S. 3236 would amend titles XVIII and XIX of the Social Security Act to extend provisions under Medicare and Medicaid programs.

== Detailed Summary ==

<summary>
(Log inMedicare and Medicaid Extension Act of 2008 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to editextend: (1) the wikiphysician payment update; (2) the floor on the work geographic adjustment under the Medicare physician fee schedule; (3) the treatment of certain physician pathology services; (4) the exceptions process for therapy caps; (5) the payment rule for brachytherapy and betherapeutic radiopharmaceuticals; and (6) the firstaccommodation of physicians ordered to active duty in the Armed Services.

Delays generally until after 2011 full implementation of the Medicare competitive acquisition program for the purchase of durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS).

Revises such program, dividing its implementation into two rounds, and specifying covered item updates for 2009-2014.

Prescribes requirements for application of accreditation in implementing quality standards.

Requires suppliers to disclose subcontractors.

Directs the Secretary of Health and Human Services to provide for a detailed summarycompetitive acquisition ombudsman within the Centers for Medicare &amp; Medicaid Services to respond to complaints and inquiries by suppliers and individuals.

Specifies topics for the Comptroller General's required study and report to Congress on the impact of competitive acquisition of DME on suppliers, manufacturers, and patients.

Sets forth a special rule for the bill!)competitive acquisition program for diabetic testing strips.

Amends SSA title XIX (Medicaid) to extend the qualifying individual (QI), transitional medical assistance (TMA), abstinence education, and Medicaid disproportionate share hospital (DSH) programs.
</summary>

<!--Leave in the 'summary' tags if you want the latest summary from the Congressional Research Service automatically to replace the text between the tags once it becomes available. -->

== Status of the Legislation ==

<status>
(Log in to editLatest Major Action: 7/11/2008: Read the wiki and be the first to update the status of the bill!)second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 874.
</status>

<!-- Leave in the 'status' tags if you want the latest reported status from THOMAS automatically to replace the text between the tags once it becomes available. -->

== Points in Favor ==

(Log in to edit the wiki and be the first to show why the bill should pass!)
<!-- First editor: Go ahead and take out the sentence in parentheses, and this notice! -->

== Points Against ==

(Log in to edit the wiki and be the first to show why the bill should not pass!)
<!-- First editor: Go ahead and take out the sentence in parentheses, and this notice! -->