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OF MICHIGAN

89th Congress

1st Session

} CONFERENCE COMMITTEE PRINT

JAN 24 1906

MAIN READING ROOM

BRIEF DESCRIPTION OF SENATE

AMENDMENTS

TO

H.R. 6675

AN ACT, TO PROVIDE A HOSPITAL INSURANCE PROGRAM
FOR THE AGED UNDER THE SOCIAL SECURITY ACT WITH
A SUPPLEMENTARY HEALTH BENEFITS PROGRAM AND
AN EXPANDED PROGRAM FOR MEDICAL ASSISTANCE, TO
INCREASE BENEFITS UNDER THE OLD-AGE, SURVIVORS,
AND DISABILITY INSURANCE SYSTEM, TO IMPROVE THE
FEDERAL-STATE PUBLIC ASSISTANCE PROGRAMS, AND

FOR OTHER PURPOSES

Printed for the use of the Senate Committee on Finance and the

House Committee on Ways and Means

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON : 1965

50-604

PURCHASED THROUGH

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Conforming with amendment No. 9.
Conforming with amendment No. 50.
Conforming with amendment No. 9.
Conforming with amendment No. 63.
Conforming with amendment No. 9.

Hartke floor amendment-removed durational limit on inpatient hospital days—House bill provided 60 days—see also amendment No. 25 relating to deductible and coinsurance.

Committee amendment-increased posthospital extended care days to 100-House bill provided 20 days with 2 additional days for each unused hospital day but a maximum of 100—see also amendment No. 31 relating to coinsurance.

Committee increased number of home health visits to 175 and Saltonstall floor amendment removed requirement of prior hospitalizationHouse bill provided 100 visits after 3 days of hospitalization.

Technical and conforming with amendments Nos. 7, 8, and 9.

Technical and conforming with amendment No. 7.

Conforming with amendment No. 8.

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Committee amendment-included under A program inpatient psychiatric hospital services but imposed lifetime limit of 210 days—House bill included them in B program with 180-day lifetime limit.

McCarthy floor amendment removed psychiatric and tubercular exclusion on posthospital extended care in House bill but imposed 210-day limit for posthospital extended care treatment of mental disease with both days of inpatient psychiatric hospital services and extended care days for treatment of mental disease subject to the 210-day maximum. See amendment No. 158 deleting this exclusion.

SENATE AMENDMENTS TO H.R. 6675—Continued

Bill Amendment page number

Description 17 (17) Conforming with amendment No. 8 eliminating

House unused hospital day-extended care in

crease mechanism.
18 (18) Technical-relettering.
18 (19) Conforming with amendment No. 9.
18

(20) Technical-relettering.
18 (21) Conforming amendments Nos. 7 and 15.
18 (22) Conforming with amendment No. 9.
19 (23) Technical-relettering.
19

(24) Technical-editorial.
19 (25) Committee amendment provided that deduct-

ible may be less than $40 if actual charges are less (or customary charges if greater than actual charges). Committee-administration amendment-removed provision in A plan for crediting outpatient diagnostic deductible against hospital deductible if done in the same hospital within 20 days.

Committee amendment provided that there be a coinsurance on hospital benefits equal to onefourth of hospital deductible ($10 initially) for each day in excess of 60 in a spell of illness. House bill provided outpatient hospital deductible of $40 initially, and no days in excess of 60 and also for deduction from hospital deductible

of outpatient diagnostic deductible. 20 (26) Technical-editorial. 20 (27) Conforming with amendment No. 28. 20 (28) Committee-administration amendment put a

20-percent coinsurance on the outpatient hospital diagnostic service after deductible in the A program-House bill provided for full payment after

deductible. 20 (29) Technical-editorial. 20 (30) Technical-editorial. 20 (31) Committee amendment provided for coinsur

ance equal to one-eighth of the inpatient hospital deductible (initially $5) for posthospital extended care days in excess of 20 days. House bill provided full payment for extended care days

available. See amendment No. 8. (32) Committee amendment adjusted inpatient hos

pital deductible in future years so that the
amount shall be rounded to nearest multiple of
$4. House bill provided for rounding to nearest

multiple of $5.
21 (33) Conforming with amendment No. 32.
through

(35)
23 (36) Conforming with amendment No. 37.

21

SENATE AMENDMENTS TO H.R. 6675—Continued

Bill Amendment page number

Description 23 (37) Committee amendment including same special

conditions for psychiatric hospitalization which

were included under B program in House bill. 23 (38) Technical—relettering. 24 (39) Technical-relettering. 24 (40) Technical-relettering. 24 (41) Conforming with amendment No. 9. 25 (42) Conforming with amendment No. 9. 25

(43) Technical-relettering. 25 (44) Conforming with amendment No. 37. 25-26 (45) Technical-renumbering.

through

(47)
27 (48) Technical—relettering.
27

(49) Technical-editorial.
27 (49a) Technical-relettering.
28 (49b) Technical-relettering.
29 (50) Committee amendment to provide for emer-

gency services in a hospital outside the United States when it is closer or substantially more accessible than facility in United States which was adequately equipped to deal with illness or injury. Individual has to be physically present in United States at time of emergency which

necessitates hospitalization. 31 (51) Technical-renumbering and lettering. 31 (52) Technical-renumbering and lettering. 32 (53) Technical—renumbering and lettering. 32 (54) Technical-renumbering and lettering. 34 (55) Committee-administration amendment granted

fiscal intermediary the same immunity from liability for incorrect payments (in absence of gross negligence or intent to defraud) as is made to intermediary's certifying officers in the preceding two subsections which were in the House

bill. 34 (56) Technical--renumbering and relettering. 35 (57) Technical-renumbering and relettering. 35 (58) Technical-renumbering and relettering. 36 (59) Hartke floor amendment authorizes appro

priation out of general revenue to trust fund to
finance inpatient hospital benefits in excess of 60

days (not intended).
37 (60) Technical-editorial.
40
(61)

Technical-editorial.
40 (62) Technical-editorial.

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