefits Improvement Act of 2003

                                                   Moran (R-KS)       24      2/26/2003

                                                   Cardin (D-MD)     None     1/7/2003    Energy and Commerce   Referred to Health Subcommittee 2/3/2003
    #                     Name                                             Co-      Intro.
                                                        Sponsor          sponsors    Date              Committee                         Status
                                                                                                Judiciary                 Referred to Committee 3/6/2003
          Medical Liability Insurance Crisis Response
                                                                                                Ways and Means            Referred to Committee 3/6/2003
                                                                                                                                      Health Subcommittee
HR 1158                                                                                         Energy and Commerce       3/17/2003
                           Act of 2003
          Rural Community Hospital Assistance Act                                                                         Referred to Employer-Employee Relations
 HR 937
                               of 2003                 Sandlin (D-TX)      None     3/6/2003    Education and Workforce   Subommittee 3/31/2003
               Resolution to Expand Access to
            Community Health Centers (REACH)                                                                              Referred to Health Subcommittee
H.Res.142                     Initiative              Capuano (D-MA)
                                                       Moran (R-KS)         66
                                                                            24       3/13/02
                                                                                    2/26/2003   Energy and Commerce       3/17/2003


                                                                                                Ways and Means            Referred to Committee 4/8/2003



          Health Care Access and Rural Equity Act of
HR 1675                    2003                         Moran (R-KS)        27       4/8/03     Energy and Commerce       Referred to Committee 4/8/2003
        Medicare Ambulance Payment Reform Act
HR 1301                                                                                         Energy and Commerce                   Health Subcommittee
                                                                                                                          Referred to Committee 3/17/2003
                       of 2003
                                                       Houghton (R-NY)      31      3/17/2003   Ways and Means            3/19/2003
  #
                                                                          Summary

       Establishes a new category of hospital called Rural Community Hospitals (RCHs). RCHs would be designated by the secretary through
       an application process. Eligible hospitals would be located in rural areas, have less than 51 acute care inpatient beds, and make 24 hour
HR 937
       emergency services available. RCHs would be able to elect to received payment from Medicare for inpatient and outpatient services
       through reasonable costs or the PPS system. The Critical Access Hospital (CAH) program would be amended to permit cost-based
       reimbursement for home health, skilled nursing, rehabilitation, and psychiatric care when performed by CAH owned facilities. The
       legislation would also removed the 35 mile test for cost-based ambulance services.

HR 33    Establishes a floor for the physician fee-schedule wage index of .976 in 2004, .987 for 2005, .995 for 2006 and 1.00 for 2007 and future
         years

HR 500
         Increases the payment for Home Health Services provided in a rural area by 10%


HR 754
         Permits non-profit hospice programs that provide a residence for individuals who do not have a primary care giver available in the home
         and are located in rural areas to be exempt from the 20% inpatient care limitation.


       Extends Medicare managed care cost contracts for 5 years (until 2009). Provides temporary payment adjustments to Sole Community
       Hospitals to cover the difference in reimbursements between the PPS amount and the pre-BBA amount. Adjusments are equal to 100%
       of the difference for 2004-2005, 95% of the difference for 2006-2007, and 90% of the difference for 2008-2009. For Critical Access
HR 830
       Hospitals, the bill reinstates Periodic Interim Payments, permits CAHs to receive physician fee-schedule plus 15% payments for all
       physicians who assign billing rights, allows for hospitals with significant seasonal variations in census a higher bed limitation to be
       eligible to become CAHs, extends the authorization for the appropriations to the grant program until 2007, and prohibits the retroactive
       recoupment of overpayments for outpatient services. Extends the rural home health increase until January 1, 2006. Increase payments
       for hospice services provided in frontier areas by 10%.



HR 678


         Adds "access to affordable, quality rural health care" to the funding priorities of the authority
  #
                                                                       Summary

       For Critical Accesscategory of the bill reinstates Periodic Interim Hospitals (RCHs). RCHs would be designatedfee-schedule plusthrough
       Establishes a new Hospitals, hospital called Rural Community Payments, permits CAHs to receive physician by the secretary 15%
       payments for process. Eligible assign billing rights, allows for hospitals have less than 51 acute care inpatient beds, and make 24
       an applicationall physicians whohospitals would be located in rural areas,with significant seasonal variations in census a higher bed hour
HR 937 limitation to be eligible to become CAHs, extends the authorization for the appropriations to the grant program until 2007, and prohibits
       emergency services available. RCHs would be able to elect to received payment from Medicare for inpatient and outpatient services
HR 26 the retroactive recoupment of overpayments for outpatient services. Extends the increase in payments for home health services provided
       through reasonable costs or the PPS system. The Critical Access Hospital (CAH) program would be amended to permit cost-based
       in a rural area for January 1, 2005. Increase payments for hospice services care when performed by CAH owned January The
       reimbursementuntil home health, skilled nursing, rehabilitation, and psychiatricprovided in frontier areas by 10% until facilities. 1, 2008.
       Establishes a demonstration project for rural hospice care. Creates a single standardized amount for all hospitals by phasing in a two-
       legislation would also removed the 35 mile test for cost-based ambulance services.
       year increase in the standardized amount to rural and small urban areas. Increases payments to non-teaching hospitals by 5% for fy
       2003-2005. Provides increased DSH payments for rural hospitals and small urban hospitals.
   #
                                                                        Summary


