HR 868 · 107th Congress 2001–2003, ended

Medicare Education and Regulatory Fairness Act of 2001

Introduced Mar 6, 2001 Originated House Sponsor Patrick J. Toomey R-PA

Fact sheet Spreadsheet

Latest action · Mar 14, 2001 Referred to the Subcommittee on Health.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedMar 6, 2001
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Medicare Education and Regulatory Fairness Act of 2001 - Amends title XVIII (Medicare) of the Social Security Act (SSA) concerning: (1) prospective application only of certain regulations prescribed by the Secretary of Health and Human Services (HHS); and (2) certain requirements for judicial and regulatory challenges of regulations.

Requires the Secretary, with respect to Medicare audits, except when clear and convincing evidence exists of fraud or similar fault, to give a physician, provider of services, or provider of ambulance services (physicians or providers) the option of entering into: (1) an arrangement to offset alleged overpayments against future payments; or (2) a repayment plan with its carrier or fiscal intermediary to recoup such an overpayment.

Prohibits the Secretary from taking any action to recoup an overpayment or to impose a penalty during the period in which a physician or provider is appealing a determination that such an overpayment has been made or the amount of the overpayment.

Prohibits carriers, absent cause, from demanding the production of records or documentation before paying a Medicare claim.

Amends SSA title XI with respect to prohibited extensions of remuneration to a Medicare-eligible individual to influence a choice of provider, practitioner, or supplier. Excludes from the meaning of remuneration any waiver of copayment made in a written, mailed communication with existing patients.

Amends SSA title XVIII with regard to: (1) construction of hearing rights related to decisions to deny or not renew a physician enrollment agreement; (2) the post-payment audit process; (3) definitions relating to physicians or providers; and (4) the right to appeal on behalf of deceased beneficiaries.

Amends SSA title XVIII to require carriers, fiscal intermediaries, and contractors to conduct education programs (funded from the Medicare Integrity Program) for physicians and providers on billing, coding, cost reporting, and documentation regulations and procedures.

Outlines provisions with regard to certain information requests from physicians and providers.

Amends SSA title XVIII to provide for the inclusion of regulatory costs in the calculation of the sustainable growth rate with respect to the costs of physicians' services.

Prohibits the Health Care Financing Administration (HCFA) from implementing any new evaluation and management documentation guidelines under Medicare, unless it: (1) has provided for an assessment of the proposed guidelines by organizations representing physicians; (2) has established a plan that contains specific goals, including a schedule, for improving use of such guidelines; (3) has completed a minimum of four pilot projects to test such guidelines; and (4) finds that specified objectives will be met in the implementation of such guidelines.

Cosponsors 245

Members who signed on, in the order they did. Signatures ran from Mar 6, 2001 to Jan 29, 2002; 41 are original cosponsors, there from the day it was introduced.

