On the recordMarch 18, 2015
Today I am refiling two bills to eliminate disparities that Puerto Rico faces under the Federal Medicare program. At the outset, I want to make clear that the only reason that I have to introduce these bills is because Puerto Rico is a U.S. territory. I look forward to the day when Puerto Rico becomes a U.S. State, when it is automatically treated fairly under Federal programs, and when the island's elected officials no longer need to implore Congress to treat our constituents the same as their fellow American citizens. That is why, 6 weeks ago, I introduced legislation that would provide for Puerto Rico's admission as a State once a majority of island voters affirm their desire for statehood in a federally sponsored vote. The bill already has 80 cosponsors and strong bipartisan support. The first bill I am filing today involves Medicare part A, which covers inpatient hospital services. The Federal Government reimburses hospitals who admit Medicare patients under a system known as the inpatient prospective payment system. The payment made to the hospital is intended to cover the operating and capital costs that a hospital incurs in furnishing care. Each hospital is paid a base rate, which can then be adjusted upwards based on a variety of factors. {time} 1030 Every hospital in the States, whether in New York City or rural Alaska, is paid the same base rate, about $5,870.…





