Balanced Budget Act of 1997 Vol 1
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BALANCED BUDGETACTOF 1997 Volumes1-2 H.R.2015 PUBLIC LAW105-33 105THCONGRESS REPORTS,BILLS, DEBATES, ANDACT SocialSecurity Administration Office of the Deputy Commissioner for Legislation and Congressional Affairs PREFACE This 2-volume compilation contains historical documents pertaining to P.L. 105-33, the "Balanced Budget Act of 1997." These books contain congressional debates and a chronological compilation of documents pertinent to the legislative history of the public law. Pertinent documents include: o Differing versions of key bills o Committee Reports o Excerpts from the Congressional Record o The Public Law o Legislative Bulletins The books are prepared by the Office of the Deputy Commissioner for Legislation and Congressional Affairs and are designed to serve as helpful resource tools for those charged with interpreting laws administered by the Social Security Administration. TABLE OF CONTENTS BALANCED BUDGET ACT OF 1997 Volume 1 House Action on H.R. 2015 A. Reported to House Committee on the Budget reported bill (without amendments) committed to the Whole House--June 24, 1997 (excerpts) House Report No. 105-149 (to accompany H.R. 2015)--June 23, 1997 (excerpts) B. H.Res. 174, Providing for Consideration of H.R. 2015 Committee on Rules Report on H.Res. 174--House Report No. 105-152-- June 25, 1997 House Debate and Passage of H.Res. 174--Congressional Record-- June 25, 1997 (excerpts) C. House Debate on H.R. 2015--Congressional Record--June 25, 1997 (excerpts) D. House-Passed Bill H.R. 2015 as received in the Senate--June 25, 1997 (excerpts) II. Senate Action on S. 947/H.R. 2015 A. 5. 947 in the Senate of the United States (As Reported by the Senate Committee on the Budget With No Written Report)--June 20, 1997 (excerpts) 1 of 3 B. Senate Amendments to S. 947 (Excerpts of SSI and Social Security-Related Provisions) C. Senate debated and passed 5. 947, with amendments Senate debated and passed H.R. 2015, after striking all after the enacting clause and inserting the text of 5. 947 (subsequently, 5. 947 was indefmitely postponed) Congressional Record--June 23, 24, and 25,1997(excerpts) D. Senate-Passed Bill--June 25,1997(excerpts) Volume 2 III. Conference Action A. Senate insisted on its amendments, requested conference, and appointed conferees--Congressional Record--June 27, 1997 B. House disagreed to the Senate amendments, agreed to conference, and appointed conferees--Congressional Record--July 10, 1997 C. H.Res. 201, Waiving Same Day Consideration of Rule--Congressional Record--July 30, 1999 D. Conference Report Filed--July 29, 1997 House Report No. 105-217 (excerpts) E. H.Res. 202 Approved, Rule Granted Allowing No Amendments to Conference Report--Congressional Record--July 30, 1997 F. House Agreed to Conference Report--Congressional Record--July 30, 1997 (excerpts) 2of3 G. Senate Began Consideration of Conference Report--Congressional Record--July 30, 1997 (excerpts) Senate Agreed to Conference Report--Congressional Record--July 31, 1997 (excerpts) H. House Agreed to H.J.Res. 90, Waiving Enrollment Requirements With Respect to H.R. 2015--Congressional Record--July 31, 1997 IV.Public Law A. Public Law 105-33--lOSth Congress--August 5, 1997 (excerpts) B. President Clinton's Signing Statement--August 5, 1997 C. President Clinton's Remarks and Special Message on Line Item Veto-- August 11, 1997 APPENDIX A. H.R. 2037, Budget Enforcement Act of 1997 (H.R. 2037 Was Incorporated into H.R. 2015) B. Comparison of Budget Reconciliation Human Resources Items-- Conference Status--July 21, 1997 (excerpts) C. Legislative Bulletin 105-4--June 12, 1997 D. Legislative Bulletin 105-6--August 1, 1997 E. Report on the Enrolled Bill, H.R. 2015 Letter to Franklin Raines, Director, Office of Management and Budget, from John J. Callahan, Acting Commissioner of Social Security--July 31, 1997 3of3 lB 105TH CONGRESS 1ST SEssioN [Report No. 105—149] To provide for reconciliation pursuant to subsections (b)(1) and (c) of section 105 of the concurrent resolution on the budget for fiscalyear 1998. IN THE HOUSE OF REPRESENTATWES JUNE 24, 1997 Mr. KASICH from the Committee on the Budget, reported the following bill; which was committed to the Committee of the Whole Houseon the State of the Union and ordered to be printed A BILL To provide for reconciliation pursuant to subsections (b)(1) and (c) of section 105 of the concurrent resolutionon the budget for fiscal year 1998. 1 Be it enacted by the Senate and House of Representa- 2tives of the United States of America in Congress assembled, 3 SECTION 1. SHORT TITLE. 4 This Act may be cited as the "Balanced Budget Act 5of 1997". 