[Federal Register Volume 64, Number 136 (Friday, July 16, 1999)]
[Proposed Rules]
[Pages 38395-38396]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-18117]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Part 405
[HCFA-1083-N]
Medicare Program; Meetings of the Negotiated Rulemaking Committee
on Ambulance Fee Schedule
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Notice of meeting.
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SUMMARY: In accordance with section 10(a) of the Federal Advisory
Committee Act, this notice announces the dates and location for the
fifth meeting of the Negotiated Rulemaking Committee on the Ambulance
Fee Schedule. This meeting is open to the public.
The purpose of this committee is to develop a proposed rule that
establishes a fee schedule for the payment of ambulance services under
the Medicare program through negotiated rulemaking, as mandated by
section 4531(b) of the Balanced Budget Act (BBA) of 1997.
DATES: The fifth meeting is scheduled for August 2, 1999 from 9:00 a.m.
until 5 p.m. and August 3, 1999 from 8:30 a.m. until 4 p.m. E.D.T.
ADDRESSES: The 2-day August meeting will be held at The Phoenix Park
Hotel, 520 North Capitol Street NW, Washington, D.C., (202) 638-6900.
FOR FURTHER INFORMATION CONTACT: Inquiries regarding this meeting
should be addressed to Bob Niemann ((410) 786-4569) or Margot Blige
((410) 786-4642) for general issues related to ambulance services or to
Lynn Sylvester, ((202) 606-9140) or Elayne Tempel, ((207) 780-3408)
facilitators.
SUPPLEMENTARY INFORMATION: Section 4531(b)(2) of the Balanced Budget
Act (BBA), Public Law 105-33, added a new section 1834(l) to the Social
Security Act (the Act). Section 1834(l) of the Act mandates
implementation, by January 1, 2000, of a national fee schedule for
payment of ambulance services furnished under Medicare Part B. The fee
schedule is to be established through negotiated rulemaking. Section
4531(b)(2) also provides that in establishing such fee schedule, the
Secretary will--
Establish mechanisms to control increases in expenditures
for ambulance services under Part B of the program;
Establish definitions for ambulance services that link
payments to the type of services furnished;
Consider appropriate regional and operational differences;
Consider adjustments to payment rates to account for
inflation and other relevant factors; and
Phase in the fee schedule in an efficient and fair manner.
The Negotiated Rulemaking Committee on the Ambulance Fee Schedule
has been established to provide advice and make recommendations to the
Secretary with respect to the text and content of a proposed rule that
establishes a fee schedule for the payment of ambulance services under
Part B of the Medicare program.
The Committee held its third meeting on May 24 and 25, 1999. At
this meeting, the Committee heard presentations from HCFA staff,
including a data presentation. The Committee requested another
presentation by HCFA's Office of Actuary to obtain clarification about
its calculation of the fee schedule payment cap. Additionally, a
Medical Issues workgroup was formed.
The Committee held its fourth meeting on June 28 and 29, 1999. At
this meeting a presentation was made by a HCFA Office of the Actuary
staff member. The presentation clarified that budget neutrality will be
evaluated by using all ambulance claims for the most current year and
comparing the results of the proposed models with those paid claims.
HCFA staff presented more historical Medicare hospital and supplier
ambulance billing data. Consensus was reached on one possible basic
structure for the fee schedule. HCFA indicated that the fee schedule
must be effective as soon as operationally possible after January 1,
2000. Subcommittees were formed to produce, by July 19, proposals for:
(1) A rural/urban adjustment; and
(2) A fee schedule model based on the structure agreed to at the
June meeting combined with relative values. These proposals, along with
the results of the medical issues workgroup, will serve as the basis
for the Committee's next meeting.
During the August meeting, the Committee will work toward achieving
consensus on the criteria to be considered in evaluating options for
the fee schedule. Discussions will then begin on the options.
The announced meeting is open to the public without advanced
registration. Public attendance at the meeting may be limited to space
available. Interested parties can file statements with the Committee.
Mail written statements to the following address: Federal Mediation and
Conciliation Service, 2100 K Street, NW, Washington, D.C. 20427,
Attention: Lynn Sylvester. Notice of future meetings will be published
in the Federal Register at a later date. A summary of all proceedings
will be available for public inspection in room 443-G of the
Department's offices at 200 Independence Avenue, SW, Washington, DC on
Monday through Friday of each week from 8:30 a.m. to 5 p.m. (Phone:
(202) 690-7890), and can be accessed through the HCFA Internet site at
http://www.hcfa.gov/medicare/ambmain.htm. Additional information
related to the Committee will also be available on the web site.
Authority: Sec. 1834(l) of the Social Security Act (42 U.S.C.
1395m).
(Catalog of Federal Domestic Assistance Program No. 93.774,
Medicare--Supplementary Medical Insurance Program)
[[Page 38396]]
Dated: July 11, 1999.
Michael M. Hash,
Deputy Administrator, Health Care Financing Administration.
[FR Doc. 99-18117 Filed 7-15-99; 8:45 am]
BILLING CODE 4120-01-P