Medicare Regulatory and Contracting Reform Act of 2003
Placed on the Union Calendar, Calendar No. 43.
Congressional Research Service
Official summary
Version 00 · Introduced in House · Feb 13, 2003
Medicare Regulatory and Contracting Reform Act of 2003 - Amends part D (Miscellaneous) of title XVIII (Medicare) of the Social Security Act (SSA) with respect to: (1) a regular timeline for the publication of final regulations; and (2) contracts with Medicare administrative contractors.Outlines requirements for provider education and technical assistance under Medicare.Amends SSA title XVIII part D with respect to the Practicing Physicians Advisory Council to direct the Secretary to appoint a Medicare Provider Ombudsman to assist confidentially service providers and suppliers with respect to grievances and requests for information.Amends SSA title XVIII to direct the Secretary to appoint a Medicare Beneficiary Ombudsman to assist Medicare beneficiaries with respect to grievances and requests for information.Directs the Secretary of Health and Human Services (HHS) to establish a demonstration program making certain technical assistance available, upon request on a voluntary basis, to small providers of services or suppliers to evaluate their billing and related systems for compliance with the applicable Medicare requirements.Outlines requirements with respect to provider appeals and recovery. Directs the Secretary to establish a process for expedited access to judicial review.Amends SSA title XVIII part D with respect to: (1) the Medicare Integrity Program to provide for the recovery of overpayments; and (2) agreements with service providers to direct the Secretary to establish a process for enrollment of Medicare service providers and suppliers.Prohibits the Secretary from implementing any documentation guidelines for evaluation and management physician services under Medicare unless the Secretary has, among other things, established a plan with specific goals and a schedule for improving the use of such guidelines.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 108-74, Part II.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 108-74, Part II.
House Committee on Energy and Commerce Granted an extension for further consideration ending not later than April 29, 2003.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 108-74, Part I.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 108-74, Part I.
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 19 - 13.
Committee Consideration and Mark-up Session Held.
Ordered to be Reported (Amended) by Voice Vote.
Committee Consideration and Mark-up Session Held.
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
Subcommittee Consideration and Mark-up Session Held.
Referred to the Subcommittee on Health, for a period to be subsequently determined by the Chairman.
Referred to the Subcommittee on Health.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and 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.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and 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.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and 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.
Introduced in House
Introduced in House
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Source last updated: Apr 7, 2025. Consult Congress.gov for the current record.
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