HR 7972 · 96th Congress · Health

Provider Payment Review Board Act

Introduced 1980-08-20· Sponsored by Rep. Heftel, Cecil [D-HI-1]· House

Bill Progress

Introduced
2
Committee
3
House Vote
4
Senate
5
Enacted
Latest: Referred to House Committee on Interstate and Foreign Commerce.(1980-08-20)

Plain Language Summary

[AI summary unavailable — showing source text] Provider Payment Review Board Act - Amends title XVIII (Medicare) of the Social Security Act to replace the Provider Reimbursement Review Board with the Provider Payment Review Board. Sets forth the composition of the Provider Payment Review Board. Permits the Board to establish its own divisions, to determine the character of cases to be heard initially by the Board or its divisions, and to review any decision rendered by one of its divisions. Permits a provider of Medicare services to obtain a hearing before the Board when the provider is dissatisfied with a refusal of its fiscal intermediary to reopen or revise its reimbursement decision if the provider requested such reopening within a specified time or, if the request is made more than 180 days after the reimbursement decision, if the provider has presented new and material evidence. Adds to the requirements for appeals by groups of providers a requirement that the amount in controversy must be $50,000 or more for all cost reporting periods in dispute. Sets forth the rules regarding the parties to a hearing of the Board, the power of the Board to recognize persons representing parties to a hearing, and the power of the Board t…

Summarized by Claude AI · Non-partisan · For informational purposes only

Cosponsors (3)

1 Democrat2 Republicans