[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 3107 Introduced in Senate (IS)]

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114th CONGRESS
  2d Session
                                S. 3107

   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 SENATE OF THE UNITED STATES

                             June 29, 2016

  Mr. Isakson (for himself, Mr. Bennet, Mr. Gardner, and Mr. Perdue) 
introduced the following bill; which was read twice and referred to the 
                          Committee on Finance

_______________________________________________________________________

                                 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, in its cost-reporting 
                period that began during fiscal year 2015--
                            ``(i) was a not-for-profit long-term care 
                        hospital;
                            ``(ii) primarily provided extensive 
                        medical, surgical, or rehabilitation services 
                        with respect to MS-LTC-DRGs relating to 
                        catastrophic spinal cord or acquired brain 
                        injuries or other paralyzing neuromuscular 
                        conditions; and
                            ``(iii) admitted inpatients (including both 
                        individuals entitled to, or enrolled for 
                        benefits under this title and individuals not 
                        so entitled or enrolled) from at least 20 
                        different States, determined based on data 
                        submitted by the hospital to the Secretary.''.
    (b) Study and Report on the Status and Viability of Certain Spinal 
Cord Specialty Long-Term Care Hospitals.--
            (1) Study.--The Secretary of Health and Human Services 
        shall conduct a study on the status and viability of 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) Challenges related to classification and 
                facility licensure by State agencies for such long-term 
                care hospitals, as demonstrated by such hospitals.
                    (B) The adequacy of Medicare payment rates for such 
                long-term care hospitals.
                    (C) Utilization data to determine the prevalence of 
                Medicare beneficiaries who have been diagnosed with 
                catastrophic spinal cord or acquired brain injuries or 
                other paralyzing neuromuscular conditions.
            (2) Report.--Not later than September 30, 2022, the 
        Secretary of Health and Human Services shall submit to Congress 
        a report on the study conducted under paragraph (1), together 
        with recommendations for such legislation and administrative 
        action as the Secretary determines appropriate.
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