{
  "id": "RL30718",
  "type": "CRS Report",
  "typeId": "REPORTS",
  "number": "RL30718",
  "active": false,
  "source": "EveryCRSReport.com",
  "versions": [
    {
      "source": "EveryCRSReport.com",
      "id": 100228,
      "date": "2001-01-04",
      "retrieved": "2016-05-24T20:31:03.851941",
      "title": "Medicaid, SCHIP, and Other Health Provisions in H.R. 5661: Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000",
      "summary": "While largely comprised of Medicare provisions, the Medicare, Medicaid, and SCHIP Benefits\nImprovement and Protection Act of 2000 ( H.R. 5661 ), a compromise agreement\nbetween House and Senate committees and the leadership, includes a number of important changes\nto Medicaid and the State Children's Health Insurance Program (SCHIP). It also includes major\nprovisions amending other programs. The provisions of  H.R. 5661  are incorporated,\nby reference into  H.R. 4577 , the Consolidated Appropriations Act 2001. \n H.R. 4577  was passed by the House and Senate on December 15, 2000 and was signed\ninto law on December 21 ( P.L. 106-554 ).\n  Among the major Medicaid modifications are several provisions affecting disproportionate\nshare hospital (DSH) payments provided to hospitals that treat a disproportionate share of uninsured\nand Medicaid enrollees. The agreement increases the disproportionate share hospital allotments for\nstates. It also extends a special DSH payment rule for public hospitals in California to qualifying\nfacilities in all states, and provides additional funds to certain public hospitals not receiving DSH\npayments. In addition to these DSH provisions, the bill replaces cost-based reimbursement with a\nprospective payment system for Federally Qualified Health Centers (FQHCs) and Rural Health\nCenters (RHCs). The agreement also modifies proposed rules governing upper payment limits on\ninpatient and outpatient services provided by certain types of facilities, and requires that the final\nregulations be issued by the end of 2000.\n  One major SCHIP provision extends the availability of unused funds from FY1998 and FY1999\nand redistributes these unused funds among both those states that spend and those that do not spend\ntheir full original allotments for these years. Current law requires that these unused funds be\ndistributed only to those states that spend their allotments. \n  Among other major provisions, the agreement requires that outreach efforts be implemented\nto identify individuals who may be eligible for Medicaid payment of Medicare cost-sharing and to\nnotify these persons of the availability of such assistance. It increases the authorization of annual\nappropriations for the Maternal and Child Health Services Block Grant under Title V. In addition,\nthe bill extends for 1 year, to FY2003, the authority for grants to be made for both the Special\nDiabetes Program for Type I Diabetes and the Special Diabetes Programs for Indians and increases\ntotal funding for FY2001 through FY2003. Finally, the agreement provides an additional FY2001\ndirect appropriation for the Ricky Ray Hemophilia Relief Fund.\n  For information on the Medicare provisions, see  CRS Report RL30707(pdf) ,  Medicare\n Provisions\nin H.R.  5661: Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act\nof 2000.",
      "type": "CRS Report",
      "typeId": "REPORTS",
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      "topics": []
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  "topics": [
    "Appropriations",
    "Health Policy"
  ]
}