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Government Affairs Home > Washington Highlights > September 12, 2003

Medicare Conferees Agree to Prescription Drug Discount Card, Other Items

September 12, 2003 - The House and Senate Medicare conference committee met Sept. 9 and agreed upon hundreds of pages of the less controversial provisions in the House and Senate versions of the prescription drug legislation. By voice vote, the conference agreed to items discussed by staff over the August recess, including a prescription drug discount card program, low-income assistance for drug purchases, rural health care provisions, and new preventive benefits for seniors. The conferees are expected next to tackle provider payment issues, including the hospital inpatient update and physician payments.

In a release issued by the House Ways and Means Committee, Committee Chairman and Medicare conference Chair Bill Thomas (R-Calif.) stated, "we've made headway on scores of provisions in eight titles, and I am pleased to announce nearly one-third of the Medicare bill has been resolved."

At this third public meeting, the conferees approved a four-page list of provisions. Provisions of interest to providers are as follows:

  • More frequent updating of weights used for the hospital market basket;
  • Changes to the wage index classification process;
  • Improvement of rates under the physician fee schedule for mammography services provide in hospital outpatient departments;
  • Coverage for early detection screenings of cardiovascular disease.
  • Critical access hospital improvements;
  • The creation of a structure to more widely encourage the use of electronic prescribing;
  • Extending by 2 years the current hold harmless for hospital outpatient services performed at small rural hospitals; and
  • Refining the formula by which drug get reimbursed in the outpatient settings.

Lynne Davis Boyle, Assistant Vice President
AAMC Government Relations
ldavisboyle@aamc.org
(202) 828-0526

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