Centers for Medicare and Medicaid Services

Centers for Medicare and Medicaid Services Grants to States for Medicaid For carrying out, except as otherwise provided, titles XI and XIX of the Social Security Act, $130,892,197,000, to remain available until expended. For making, after May 31, 2004, payments to States under title XIX of the Social Security Act for the last quarter of fiscal year 2004 for unanticipated costs, incurred for the current fiscal year, such sums as may be necessary. For making payments to States or in the case of section 1928 on behalf of States under title XIX of the Social Security Act for the first quarter of fiscal year 2005, $58,416,275,000, to remain available until expended. Payment under title XIX may be made for any quarter with respect to a State plan or plan amendment in effect during such quarter, if submitted in or prior to such quarter and approved in that or any subsequent quarter. Payments to Health Care Trust Funds For payment to the Federal Hospital Insurance and the Federal Supplementary Medical Insurance Trust Funds, as provided under section 1844 of the Social Security Act, sections 103(c) and 111(d) of the Social Security Amendments of 1965, section 278(d) of Public Law 97–248, and for administrative expenses incurred pursuant to section 201(g) of the Social Security Act, $95,084,100,000. Program Management For carrying out, except as otherwise provided, titles XI, XVIII, XIX, and XXI of the Social Security Act, titles XIII and XXVII of the Public Health Service Act, and the Clinical Laboratory Improvement Amendments of 1988, not to exceed $2,664,994,000, to be transferred from the Federal Hospital Insurance and the Federal Supplementary Medical Insurance Trust Funds, as authorized by section 201(g) of the Social Security Act; together with all funds collected in accordance with section 353 of the Public Health Service Act and section 1857(e)(2) of the Social Security Act, and such sums as may be collected from authorized user fees and the sale of data, which shall remain available until expended, and together with administrative fees collected relative to Medicare overpayment recovery activities, which shall remain available until expended: Provided, That all funds derived in accordance with 31 U.S.C. 9701 from organizations established under title XIII of the Public Health Service Act shall be credited to and available for carrying out the purposes of this appropriation: Provided further, That $30,000,000, to remain available until September 30, 2005, is for contract costs for CMS’s Systems Revitalization Plan: Provided further, That $56,991,000, to remain available until September 30, 2005, is for contract costs for the Healthcare Integrated General Ledger Accounting System: Provided further, That of the amounts made available for research, demonstration and evaluation, $100,000 is available for Advocate Health Care 118 STAT. 245 in Oak Brook, Illinois, for health education programs and services to the deaf and hard-of-hearing, $1,750,000 is available for AIDS Healthcare Foundation in Los Angeles for a demonstration of residential and outpatient treatment facilities, $250,000 is available for Berwick Hospital Center, Berwick, Pennsylvania, for stabilizing the workforce for patient care, $163,000 is available for Bloomsburg Hospital, Bloomsburg, Pennsylvania for stabilizing the workforce for patient care, $275,000 is available for Cheyenne River Sioux Tribe in Eagle Butte, South Dakota, to establish a nursing home, $778,000 is available for Community Medical Center, Scranton, Pennsylvania, for stabilizing the workforce for patient care, $150,000 is available for Cook County (Illinois) Bureau of Health Services to improve the management of vulnerable patients with poorly controlled diabetes, $178,000 is available for Divine Providence Hospital, Williamsport, Pennsylvania, for stabilizing the workforce for patient care, $267,000 is available for Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, for stabilizing the workforce for patient care, $237,000 is available for Hazleton General Hospital, Hazleton, Pennsylvania, for stabilizing the workforce for patient care, $25,000 is available for Hope Worldwide, Philadelphia, Pennsylvania, to maintain clinical care for recovering drug and alcohol addicts, $825,000 is available for Illinois Primary Health Care Association for the Shared Integrated Management Information System, Springfield, Illinois, $250,000 is available for James S. Taylor Memorial Home, Louisville, Kentucky, $100,000 is available for Jefferson Area Board for