Medicare Fee-for-Service Modifications and Medicaid Provisions of S. 1, as Passed by the Senate, and H.R. 1, as Passed by the House Page: 2 of 76
- Highlighting On/Off
- Adjust Image
- Rotate Left
- Rotate Right
- Brightness, Contrast, etc. (Experimental)
- Download Sizes
- Preview all sizes/dimensions or...
- Download Thumbnail
- Download Small
- Download Medium
- Download Large
- High Resolution Files
- IIIF Image URL
- View Extracted Text
The following text was automatically extracted from the image on this page using optical character recognition software:
Medicare Fee-for-Service Modifications and Medicaid
Provisions of S. 1, as Passed by the Senate,
and H.R. 1, as Passed by the House
On June 27, 2003, the Senate passed the Prescription Drug and Medicare
Improvement Act of 2003 by a vote of 76-21. Later that same evening, the House
passed the Medicare Modernization and Prescription Drug Act of 2003 by a recorded
vote of 216-215 with one voting present.
Each of the bills contain significant payment increases, certain payment
reductions, expansion of covered benefits, establishment of demonstration projects,
as well as new beneficiary cost-sharing provisions in the Medicare fee-for-service
(FFS) program. Provisions affecting the Medicaid program are included as well. The
majority of Medicare's FFS payment and benefit changes in S. 1 are in Title V and
Title VI. Medicaid and other health-related provisions are also included in Title VI.
In H.R. 1, comparable Medicare FFS changes are in Title III through Title VII; the
Medicaid provisions in H.R. 1 are in Title X. Where applicable, selected provisions
in other parts of the legislation that affect FFS Medicare are also included in the
There are significant differences in many of the provisions contained in S. 1 and
H.R. 1. Using changes to beneficiary cost-sharing amounts as an example, both bills
increase beneficiary cost-sharing amounts in traditional Medicare in different
fashions. Although both provide for annual increases in the Part B deductible
amount that must be met before program payments will be made for covered Part B
services, S. 1 would set the deductible amount at $125 in 2006 with subsequent
annual increases based on changes in the consumer price index for urban consumers
(CPI-U) each year thereafter. H.R. 1 would increase the Part B deductible annually
as well, but would do so beginning in 2004 off the current base of $100 and would
use the same percentage amount traditionally used to increase the Part B premium.
This update would be the annual percentage increase in the monthly actuarial value
of benefits payable from the Federal Supplementary Medical Insurance Trust Fund
(rounded to the nearest dollar). S. 1 establishes beneficiary coinsurance and
deductible requirements for clinical laboratory services; the House bill establishes a
beneficiary copayment for each 60-day episode of home-health care.
This report provides a detailed side-by-side comparison of the fee-for service
provisions of both bills. It will be updated as events warrant.
Here’s what’s next.
This report can be searched. Note: Results may vary based on the legibility of text within the document.
Matching Search ResultsView 65 places within this report that match your search.
Tools / Downloads
Get a copy of this page or view the extracted text.
Citing and Sharing
Basic information for referencing this web page. We also provide extended guidance on usage rights, references, copying or embedding.
Reference the current page of this Report.
Medicare Fee-for-Service Modifications and Medicaid Provisions of S. 1, as Passed by the Senate, and H.R. 1, as Passed by the House, report, July 17, 2003; Washington D.C.. (https://digital.library.unt.edu/ark:/67531/metadc821759/m1/2/?q=medicare: accessed April 23, 2019), University of North Texas Libraries, Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.