SeatCosponsorSigned on
D-TNBart GordonOriginalMar 6, 2001
R-VABob GoodlatteOriginalMar 6, 2001
R-COBob SchafferOriginalMar 6, 2001
D-TXCharles W. StenholmOriginalMar 6, 2001
R-NJChristopher H. SmithOriginalMar 6, 2001
R-FLDan MillerOriginalMar 6, 2001
R-LADavid VitterOriginalMar 6, 2001
R-WADoc HastingsOriginalMar 6, 2001
R-FLE. Clay Shaw Jr.OriginalMar 6, 2001
D-ALEarl F. HilliardOriginalMar 6, 2001
R-OKErnest J. Istook Jr.OriginalMar 6, 2001
R-KYErnie FletcherOriginalMar 6, 2001
D-MAJames P. McGovernOriginalMar 6, 2001
R-SCJim DeMintOriginalMar 6, 2001
R-KSJim RyunOriginalMar 6, 2001
R-NJJim SaxtonOriginalMar 6, 2001
R-VAJo Ann DavisOriginalMar 6, 2001
R-AZJohn B. ShadeggOriginalMar 6, 2001
R-NYJohn M. McHughOriginalMar 6, 2001
R-PAJoseph R. PittsOriginalMar 6, 2001
R-INMark E. SouderOriginalMar 6, 2001
R-FLMark FoleyOriginalMar 6, 2001
D-MAMichael E. CapuanoOriginalMar 6, 2001
R-OHPatrick J. TiberiOriginalMar 6, 2001
R-TXPete SessionsOriginalMar 6, 2001
R-CARandy (Duke) CunninghamOriginalMar 6, 2001
R-LARichard H. BakerOriginalMar 6, 2001
R-CTRob SimmonsOriginalMar 6, 2001
D-ALRobert E. (Bud) Cramer Jr.OriginalMar 6, 2001
R-OHRobert W. NeyOriginalMar 6, 2001
R-TXRon PaulOriginalMar 6, 2001
D-MSRonnie ShowsOriginalMar 6, 2001
D-NVShelley BerkleyOriginalMar 6, 2001
R-NYSue W. KellyOriginalMar 6, 2001
R-NCSue Wilkins MyrickOriginalMar 6, 2001
R-COThomas G. TancredoOriginalMar 6, 2001
R-NYThomas M. ReynoldsOriginalMar 6, 2001
R-KSTodd TiahrtOriginalMar 6, 2001
R-TNVan HillearyOriginalMar 6, 2001
R-VAVirgil H. Goode Jr.OriginalMar 6, 2001
R-NCWalter B. JonesOriginalMar 6, 2001
R-GABob BarrMar 13, 2001
R-OHDeborah PryceMar 13, 2001
R-WAGeorge R. Nethercutt Jr.Mar 13, 2001
R-NYJames T. WalshMar 13, 2001
R-NYJohn E. SweeneyMar 13, 2001
R-INJohn N. HostettlerMar 13, 2001
R-GAJohnny IsaksonMar 13, 2001
D-TXMax SandlinMar 13, 2001
R-PAMelissa A. HartMar 13, 2001
D-ARMike RossMar 13, 2001
R-OHPaul E. GillmorMar 13, 2001
R-ILPhilip M. CraneMar 13, 2001
R-MSRoger F. WickerMar 13, 2001
R-MORoy BluntMar 13, 2001
R-PATodd Russell PlattsMar 13, 2001
R-NETom OsborneMar 13, 2001
R-OKWes WatkinsMar 13, 2001
R-FLAnder CrenshawMar 20, 2001
D-CABob FilnerMar 20, 2001
R-MSCharles W. "Chip" PickeringMar 20, 2001
R-NJFrank A. LoBiondoMar 20, 2001
R-FLJoe ScarboroughMar 20, 2001
R-LAJohn CookseyMar 20, 2001
R-NELee TerryMar 20, 2001
D-HIPatsy T. MinkMar 20, 2001
D-WARick LarsenMar 20, 2001
D-ILRod R. BlagojevichMar 20, 2001
R-ALSpencer BachusMar 20, 2001
R-MOW. Todd AkinMar 20, 2001
D-MSBennie G. ThompsonMar 29, 2001
D-OKBrad CarsonMar 29, 2001
R-NCCass BallengerMar 29, 2001
D-TXChet EdwardsMar 29, 2001
R-ILDonald A. ManzulloMar 29, 2001
D-OREarl BlumenauerMar 29, 2001
R-WIF. James Sensenbrenner, Jr.Mar 29, 2001
R-OKJ. C. Watts Jr.Mar 29, 2001
D-ILJerry F. CostelloMar 29, 2001
R-NVJim GibbonsMar 29, 2001
R-MNJim RamstadMar 29, 2001
D-MEJohn Elias BaldacciMar 29, 2001
R-NJMarge RoukemaMar 29, 2001
D-COMark UdallMar 29, 2001
D-NJRobert E. AndrewsMar 29, 2001
R-NJRodney P. FrelinghuysenMar 29, 2001
R-ALBob RileyApr 4, 2001
D-WABrian BairdApr 4, 2001
R-AKDon YoungApr 4, 2001
R-CADoug OseApr 4, 2001
R-OKFrank D. LucasApr 4, 2001
D-RIJames R. LangevinApr 4, 2001
D-MAJohn Joseph MoakleyApr 4, 2001
R-SCLindsey GrahamApr 4, 2001
R-CAWally HergerApr 4, 2001
R-FLAdam H. PutnamApr 24, 2001
R-AZBob StumpApr 24, 2001
D-ILDavid D. PhelpsApr 24, 2001
D-OHJames A. Traficant Jr.Apr 24, 2001
R-IAJim NussleApr 24, 2001
R-MOJo Ann EmersonApr 24, 2001
R-NJMike FergusonApr 24, 2001
R-INMike PenceApr 24, 2001
D-CTRosa L. DeLauroApr 24, 2001
R-MDRoscoe G. BartlettApr 24, 2001
D-CASam FarrApr 24, 2001
R-OHSteven C. LaTouretteApr 24, 2001
D-PATim HoldenApr 24, 2001
D-CATom LantosApr 24, 2001
R-TNZach WampApr 24, 2001
R-ORGreg WaldenApr 25, 2001
D-TXJim TurnerApr 25, 2001
R-MIMike RogersApr 25, 2001
D-VARick BoucherApr 25, 2001
R-ALTerry EverettApr 25, 2001
R-IDC. L. (Butch) OtterApr 26, 2001
R-PAGeorge W. GekasApr 26, 2001
