MEDICARE-MEDICAID ADMINISTRATIVE
AND REIMBURSEMENT REFORM ACT

HEARINGS

BEFORE THE

SUBCOMMITTEE ON HEALTH

OF THE

COMMITTEE ON FINANCE
UNITED STATES SENATE

NINETY-FIFTH CONGRESS

FIRST SESSION

ON

S. 1470

TO PROVIDE FOR THE REFORM OF THE ADMINISTRATIVE
AND REIMBURSEMENT PROCEDURES CURRENTLY EM-
PLOYED UNDER THE MEDICARE AND MEDICAID PRO-

GRAMS, AND FOR OTHER PURPOSES

JUNE 7, 8, 9, AND 10, 1977

Printed for the use of the Committee on Finance

U.S. GOVERNMENT PRINTING OFFICE

WASHINGTON : 1977

92-202 O

For sale by the Superintendent of Documents, U.S. Government Printing Office

Washington, D.C. 20402

COMMITTEE ON FINANCE

RUSSELL B, LONG, Louisiana, Chairman HERMAN E. TALMADGE, Georgia

CARL T. CURTIS, Nebraska ABRAHAM RIBICOFF, Connecticut

CLIFFORD P. HANSEN, Wyoming HARRY F. BYRD, JR., Virginia

ROBERT DOLE, Kansas GAYLORD NELSON, Wisconsin

BOB PACKWOOD, Oregon MIKE GRAVEL, Alaska

WILLIAM V. ROTH, JR., Delaware LLOYD BENTSEN, Texas

PAUL LAXALT, Nevada WILLIAM D. HATHAWAY, Maine

JOHN C. DANFORTH, Missouri
FLOYD K. HASKELL, Colorado
SPARK M. MATSUNAGA, Hawaii
DANIEL PATRI K OYNIHAN, New York

MICHAEL STERN, Staff Director
GEORGE W. PRITTS, Jr., Minority Counsel

SUBCOMMITTEE ON HEALTH

HERMAN E. TALMADGE, Georgia, Chairman ABRAHAM RIBICOFF, Connecticut

ROBERT DOLE, Kansas GAYLORD NELSON, Wisconsin

PAUL LAXALT, Nevada LLOYD BENTSEN, Texas

JOHN C. DANFORTH, Missouri SPARK M. MATSUNAGA, Hawaii

(II)