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H.R.2578 / 108th Congress

Medicare for the 21st Century Act

Referred to the Subcommittee on Health.

Official summary

Version 00 · Introduced in House · Jun 24, 2003

Medicare for the 21st Century Act - Amends title XVIII (Medicare) of the Social Security Act to add a new part D (Voluntary Medicare Outpatient Prescription Drug Discount and Security Program). Directs the Secretary of Health and Human Services to establish a Medicare Outpatient Prescription Drug Discount and Security Program under which an eligible beneficiary who voluntarily enrolls in such program is provided: (1) access to negotiated prices through an eligible entity with a contract under the program that has been selected by the beneficiary; (2) catastrophic coverage under the program; and (3) a prescription drug account and a public contribution into such account. Provides that, in estimating the benefits and administrative costs which will be payable from the Federal Supplementary Medical Insurance Trust Fund for a year for purposes of determining the monthly premium rate under Medicare part B (Federal Supplemental Medical Insurance), the Secretary shall exclude an estimate of any benefits and administrative costs attributable to application of the new part D program.

Amends SSA title XIX (Medicaid) to provide for verification of eligibility for benefits under the new part D program.

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Who introduced it

Rep. Burr, Richard [R-NC-5] · R–NC

Committees

  • Ways and Means Committee
  • Energy and Commerce Committee
22 cosponsorship records, including any withdrawals

Actions

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  1. Referred to the Subcommittee on Health.

  2. Referred to the Subcommittee on Health.

  3. Referred 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.

  4. Referred 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.

  5. Referred 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.

  6. Introduced in House

  7. Introduced in House

Bill text & related measures

Text links open the official source. We currently store references to these documents.

Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Aug 18, 2025. Consult Congress.gov for the current record.

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Neutral evidence review

Objective

Analyze H.R.2578 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

Examine H.R.2578 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Institutions and government scope

Conservative lens

Examine H.R.2578 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

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Individual rights and government power

Liberty lens

Examine H.R.2578 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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