Text: HCR00023 Text: HCR00025 Text: HCR00000 - HCR00099 Text: HCR Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 HOUSE CONCURRENT RESOLUTION NO.
1 2 BY MARTIN and TAYLOR
1 3 A House Concurrent Resolution encouraging Congress
1 4 to rescind Health Care Financing Administration
1 5 rules requiring onerous home health agency
1 6 reporting.
1 7 WHEREAS, rules recently promulgated by the Health
1 8 Care Financing Administration (HCFA) of the United
1 9 States Department of Health and Human Services
1 10 requiring Outcome and Assessment Information Set
1 11 (OASIS) assessment and follow-up reports for all
1 12 patients of Medicare-certified home health agencies
1 13 and health departments, whether or not the patient is
1 14 a recipient of Medicare; and
1 15 WHEREAS, the OASIS system requires an 18-page
1 16 initial assessment which must be completed by a
1 17 registered nurse, and a 13-page follow-up assessment
1 18 which is required to be completed every sixty days;
1 19 and
1 20 WHEREAS, the requirement for computer software
1 21 necessary for preparation and transmission of the
1 22 OASIS system assessments and reports is essentially an
1 23 unfunded federal mandate; and
1 24 WHEREAS, the HCFA requirement necessitates costly
1 25 reporting for patients who receive services not paid
1 26 through Medicare and the reporting is duplicative of
1 27 existing assessment and reporting requirements; and
1 28 WHEREAS, in the small-scale home health care
1 29 organization environment in Iowa, it is not feasible
1 30 to provide services through separate organizations
2 1 based upon whether the patient is a recipient of
2 2 Medicare; and
2 3 WHEREAS, the HCFA rules would result in Medicare-
2 4 certified organizations only providing services to
2 5 recipients of Medicare, thereby reducing the
2 6 availability of preventive home services to older
2 7 Iowans who are not recipients of Medicare, increasing
2 8 in-hospital admissions and Medicare costs, and
2 9 increasing nursing home admissions and Medicaid costs;
2 10 and
2 11 WHEREAS, OASIS appears to be solely a research
2 12 project of HCFA, totally unfunded by federal sources,
2 13 and accomplished with loss of funds by reporting
2 14 agencies and loss of services to older Iowans; NOW
2 15 THEREFORE,
2 16 BE IT RESOLVED BY THE HOUSE OF REPRESENTATIVES, THE
2 17 SENATE CONCURRING, That the Congress of the United
2 18 States is encouraged to amend the OASIS system
2 19 requirements to apply them only to patients who are
2 20 recipients of Medicare and not to all patients of
2 21 Medicare-certified home health agencies; and
2 22 BE IT FURTHER RESOLVED, That the Chief Clerk of the
2 23 House is directed to provide a copy of this resolution
2 24 to the President of the United States, to the
2 25 Secretary of the United States Department of Health
2 26 and Human Services, to the President of the United
2 27 States Senate, to the Speaker of the United States
2 28 House of Representatives, to the Minority Leaders of
2 29 the United States Senate and House of Representatives,
2 30 and to each member of Iowa's congressional delegation.
3 1 LSB 3454HH 78
3 2 pf/cf/24.1
Text: HCR00023 Text: HCR00025 Text: HCR00000 - HCR00099 Text: HCR Index Bills and Amendments: General Index Bill History: General Index
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