[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5688 Introduced in House (IH)]
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114th CONGRESS
2d Session
H. R. 5688
To amend title XVIII of the Social Security Act to provide for a
temporary exception to the application of the Medicare long-term care
hospital site neutral provisions for certain spinal cord specialty
hospitals.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 8, 2016
Mr. Tom Price of Georgia (for himself, Ms. DeGette, Mr. Coffman, and
Mr. Lewis) introduced the following bill; which was referred to the
Committee on Ways and Means
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to provide for a
temporary exception to the application of the Medicare long-term care
hospital site neutral provisions for certain spinal cord specialty
hospitals.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. TEMPORARY EXCEPTION TO THE APPLICATION OF THE MEDICARE LTCH
SITE NEUTRAL PROVISIONS FOR CERTAIN SPINAL CORD SPECIALTY
HOSPITALS.
(a) Exception.--Section 1886(m)(6) of the Social Security Act (42
U.S.C. 1395ww(m)(6)) is amended--
(1) in subparagraph (A)(i) by striking ``and (E)'' and
inserting ``, (E), and (F)''; and
(2) by adding at the end the following new subparagraph:
``(F) Temporary exception for certain spinal cord
specialty hospitals.--For discharges in cost reporting
periods beginning during fiscal years 2018 through
2023, subparagraph (A)(i) shall not apply (and payment
shall be made to a long-term care hospital without
regard to this paragraph) if such discharge is from a
long-term care hospital that meets each of the
following requirements:
``(i) Not-for-profit.--The long-term care
hospital is a not-for-profit long-term care
hospital June 1, 2016.
``(ii) Primarily providing treatment for
catastrophic spinal cord or acquired brain
injuries or other paralyzing neuromuscular
conditions.--At least 50 percent of the
discharges in 2013 from the long-term care
hospital were classified under MS-LTCH-DRGs 28,
29, 52, 57, 551, 573, or 963.
``(iii) Significant out-of-state
admissions.--The long-term care hospital
admitted inpatients (including both individuals
entitled to, or enrolled for benefits under
this title and individuals not so entitled or
enrolled) during fiscal year 2014 from at least
20 of the 50 States, determined based on such
data, submitted by the hospital to the
Secretary, as the Secretary may require.
Notwithstanding any other provision of law, the
Secretary may implement the previous sentence
by program instruction or otherwise.''.
(b) Study and Report on the Status and Viability of Certain Spinal
Cord Specialty Long-Term Care Hospitals.--
(1) Study.--The Comptroller General of the United States
shall conduct a study on long-term care hospitals described in
section 1886(m)(6)(F) of the Social Security Act, as added by
subsection (a). Such report shall include an analysis of the
following:
(A) The impact on such hospitals of the
classification and facility licensure by State agencies
of such hospitals.
(B) The Medicare payment rates for such hospitals.
(C) Data on the number and health care needs of
Medicare beneficiaries who have been diagnosed with
catastrophic spinal cord or acquired brain injuries or
other paralyzing neuromuscular conditions (as described
within the discharge classifications specified in
clause (ii) of such section) who are receiving services
from such hospitals.
(2) Report.--Not later than June 30, 2022, the Comptroller
General shall submit to Congress a report on the study
conducted under paragraph (1), together with recommendations
for such legislation and administrative action as the
Comptroller General determines appropriate.
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