R-SCHenry E. Brown, Jr.Apr 26, 2001
D-MIJames A. BarciaApr 26, 2001
R-FLJohn L. MicaApr 26, 2001
R-FLLincoln Diaz-BalartApr 26, 2001
R-OKSteve LargentApr 26, 2001
R-KYAnne M. NorthupMay 1, 2001
R-ARAsa HutchinsonMay 1, 2001
D-GACynthia A. McKinneyMay 1, 2001
D-ORDarlene HooleyMay 1, 2001
R-TNEd BryantMay 1, 2001
R-VAEric CantorMay 1, 2001
R-SCFloyd SpenceMay 1, 2001
R-IAGreg GanskeMay 1, 2001
D-MOIke SkeltonMay 1, 2001
R-KSJerry MoranMay 1, 2001
R-COJoel HefleyMay 1, 2001
R-OHJohn A. BoehnerMay 1, 2001
D-MAJohn F. TierneyMay 1, 2001
D-MOKaren McCarthyMay 1, 2001
D-CALynn C. WoolseyMay 1, 2001
D-ORPeter A. DeFazioMay 1, 2001
R-ALRobert B. AderholtMay 1, 2001
R-COScott McInnisMay 1, 2001
R-ALSonny CallahanMay 1, 2001
R-ILTimothy V. JohnsonMay 1, 2001
D-NJBill Pascrell, Jr.May 3, 2001
R-INBrian D. KernsMay 3, 2001
D-NYCarolyn B. MaloneyMay 3, 2001
R-PACurt WeldonMay 3, 2001
D-AZEd PastorMay 3, 2001
R-GAJack KingstonMay 3, 2001
R-AZJeff FlakeMay 3, 2001
R-PAJohn E. PetersonMay 3, 2001
R-MNMark R. KennedyMay 3, 2001
R-WIPaul D. RyanMay 3, 2001
R-GASaxby ChamblissMay 3, 2001
D-TXSheila Jackson LeeMay 3, 2001
D-NMTom UdallMay 3, 2001
D-MABarney FrankMay 14, 2001
R-FLDave WeldonMay 14, 2001
R-MTDenny RehbergMay 14, 2001
D-VIDonna M. ChristensenMay 14, 2001
R-VAEdward L. SchrockMay 14, 2001
D-TNHarold E. Ford Jr.May 14, 2001
R-TXHenry BonillaMay 14, 2001
R-NYJack QuinnMay 14, 2001
R-AZJim KolbeMay 14, 2001
D-SCJohn M. Spratt, Jr.May 14, 2001
D-PAJoseph M. HoeffelMay 14, 2001
D-IALeonard L. BoswellMay 14, 2001
D-CAMaxine WatersMay 14, 2001
D-PARobert A. BradyMay 14, 2001
D-GURobert A. UnderwoodMay 14, 2001
R-NCRobin HayesMay 14, 2001
D-TXRuben HinojosaMay 14, 2001
R-IATom LathamMay 14, 2001
R-MDWayne T. GilchrestMay 14, 2001
D-CAGrace F. NapolitanoMay 16, 2001
D-SCJames E. ClyburnMay 16, 2001
D-VAJames P. MoranMay 16, 2001
D-UTJim MathesonMay 16, 2001
R-TXKevin BradyMay 16, 2001
D-NCMike McIntyreMay 16, 2001
D-MOWm. Lacy ClayMay 16, 2001
D-CAZoe LofgrenMay 16, 2001
D-MNBetty McCollumMay 24, 2001
D-TXCharles A. GonzalezMay 24, 2001
R-INDan BurtonMay 24, 2001
R-NEDoug BereuterMay 24, 2001
R-CAGeorge RadanovichMay 24, 2001
D-CTJames H. MaloneyMay 24, 2001
R-ILMark KirkMay 24, 2001
R-MNGil GutknechtMay 25, 2001
R-OHMichael G. OxleyMay 25, 2001
R-IDMichael K. SimpsonMay 25, 2001
R-KYRon LewisMay 25, 2001
R-WVShelley Moore CapitoMay 25, 2001
D-MSGene TaylorJun 7, 2001
D-NYJohn J. LaFalceJun 7, 2001
R-TXRalph M. HallJun 7, 2001
R-NYAmo HoughtonJun 21, 2001
D-PAChaka FattahJun 21, 2001
R-OHDavid L. HobsonJun 21, 2001
D-MDElijah E. CummingsJun 21, 2001
R-KYHarold RogersJun 21, 2001
R-NHJohn E. SununuJun 21, 2001
D-INJulia CarsonJun 21, 2001
D-PAMichael F. DoyleJun 21, 2001
D-NYMichael R. McNultyJun 21, 2001
D-WVNick J. Rahall IIJun 21, 2001
D-NJRush HoltJun 21, 2001
D-GASanford D. Bishop, Jr.Jun 21, 2001
D-OHStephanie Tubbs JonesJun 21, 2001
D-NYSteve IsraelJun 21, 2001
D-MDAlbert Russell WynnJun 28, 2001
R-MDConstance A. MorellaJun 28, 2001
D-NYGregory W. MeeksJun 28, 2001
R-AZJ. D. HayworthJun 28, 2001
D-WAJay InsleeJun 28, 2001
D-TXNick LampsonJun 28, 2001
D-CAAnna G. EshooJul 11, 2001
D-NYCarolyn McCarthyJul 11, 2001
D-ILDanny K. DavisJul 11, 2001
R-SDJohn ThuneJul 11, 2001
R-ILRay LaHoodJul 11, 2001
D-TNBob ClementJul 23, 2001
R-CADana RohrabacherJul 23, 2001
R-FLRic KellerJul 23, 2001
D-PARobert A. BorskiJul 23, 2001
D-WAAdam SmithJul 26, 2001
D-WVAlan B. MollohanJul 26, 2001
R-GAMac CollinsJul 26, 2001
D-WANorman D. DicksJul 26, 2001
D-VARobert C. "Bobby" ScottJul 26, 2001
R-NHCharles F. BassAug 2, 2001
R-UTChris CannonAug 2, 2001
R-IAJames A. LeachAug 2, 2001
R-MIPeter HoekstraAug 2, 2001
D-WITammy BaldwinAug 2, 2001
D-NYMaurice D. HincheySep 5, 2001
R-MOSam GravesSep 5, 2001
D-TXSilvestre ReyesSep 5, 2001
D-FLCorrine BrownSep 19, 2001
R-CAElton GalleglySep 19, 2001
D-FLJim DavisSep 19, 2001
R-CADarrell IssaSep 21, 2001
R-WIMark GreenOct 12, 2001
R-SCJoe WilsonJan 29, 2002