Aging, Charlottesville, Virginia, for the Nursing Assistant Institute, $85,000 is available for Jersey Shore Hospital, Jersey Shore, Pennsylvania for stabilizing the workforce for patient care, $179,000 is available for Marian Community Hospital, Carbondale, Pennsylvania, for stabilizing the workforce for patient care, $200,000 is available for Medical Care for Children Partnership, Fairfax, Virginia, to provide outreach to increase access to medical and dental care for children, $393,000 is available for Mercy Health Partners, Scranton, Pennsylvania, for stabilizing the workforce for patient care, $571,000 is available for Mercy Hospital, Wilkes-Barre, Pennsylvania, for stabilizing the workforce for patient care, $63,000 is available for Mid-Valley Hospital, Peckville, Pennsylvania, for stabilizing the workforce for patient care, $510,000 is available for Moses Taylor Hospital, Scranton, Pennsylvania, for stabilizing the workforce for patient care, $109,000 is available for Muncy Valley Hospital, Muncy, Pennsylvania, for stabilizing the workforce for patient care, $225,000 is available for Muskegon Community Health Project, Muskegon, Michigan, for the Access Health program, $75,000 is available for North Penn Visiting Nurse Association, Lansdale, Pennsylvania, to provide low-cost or free health care to children who do not have health insurance, $122,000 is available for Patient Advocate Foundation, Newport News, Virginia, to provide direct intervention assistance to patients throughout the United States who are experiencing difficulty in accessing quality health care services, $100,000 is available for Rhode Island Hospital-Medical Simulation Center of Providence, Rhode Island, for the creation of a transportable simulation-based training curriculum and validated human performance measurement system, $256,000 is available for Saint Joseph Medical Center, Hazleton, Pennsylvania, for stabilizing the workforce for patient care, $100,000 is available 118 STAT. 246 for Santa Clara County, California, for its Children’s Health Initiative program to provide outreach and enrollment assistance for families under 300 percent of Federal poverty level, $664,000 is available for Sharon Regional Health System, Sharon, Pennsylvania, for stabilizing the workforce for patient care, $25,000 is available for Sickle Cell Medical Treatment & Education Center, St. Louis Children’s Hospital, St. Louis, Missouri, to improve the academic achievement of children with Sickle Cell Disease with specific cognitive rehabilitation, $111,000 is available for Tyler Memorial Hospital, Tunkhannock, Pennsylvania, for stabilizing the workforce for patient care, $174,000 is available for United Community Hospital, Grove City, Pennsylvania, for stabilizing the workforce for patient care, $503,000 is available for UPMC Horizon, Farrell, Pennsylvania, for stabilizing the workforce for patient care, $613,000 is available for Williamsport Hospital & Medical Center, Williamsport, Pennsylvania, for stabilizing the workforce for patient care, and $965,000 is available for Wyoming Valley Health Care System, Wilkes-Barre, Pennsylvania, for stabilizing the workforce for patient care: Provided further, That the Secretary of Health and Human Services is directed to collect fees in fiscal year 2004 from Medicare+Choice organizations pursuant to section 1857(e)(2) of the Social Security Act and from eligible organizations with risk-sharing contracts under section 1876 of that Act pursuant to section 1876(k)(4)(D) of that Act: Provided further, that to the extent Medicare claims processing unit costs are projected by the Centers for Medicare & Medicaid Services to exceed $0.87 for part A claims and/or $0.65 for part B claims, up to an additional $18,000,000 may be available for obligation for every $0.04 increase in Medicare claims processing unit costs from the Federal Hospital Insurance and the Federal Supplementary Medical Insurance Trust Funds. The calculation of projected unit costs shall be derived in the same manner in which the estimated unit costs were calculated for the Federal budget estimate for the fiscal year. Health Maintenance Organization Loan and Loan Guarantee Fund For carrying out subsections (d) and (e) of section 1308 of the Public Health Service Act, any amounts received by the Secretary in connection with loans and loan guarantees under title XIII of the Public Health Service Act, to be available without fiscal year limitation for the payment of outstanding obligations. During fiscal year 2004, no commitments for direct loans or loan guarantees shall be made.