Balanced Budget Reconciliation Act of 1997: Committee Recommendations as Submitted to the Budget Committee on the Budget Pursuant to H. Con. Res. 84, Volumul 4U.S. Government Printing Office, 1997 - 241 pagini |
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Pagina 74
... enroll in a Medicare HMO that serves the geographic area in which the person resides. A Medicare beneficiary developing end-stage renal disease after having enrolled in a Medicare HMO may continue enrollment in that ... enrollees at 74.
... enroll in a Medicare HMO that serves the geographic area in which the person resides. A Medicare beneficiary developing end-stage renal disease after having enrolled in a Medicare HMO may continue enrollment in that ... enrollees at 74.
Pagina 74
... enrollment in that Medicare HMO . ELECTION AND ENROLLMENT Present Law Persons are automatically enrolled in the Medicare fee - for - service system when they first become eligible for Medicare . Once enrolled in the ... enrollees at 74.
... enrollment in that Medicare HMO . ELECTION AND ENROLLMENT Present Law Persons are automatically enrolled in the Medicare fee - for - service system when they first become eligible for Medicare . Once enrolled in the ... enrollees at 74.
Pagina 75
... enrollees at the time of enrollment , and at least annually thereafter , the follow- ing information : 1. The enrollee's rights to benefits from the organization ; 2. The restrictions on Medicare payment for services fur- nished to the ...
... enrollees at the time of enrollment , and at least annually thereafter , the follow- ing information : 1. The enrollee's rights to benefits from the organization ; 2. The restrictions on Medicare payment for services fur- nished to the ...
Pagina 76
... enrollment . Medicare HMOs must have at least 5,000 enrollees , unless the HMO serves a primarily rural area ( specified in regulation as 1,500 enrollees ) . 50/50 Rule . No more than 50 percent of a Medicare HMO's en- rollment may be ...
... enrollment . Medicare HMOs must have at least 5,000 enrollees , unless the HMO serves a primarily rural area ( specified in regulation as 1,500 enrollees ) . 50/50 Rule . No more than 50 percent of a Medicare HMO's en- rollment may be ...
Pagina 77
... enrollees for the set of benefits the Med- icare HMO will be furnishing to Medicare beneficiaries under its contract . The starting point for this estimate is the community rate that the HMO actually charges its non - Medicare enrollees ...
... enrollees for the set of benefits the Med- icare HMO will be furnishing to Medicare beneficiaries under its contract . The starting point for this estimate is the community rate that the HMO actually charges its non - Medicare enrollees ...
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Termeni și expresii frecvente
additional adjustment amendments annual assistance auction authority Estimated outlays benefits budget authority Estimated CBO estimates Change The Committee Committee Provision Congressional Budget Office contract copayments cost-sharing coverage current law direct spending durable medical equipment Effective Date eligible employees enactment enrollees enrollment entities establish Estimated budget authority expiration fee schedule ficiaries financing Food Stamp funds guaranty agencies HCFA home health hospice care hospital housing income increase individual legislation limits loan mark-to-market Medicaid medical savings account Medicare beneficiaries Medicare Choice plan Medicare HMO Medicare payment Medicare program Medigap ment million mortgage nursing organization payment amount payment rates percent period physician premium Present Law projects qualified Reasons for Change receipts reconciliation instructions RECONCILIATION RECOMMENDATIONS reduce reimbursement restructuring rural Secretary September 30 Social Security Act spectrum Subsection Subtitle tion United States Code update veterans waiver
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Pagina 103 - ... carrying on propaganda, or otherwise attempting, to influence legislation . . . , and which does not participate in, or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office.
Pagina 103 - ... Corporations, and any community chest, fund, or foundation, organized and operated exclusively for religious, charitable, scientific, testing for public safety, literary, or educational purposes, or for the prevention of cruelty to children or animals, no part of the net earnings of which inures to the benefit of any private shareholder or individual, no substantial part of the activities of which is carrying on propaganda, or otherwise attempting, to influence legislation, and which does not...
Pagina 191 - ... at the end of the taxable year and was a full-time student during the taxable year), or is permanently and totally disabled. Also, if the qualifying child is married at the close of the year, the individual may claim the EIC for that child only if the individual may also claim that child as a dependent. To satisfy the identification test, an individual must include on their tax return the name, age, and TIN of each qualifying child. The residence test requires that a qualifying child must have...
Pagina 74 - For purposes of this subparagraph, the term "physician incentive plan" means any compensation arrangement between an entity and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services provided with respect to individuals enrolled with the entity.
Pagina 89 - Each health maintenance organization shall — "(1) have a fiscally sound operation and adequate provision against the risk of insolvency which is satisfactory to the Secretary ; . "(2) assume full financial risk on a prospective basis for the provision of basic health services, except that...
Pagina 83 - emergency medical condition' means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in...
Pagina 189 - ... (D) Outside salesmen. The deductions allowed by part VI (sec. 161 and following) which are attributable to a trade or business carried on by the taxpayer, if such trade or business consists of the performance of services by the taxpayer as an employee...
Pagina 103 - Under present law, an organization described in sections 501(cX3) or (4) of the Code is exempt from tax only if no substantial part of its activities consists of providing commercial-type insurance.
Pagina 130 - For purposes of receiving skilled nursing and home health aide services, "part-time or intermittent" is defined as skilled nursing and home health aide services furnished any number of days per week as long as they were furnished (combined) less than 8 hours each day and 28 or fewer hours each week (or, subject to review on a case-by-case basis as to the need for care, less than 8 hours each day and 35 or fewer hours per week).
Pagina 191 - In order to claim the credit, an individual must either have a qualifying child or meet other requirements. A qualifying child must meet a relationship test, an age test, an identification test, and a residence test. In order to claim the credit without a qualifying child, an individual must not be a dependent and must be over age 24 and under age 65.