Mr. DOLE, from the Committee on Finance, REPORT together with ADDITIONAL SUPPLEMENTAL AND MINORITY VIEWS [To accompany H.R. 4961] The Committee on Finance, to which was referred the bill (H.R. 4961) to make miscellaneous changes in the tax laws, having considered the same, reports favorably thereon with amendments and an amendment to the title and recommends that the bill as amended do pass. (1) CONTENTS OF SPENDING REDUCTION PROVISIONS I. Finance Committee Recommendations-Summary Table of Cost Savings. II. Summary. A. Medicare provisions. B. Medicaid provisions C. Utilization and quality control peer review. D. Aid to families with dependent children provisions. E. Child support enforcement provisions.. III. Provisions descriptions.. A. Provisions related to Medicare.. Delay initial eligibility date for medicare Coordination of medicare benefits with re- Require minimal copayments on home health Index part B deductible to the Consumer Page 9 11 11 12 13 13 14 14 14 15 15 15 16 18 19 Provide for no increase in physician fee 20 Repeal routine nursing salary cost differen- Payment for services of provider based physi cians 21 Hold part B premium constant as a per- 23 20 24 Limit medicare reimbursement to hospitals___ c. Eliminate duplicate overhead pay- Audit and medical claims review Temporarily delay periodic interim pay ments. Assistants at surgery. Judicial district in which providers may ob tain judicial review. Reimbursement for less than effective drugs.. (5) 29 30 31 31 32 33 |