Medicare Expansion for Needed Drugs (MEND) Act of 2000
Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S3840-3848)
Congressional Research Service
Official summary
Version 00 · Introduced in Senate · May 10, 2000
Medicare Expansion for Needed Drugs (MEND) Act of 2000 - Title I: Prescription Drug Benefit Program - Amends title XVIII (Medicare) of the Social Security Act (SSA) to add a new part D (Prescription Drug Benefit for the Aged and Disabled) outlining the following program components: (1) establishment of a voluntary insurance program to provide prescription drug benefits for individuals who are aged or disabled or have end-stage renal disease and who elect to enroll under such program, to be financed from enrollee premium payments together with contributions from Federal appropriations; (2) scope of benefits; (3) payment of benefits and benefit limits; (4) eligibility and enrollment; (5) monthly premium rates; (6) creation within the Federal Supplementary Medical Insurance Trust Fund under Medicare part B (Supplementary Medical Insurance) of the Prescription Drug Insurance Account for payments; (7) administration of benefits through private entities; (8) authorization for the Employer Incentive Program to encourage employers to provide adequate prescription drug benefits to retired individuals and to maintain such existing benefit programs by subsidizing, in part, the sponsor's cost of providing coverage under qualifying plans; and (9) authorization of appropriations to the Account to cover Government contributions.(Sec. 101) Directs the Secretary of Health and Human Services to study and report on the feasibility and advisability of establishing an annual open enrollment period under the new part D program.(Sec. 102) Amends SSA title XIX (Medicaid) to: (1) provide for coverage for certain low-income individuals of part D premiums; (2) require State Medicaid plans to provide that in the case of any individual whose eligibility for medical assistance is not limited to Medicare or Medicare drug cost-sharing, and for whom the State elects to pay monthly premiums under part D, the State will purchase all prescription drugs, without regard to whether the benefit limit for such individual has been reached; (3) require Government payment of Medicare drug cost-sharing for qualified Medicare beneficiaries and for Medicare-eligible individuals with incomes between 100 and 150 percent of the Federal poverty line; and (4) make provisions on payment for covered outpatient drugs inapplicable to prescription drugs purchased under part D pursuant to an agreement with the Secretary under the special eligibility, enrollment, and copayment rules below for low-income individuals.Amends SSA title XVIII part D to outline special eligibility, enrollment, and copayment rules for low-income individuals, which include options for continuation of Medicaid coverage or enrollment under such part.Amends SSA title XIX to remove the sunset date for cost-sharing in Medicare part B premiums for certain qualifying individuals.Repeals provisions on State coverage of Medicare cost-sharing for additional low-income Medicare beneficiaries.(Sec. 103) Directs the Secretary to submit to Congress recommendations on structuring a catastrophic drug benefit for Medicare beneficiaries. Establishes the Catastrophic Prescription Drug Coverage Reserve Fund and makes appropriations to it.(Sec. 104) Amends SSA title XVIII to provide for comprehensive immunosuppressive drug Medicare coverage for organ transplant patients.(Sec. 105) Directs the Comptroller General to study and report to Congress on the prescription drug benefit program under part D.(Sec. 106) Directs the Medicare Payment Advisory Commission (MEDPAC) to take similar action, including an analysis of such program's impact on the pharmaceutical market, franchise, independent, and rural pharmacies, and beneficiary access to prescription drugs.Title II: Enhanced Medicare Prevention Program - Amends SSA title XVIII to direct MEDPAC to report annually to Congress on the actuarial equivalence of Medicare and private sector benefit packages.(Sec. 202) Requires the Director of the National Institute on Aging to conduct studies on improving the quality of life for the elderly, developing better ways to prevent or delay the onset of age-related functional decline and disease among the elderly, and developing means of assessing the long-term development of cost-effective and cost-saving benefits for health promotion and disease among the elderly. Authorizes appropriations.(Sec. 203) Requires the Secretary to contract with the Institute of Medicine to study and report to the President along with appropriate legislative recommendations for Congress with respect to current literature and best practices in the field of health promotion and disease prevention among Medicare beneficiaries. Provides for fast-track consideration by Congress of such presidential report and accompanying recommendations.
Source last updated: Aug 20, 2025. Consult Congress.gov for the current record.
AI Conversation Starters
Explore the bill from different angles
Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.
Neutral evidence review
Objective
Analyze S.2541 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.
View full prompt & sources
Fairness and public impact
Progressive lens
Examine S.2541 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.
View full prompt & sources
Institutions and government scope
Conservative lens
Examine S.2541 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.
View full prompt & sources
Individual rights and government power
Liberty lens
Examine S.2541 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.