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On 22 November 2003, the House of Representatives voted 220 to 215
to approve the conference report on H.R. 1, the Medicare
Prescription Drug, Improvement, and Modernisation Act of 2003. The
Senate, on November 24th, voted 54 to 44 to approve the conference
report. The bill was signed by the President in a ceremony on
December 8th. The legislation adds a prescription drug benefit to
Medicare and replaces the existing Medicare+Choice program with a
new Medicare Advantage program that establishes managed care
payments based on a system of bids and benchmarks. The bill also
contains numerous provisions that would generally increase
fee-for-service payments within Medicare's Part A and Part B
program (also known as traditional Medicare), especially for rural
health care providers; numerous regulatory and administrative
practices will also be modified. This book discusses the
fee-for-service (FFS) provisions of the legislation, those
affecting Medicaid as well as the Medicare cost containment
provisions. It compares the provisions in the bill as enacted with
those in the Medicare reform bills that were originally passed by
the Senate and the House. through VIII; some FFS provisions are
included in Titles VIII through X as noted. The cost containment
provisions are in Title VIII and the Medicaid and other provisions
are in Title X. CONTENTS: Preface; Introduction; Changes to
Medicare's Fee for Service Program; Index.
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