Committees 2

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseEnergy and Commerce Committee
Referred Mar 6, 2001
Health Subcommittee
Referred Mar 14, 2001
HouseWays and Means Committee
Referred Mar 6, 2001
Health Subcommittee
Referred Mar 13, 2001

Actions 4

Everything that happened, newest first.

  1. Mar 14, 2001Referred to the Subcommittee on Health.
  2. Mar 13, 2001Referred to the Subcommittee on Health.
  3. Mar 6, 2001Introduced in House
  4. Mar 6, 2001Referred 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.

In the Congressional Record 1

Days the Record’s own index lists this bill, newest first, with the pages and the members it names. Pages starting H are the House, S the Senate, E Extensions of Remarks.

WhereIn the RecordMembersDate
ExtensionsDebate and remarks E1309Danny K. Davis D-ILJul 11, 2001

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Printed hearings 6

Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.

NumberHearingCommitteeHeld
Serial No. 107-53CAN IMPROVED COMPLIANCE WITH THE REGULATORY FLEXIBILITY ACT RESUSCITATE SMALL HEALTH CARE PROVIDERS?271 pagesSmall Business CommitteeApr 10, 2002
Serial No. 107-45H.R. 2768, THE ``MEDICARE REGULATORY AND CONTRACTING REFORM ACT OF 2001''108 pagesWays and Means CommitteeSep 25, 2001
Serial No. 107-23REDUCING REGULATORY AND PAPERWORK BURDENS ON SMALL HEALTHCARE PROVIDERS: PROPOSALS FROM THE EXECUTIVE BRANCH91 pagesSmall Business CommitteeJul 25, 2001
Serial No. 107-17THE REGULATORY MORASS AT THE CENTERS FOR MEDICARE AND MEDICAID SERVICES: A PRESCRIPTION FOR BAD MEDICINE93 pagesSmall Business CommitteeJul 11, 2001
Serial No. 107-6HEALTH CARE FINANCING ADMINISTRATION PAPERWORK BURDENS205 pagesSmall Business CommitteeMay 9, 2001
Show all 6 hearings

Related bills 1

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
S 452Medicare Education and Regulatory Fairness Act of 2001Identical billMar 5, 2001

Titles 2

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To amend title XVIII of the Social Security Act to ensure that the Secretary of Health and Human Services provides appropriate guidance to physicians, providers of services, and ambulance providers that are attempting to properly submit claims under the Medicare Program and to ensure that the Secretary does not target inadvertent billing errors.
Short Titles as Introduced
Medicare Education and Regulatory Fairness Act of 2001

Subjects

Assigned by the Library of Congress. Policy area: Health.

Text 1

Each version as it was printed, newest first.

  1. Mar 6, 2001Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.