HR 2116 · 100th Congress · Social Welfare
PRO Due Process and Equity Amendments of 1987
Bill Progress
✓
Introduced2
Committee3
House Vote4
Senate5
EnactedLatest: Subcommittee Hearings Held.(1987-04-30)
Plain Language Summary
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PRO Due Process and Equity Amendments of 1987 - Amends part B (Peer Review) of title XI of the Social Security Act to give Medicare (title XVIII of the Act) providers 30 days to request a hearing, and such time as is thereafter needed to exhaust administrative and judicial remedies, before the decision of the Secretary of Health and Human Services to exclude the provider from Medicare participation takes effect, provided that such delay does not pose a severe and immediate threat to the health of Medicare beneficiaries. Provides that where the Secretary finds such an immediate threat to exist, the provider shall be immediately excluded from Medicare participation and be given a hearing within 30 days. Directs the Secretary to act upon the recommendations regarding a provider's noncompliance with title XI requirements within five days of their submission if the PRO finds such noncompliance to pose an immediate threat to the health of Medicare beneficiaries, and, in any other case, within 120 days of the submittal of the recommendations. Entitles Medicare providers to a reconsideration by PRO of that organization's denial of payment for services provided, and to further review where …
Summarized by Claude AI · Non-partisan · For informational purposes only
Cosponsors (20)
8 Democrats12 Republicans