HR 1158 Establishes a new category of hospital called Rural Community Hospitals (RCHs). RCHs would be designated by the secretary through
          an application process. Eligible hospitals would be located in rural areas, have less than 51 acute care inpatient beds, and make 24 hour
 HR 937
          Establishes a grant available. RCHs would create to elect to partnerships to recruit Medicare for inpatient and
          emergency servicesprogram that would helpbe able community received payment fromnurses in rural communitiesoutpatient services
          through reasonable costs or the PPS system. The Critical Access Hospital (CAH) program would be amended to permit cost-based
          Expresses the for home health, skilled nursing, rehabilitation, and psychiatric care when performed by should be increased The
          reimbursementsense of the House of Representatives that appropriations for community health centersCAH owned facilities. by 100%
          during FY would also removed the number of for cost-based
H.Res.142 legislation 2001-2006 to double the 35 mile testpeople served ambulance services.
          Implements permanent equalization of the standardized payment amount. Removes DSH cap on rural providers. Provides a low-volume
          adjustment pament for certain rural hospitals of 25%. Reduces labor share to 62%. Revises wage index re-classification criteria for
          hospitals in sparsely populated areas. Extends OPPS hold-harmless for rural hospitals with less than 100 beds until January 1, 2005
          and expands the provision to include sole community hospitals with more than 100 beds. Makes $5 million avaliable to fund capital
          infrastructure loans and planning grants for rural hospitals. Extends the FLEX program for five years with $40 million in funding each
 HR 1675 year.

HR 1301
          Increases fee schedule payments for ambulance services in low density rural areas to reflect the increased cost of serving those areas
                                                                                Co-
Number                       Name                           Sponsor           sponsors   Intro. Date Committee
             Rural Communities Hospice Care Access
  S 114              Improvement Act of 2003               Cochran (R-MS)       None       1/9/2003   Finance
             Medicare Ambulance Payment Reform Act
  S 171                     of 2003                        Dayton (D-MN)         5        1/15/2003   Finance
                Trauma Care Systems Planning and
  S 239             Development Act of 2003                  Frist (R-TN)        8        1/29/2003   HELP



  S 36              Medicare Equity Act of 2003            Feingold (D-WI)       3         1/7/2003   Finance



              Patient Navigator, Outreach and Chronic
  S 453            Disease Prevention Act of 2003         Hutchinson (R-TX)      3        2/26/2003   HELP




 S. 172         Rural Health Care Equity Act of 2003       Dayton (D-MN)        None      1/15/2003   Finance
             Rural Preventive Health Care Training Act
  S. 75                       of 2003                       Inouye (D-HI)       None       1/7/2003   HELP
             Rural Home Health Payment Fairness Act
 S. 636                     of 2003                        Collins (R-ME)        2        3/17/2003   Finance


             Resolution to Expand Access to Community
S. Res. 96       Health Centers (REACH) Initiative          Bond (R-MO)          1        3/20/2003   Appropriations




             Health Care Access and Rural Equity Act of
 S. 816                       2003                         Conrad (D-ND)         28        4/8/2003   Finance
Number Status                                  Summary
                                               Permits non-profit hospice programs that provide a residence for individuals who do
                                               not have a primary care giver available in the home and are located in rural areas to
  S 114      Referred to Committee 1/9/2003    be exempt from the 20% inpatient care limitation.
                                               Increases fee schedule payments for ambulance services in low density rural areas to
  S 171      Referred to Committee 1/15/2003   reflect the increased cost of serving those areas
             Ordered to be reported without    Grants for Trauma Care in Rural Areas are expanded to included funding for
  S 239      amendment favorably 2/12/2003     increasing communication and coordination with state trauma systems



  S 36       Referred to Committee 1/7/2003    Eliminates geography as a factor in computing the physician fee schedule payments
                                               Establishes grants to organizations (public and private) working with Native American
                                               populations to create cancer and chronic disease prevention programs and patient
                                               navigator programs. Grants for programs serving rural areas would be administered
  S 453      Referred to Committee 2/26/2003   by ORHP (for other areas BPHC would administer)
                                               Increases bed limit for CAH designation to 25 beds. Eliminates the isolation test for
                                               cost based CAH ambulance services. Adjusts the wage related portion of the PPS
                                               rates to equal 63% from October 1, 2002 through October 1, 2005. Creates a single
                                               standardized PPS rate for all hospitals. Restores full market basket increase in
                                               inpatient PPS rates. Implements IME rate of 6.5%. Establishes Rural Community
 S. 172      Referred to Committee 1/15/2003   Hospital Program (see HR 937).
                                               Authorizes $5,000,000 in funds for grants to organizations that increase opportunities
  S. 75      Referred to Committee 1/7/2003    for rural providers to receive preventive health care training

 S. 636      Referred to Committee 3/17/2003   Increases the payments for Home Health Services provided in rural areas by 10%

                                               Increases the funds for CHCs by 100% for five years, ending in 2006, in order to
S. Res. 96   Referred to Committee 3/20/2003   double the number of people served
                                               Implements permanent equalization of the standardized payment amount. Removes
                                               DSH cap on rural providers. Provides a low-volume adjustment pament for certain
                                               rural hospitals of 25%. Reduces labor share to 62%. Revises wage index re-
                                               classification criteria for hospitals in sparsely populated areas. Extends OPPS hold-
                                               harmless for rural hospitals with less than 100 beds until January 1, 2005 and
                                               expands the provision to include sole community hospitals with more than 100 beds.
                                               Makes $5 million avaliable to fund capital infrastructure loans and planning grants for
                                               rural hospitals. Extends the FLEX program for five years with $40 million in funding
 S. 816      Referred to Committee 4/8/2003    each year.

				
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