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H.R.4937 / 106th Congress

Medicare Protection and Fairness Act of 2000

Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

Official summary

Version 00 · Introduced in House · Jul 24, 2000

Medicare Protection and Fairness Act of 2000 - Title I: Increase in Payments for Inpatient Hospital Services - Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to payment to hospitals for inpatient hospital services to provide for: (1) elimination of reduction to market basket percentage increase in FY 2001 and 2002; (2) increase in payments for disproportionate share (DSH) hospitals in FY 2001 and 2002; and (3) elimination of reduction in payments for indirect costs of graduate medical education.Title II: Increase in Payments for Home Health Services - Amends SSA title XVIII with regard to the prospective payment system (PPS) for home health services to eliminate the 15 percent reduction in the cost limits and per beneficiary limits under such PPS.Makes such amendment effective as if included in the enactment of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999.Title III: Increase in Payments to Medicare+Choice Organizations - Subtitle A: Modifications to Risk Adjustment Methodology - Amends SSA title XVIII part C (Medicare+Choice) with respect to payments to Medicare+Choice organizations to require that the Medicare+Choice risk adjustment methodology be implemented in a budget neutral manner. Provides for a ten year phased-in implementation of such methodology.Subtitle B: Modifications to the Blended Capitation Rate - Authorizes Medicare+Choice organizations to elect to apply blended capitation rate area-specific and national percentages for 2001 and 2002 (instead of one or the other in different years). Provides for an increase in the national per capita Medicare+Choice growth percentage in 2001 and 2002.Subtitle C: Reporting Requirements for Medicare Health Care Services Furnished in Military Treatment Facilities - Amends SSA title XVIII with respect to the Medicare subvention demonstration project for military retirees to add reporting requirements for costs incurred under the project for purposes of calculating Medicare+Choice payment rates.

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Who introduced it

Rep. Smith, Adam [D-WA-9] · D–WA

Committees

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

Actions

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  1. Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

  2. Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, 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.

  3. Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, 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 Ways and Means, and in addition to the Committee on Commerce, 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. Introduced in House

  6. 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: Jun 3, 2026. Consult Congress.gov for the current record.

Explore the bill from different angles

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Neutral evidence review

Objective

Analyze H.R.4937 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.4937 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.4937 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.4937 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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