[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1868 Engrossed in House (EH)]
<DOC>
117th CONGRESS
1st Session
H. R. 1868
_______________________________________________________________________
AN ACT
To prevent across-the-board direct spending cuts, and for other
purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. PREVENTING PAYGO SEQUESTRATION.
(a) Statutory PAYGO Scorecards.--The budgetary effects of this Act
and the American Rescue Plan Act of 2021 (Public Law 117-2) shall not
be counted on either PAYGO scorecard maintained pursuant to section
4(d) of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 933(d)).
(b) Senate PAYGO Scorecards.--The budgetary effects of this Act
shall not be counted on any PAYGO scorecard maintained for purposes of
section 4106 of H. Con. Res. 71 (115th Congress).
SEC. 2. EXTENSION OF TEMPORARY SUSPENSION OF MEDICARE SEQUESTRATION.
(a) In General.--Section 3709(a) of division A of the CARES Act (2
U.S.C. 901a note) is amended by striking ``March 31, 2021'' and
inserting ``December 31, 2021''.
(b) Effective Date.--The amendment made by subsection (a) shall
take effect as if enacted as part of the CARES Act (Public Law 116-
136).
SEC. 3. TECHNICAL CORRECTIONS.
(a) Disregard of Certain Additional Compensation for Purposes of
Medicaid and Chip.--Section 2104(h) of the CARES Act (15 U.S.C.
9023(h)) is amended by striking ``Federal pandemic unemployment
compensation'' and inserting ``Federal Pandemic Unemployment
Compensation or Mixed Earner Unemployment Compensation''.
(b) Rural Health Clinic Payments.--
(1) In general.--Section 1833(f)(3) of the Social Security
Act (42 U.S.C. 1395l(f)(3)) is amended--
(A) in subparagraph (A)--
(i) in clause (i), by striking subclauses
(I) and (II) and inserting the following:
``(I) with respect to a rural health clinic
that had a per visit payment amount established
for services furnished in 2020--
``(aa) the per visit payment amount
applicable to such rural health clinic
for rural health clinic services
furnished in 2020, increased by the
percentage increase in the MEI
applicable to primary care services
furnished as of the first day of 2021;
or
``(bb) the limit described in
paragraph (2)(A); and
``(II) with respect to a rural health
clinic that did not have a per visit payment
amount established for services furnished in
2020--
``(aa) the per visit payment amount
applicable to such rural health clinic
for rural health clinic services
furnished in 2021; or
``(bb) the limit described in
paragraph (2)(A); and''; and
(ii) in clause (ii)(I), by striking ``under
clause (i)(I)'' and inserting ``under subclause
(I) or (II) of clause (i), as applicable,'';
and
(B) in subparagraph (B)--
(i) in the matter preceding clause (i), by
striking ``2019, was'' and inserting ``2020'';
(ii) in clause (i), by inserting ``was''
after ``(i)''; and
(iii) by striking clause (ii) and inserting
the following:
``(ii)(I) was enrolled under section 1866(j)
(including temporary enrollment during the emergency
period described in section 1135(g)(1)(B) for such
period); or
``(II) submitted an application for enrollment
under section 1866(j) (or requested such a temporary
enrollment for such period) that was received not later
than December 31, 2020.''.
(2) Effective date.--The amendments made by this subsection
shall take effect as if included in the enactment of the
Consolidated Appropriations Act, 2021 (Public Law 116-260).
(c) Eligibility for Reemployment Services.--Section 306(a) of the
Social Security Act (42 U.S.C. 506(a)) is amended--
(1) by striking ``individuals referred to reemployment
services as described in section 303(j)'' and inserting
``claimants for unemployment compensation, including claimants
referred to reemployment services as described in section
303(j),''; and
(2) by striking ``such individuals'' and inserting ``such
claimants''.
(d) Additional Amount for Certain Hospitals With High
Disproporationate Share.--Effective as if included in the enactment of
section 203(a) of title II of division CC of Public Law 116-260,
subsection (g) of section 1923 of the Social Security Act (42 U.S.C.
1396r-4) amended by such section 203(a) is amended by adding at the end
the following new paragraph:
``(3) Additional amount for certain hospitals with high
disproporationate share.--
``(A) In general.--In the case of a hospital with
high disproportionate share (as defined in subparagraph
(B)) located in a State referenced in subsection (e) of
section 4721 of the Balanced Budget Act of 1997, a
payment adjustment during a State fiscal year shall be
considered consistent with subsection (c) if the
payment adjustment does not exceed 175 percent of the
costs of furnishing hospital services during the year,
but only if the Governor of the State certifies to the
satisfaction of the Secretary that the hospital's
applicable minimum amount is used for health services
during the year. In determining the amount that is used
for such services during a year, there shall be
excluded any amounts received under the Public Health
Service Act, title V, title XVIII, or from third party
payors (not including the State plan under this title)
that are used for providing such services during the
year.
``(B) Hospital with high disproporationate share
defined.--In subparagraph (A), a hospital is a
`hospital with high disproportionate share' if--
``(i) the hospital is owned or operated by
the State (or by an instrumentality or a unit
of government within the State); and
``(ii) the hospital--
``(I) meets the requirement
described in subparagraphs (A) or (B)
of subsection (b)(1); or
``(II) has the largest number of
inpatient days attributable to
individuals entitled to benefits under
the State plan of any hospital in such
State for the previous fiscal year.
``(C) Applicable minimum amount defined.--In
subparagraph (A), the `applicable minimum amount' for a
hospital for a fiscal year is equal to the difference
between the amount of the hospital's payment adjustment
for the fiscal year and the costs to the hospital of
furnishing hospital services described in paragraph
(1)(A) during the fiscal year.''.
Passed the House of Representatives March 19, 2021.
Attest:
Clerk.
117th CONGRESS
1st Session
H. R. 1868
_______________________________________________________________________
AN ACT
To prevent across-the-board direct spending cuts, and for other
purposes.