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Medicare Conferees Asked to Protect Health Centers

WASHINGTON, July 28, 2003 -- More than 100 House lawmakers have sent a bi-partisan letter to House-Senate Medicare Conferees, asking that key health center provisions remain in the final Medicare Rx bill that is hammered out in the conference. Spearheaded by Representatives Jerry Weller (R-IL) and John Lewis (D-GA), the letter presses conferees to maintain three essential provisions affecting health centers in the final Medicare Reform and Prescription Drug legislation currently being negotiated in the conference.

"These health centers are a critical health resource for more than 13 million medically underserved Americans, including more than 1 million Medicare beneficiaries," says the letter, signed by 109 bipartisan Members of the House. "As you know, health centers enjoy the bipartisan support of the majorities in the House and Senate and are in the midst of an expansion effort supported by the Bush Administration. It is critical that Medicare legislation protects and preserves those efforts to expand care to more people."

The provisions House lawmakers are asking Conferees to preserve are:

1. The Senate's Medicare Advantage "Wrap Around" Provision -- The "Wrap Around" provision ensures that the new MedicareAdvantage plan Congress recently passed allows health centers to be reimbursed for the cost of providing care to Medicare patients, the same as under traditional Medicare. The provision is crucial to cash-strapped health centers that are struggling to provide care to the growing ranks of uninsured and underinsured families. The Senate in a 94-1 vote overwhelmingly approved the provision.

2. The House's "Health Center Safe Harbor" Provision -- This provision will allow health centers to accept donated services aimed at helping provide low-cost, affordable services to their low-income and uninsured patient population - as long as certain provisions against fraud and abuse exist. Under current law, health centers that receive free or discounted services for their patients from other providers could come under prosecution or investigation by the Office of Inspector General.

3. The House and Senate's Technical Correction for Skilled Nursing Facilities -- This provision makes the technical correction to allow health centers to bill for FQHC (federally qualified health center) services given to patients in skilled nursing facilities-the same benefit that many other providers of the same services already have.

"These are common sense, cost-effective provisions that will help health centers maintain and expand care to more Americans," write Representatives Weller and Lewis in the letter to House colleagues.

A copy of the Letter to Conferees and the signatories will be made available at http://www.nachc.com

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Established in 1970, NACHC is a non-profit organization whose mission is (1) to represent the interests of federally supported and other federally qualified health centers and (2) to serve as an information source concerning issues of health care for poor and medically underserved populations in the United States.

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