2 1 SEC.2. TABLE OF CONTENTS. Title I—Committee on Agriculture. Title Il—Committee on Banking and Financial Services. Title Ill—Committee on Commerce—Nonmedicare. Title W—Committee on Commerce—Medicare. Title V—Committee on Education and the Workforce. Tittle VT—Committee on Government Reform and Oversight. Title WI—Committee on Transportation and Infrastructure. Title VTII—Committee on Veterans' Affairs. Title IX—Committee on Ways and Means—Nonmedicare. Title X—Committee on Ways and Means—Medicare. 184 TITLE1V—COMMITTEE ON 2 COMMERCE—MEDICARE 185 CHAPTER1—MEDIcAREPIUs PROGRAM SUBCHAPTERA—MEDICAREPLUS PROGRAM Sec.4001. Establishment of MedicarePlus program. "PART C—MEDICAREPLUS PROGRAM "Sec. 1851. Eligibility, election, and enrollment. "Sec. 1852. Benefits and beneficiary protections. "Sec. 1853. Payments to MedicarePlus organizations. "Sec. 1854. Premiums. "Sec. 1855. Organizational and financial requirements for MedicarePlus organizations; provider-sponsored organizations. "Sec. 1856. Establishment of standards. "Sec. 1857. Contracts with MedicarePlus organizations. "Sec. 1859. Definitions; miscellaneous provisions. Sec. 4002. Transitional rules for current medicare HMO program. Sec. 4003. Conforming changes in medigap program. SUBCHAPTER B—SPECIAL RULES FOR MEDICAREPLUS MEDICAL SAVINGS ACCOUNTS Sec. 4006. MedicarePlus MSA. SUBCHAPTER C—GME, IME, AND DSH PAYMENTS FOR MANAGED CARE ENROLLEES Sec. 4008. Graduate medical education and indirect medical education pay- ments for managed care enrollees. Sec. 4009. Disproportionate share hospital payments for managed care enroll- ees. CHAPTER 2—INTEGRATED LONG-TERM CARE PROGRAMS SUBCHAPTER A—PROGRAMS OF ALL-INCLUSiVE CARE FOR THE ELDERLY (PACE) Sec. 4011. Reference to coverage of PACE under the medicare program. Sec. 4012. Reference to establishment of PACE program as medicaid State op- tion. SUBCHAPTER B—SOCIAL HEALTH MAINTENANCE ORGANIZATIONS (SHMOS) Sec. 4015. Social health maintenance organizations (SHMOs). SUBCHAPTER C—OTHER PROGRAMS Sec. 4018. Orderlytransitionofmunicipalhealthservicedemonstration projects. Sec. 4019. Extension of certain medicare community nursing organization dem- onstration projects. CHAPTER 3—MEDICARE PAYMENT ADVISORY COMMISSION Sec. 4021. Medicare Payment Advisory Commission. CHAPTER 4—MEDIGAP PROTECTIONS Sec. 4031. Medigap protections. Sec. 4032. Medicare prepaid competitive pricing demonstration project. 186 SubtitleB—Prevention Initiatives Sec. 4101. Screening mammography. Sec. 4102. Screening pap smear and pelvic exams. Sec. 4103. Prostate cancer screening tests. Sec. 4104. Coverage of colorectal screening. Sec. 4105. Diabetes screening tests. Sec. 4106. Standardization of medicare coverage of bone mass measurements. Sec. 4107. Vaccines outreach expansion. Sec. 4108. Study on preventive benefits. Subtitle C—Rural Initiatives Sec. 4206. Informatics, telemedicine, and education demonstration project. Subtitle D—Anti-Fraud and Abuse Provisions Sec. 4301. Permanent exclusion for those convicted of 3 health care related crimes. Sec. 4302. Authority to refuse to enter into medicare agreements with individ- uals or entities convicted of felonies. Sec. 4303. Inclusion of toll-free number to report medicare waste, fraud, and abuse in explanation of benefits forms. Sec. 4304. Liability of medicare carriers and fiscal intermediaries for claims submitted by excluded providers. Sec. 4305. Exclusion of entity controlled by family member of a sanctioned in- dividual. Sec. 4306. Imposition of civil money penalties. Sec. 4307. Disclosure of information and surety bonds. Sec. 4308. Provision of certain identification numbers. Sec. 4309. Advisory opinions regarding certain physician self-referral provi- sions. Sec. 4310. Nondiscrimination in post-hospital referral to home health agencies. Sec. 4311. Other fraud and abuse related provisions. Subtitle E—Prospective Payment Systems CHAPTER 2—PAYMENT UNDER PART B SUBCHAPTER A—PAYMENT FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES Sec. 4411. Elimination of formula-driven overpayments (FDO) for certain out- patient hospital services. Sec. 4412. Extension of reductions in payments for costs of hospital outpatient services. Sec. 4413. Prospective payment system for hospital outpatient department serv- ices. SUBCHAPTER B—REHABILITATION SERVICES Sec. 4421. Rehabilitation agencies and services. Sec. 4422. Comprehensive outpatient rehabilitation facilities (corf). SUBCHAPTER C—AMBULANCE SERVICES Sec. 4431. Payments for ambulance services. Sec. 4432. Demonstration of coverage of ambulance services under medicare through contracts with units of local government. 187 CHAPTER3—PAYMENT UNDER PARTS A AND B Sec. 4441. Prospective payment for home health services. Subtitle G—Provisions Relating to Part B Only CHAPTER 1—PHYSICIANS' SERVICES Sec. 4601. Establishment of single conversion factor for 1998. Sec. 4602. Establishing update to conversion factor to match spending under sustainable