[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8565 Introduced in House (IH)]
<DOC>
117th CONGRESS
2d Session
H. R. 8565
To amend title XVIII of the Social Security Act to permanently extend
the Medicare-dependent hospital and low-volume hospital programs under
the Medicare program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 28, 2022
Mr. Graves of Missouri 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 permanently extend
the Medicare-dependent hospital and low-volume hospital programs under
the Medicare program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Rural Hospital Extensions for Low-
volume Programs Act of 2022'' or the ``Rural HELP Act of 2022''.
SEC. 2. PERMANENTLY EXTENDING THE MEDICARE-DEPENDENT HOSPITAL AND LOW-
VOLUME HOSPITAL PROGRAMS UNDER THE MEDICARE PROGRAM.
(a) Extension of the Medicare-Dependent Hospital (MDH) Program.--
(1) Extension of payment methodology.--Section
1886(d)(5)(G) of the Social Security Act (42 U.S.C.
1395ww(d)(5)(G)) is amended--
(A) in clause (i), by striking ``, and before
October 1, 2022''; and
(B) in clause (ii)(II), by striking ``, and before
October 1, 2022''.
(2) Conforming amendments.--
(A) Extension of target amount.--Section
1886(b)(3)(D) of the Social Security Act (42 U.S.C.
1395ww(b)(3)(D)) is amended--
(i) in the matter preceding clause (i), by
striking ``, and before October 1, 2022''; and
(ii) in clause (iv), by striking ``through
fiscal year 2022'' and inserting ``or a
subsequent fiscal year''.
(B) Permitting hospitals to decline
reclassification.--Section 13501(e)(2) of the Omnibus
Budget Reconciliation Act of 1993 (42 U.S.C. 1395ww
note) is amended by striking ``fiscal year 2000 through
fiscal year 2022'' and inserting ``a subsequent fiscal
year''.
(b) Extension of the Increased Payments Under the Medicare Low-
Volume Hospital Program.--Section 1886(d)(12) of the Social Security
Act (42 U.S.C. 1395ww(d)(12)) is amended--
(1) in subparagraph (B)--
(A) in the header, by inserting ``for fiscal years
2005 through 2010'' after ``increase''; and
(B) in the matter preceding clause (i), by striking
``and for discharges occurring in fiscal year 2023 and
subsequent fiscal years'';
(2) in subparagraph (C)(i)--
(A) in the matter preceding subclause (I), by
striking ``through 2022'' and inserting ``and each
subsequent fiscal year'';
(B) in subclause (II), by adding at the end
``and'';
(C) in subclause (III)--
(i) by striking ``fiscal years 2019 through
2022'' and inserting ``fiscal year 2019 and
each subsequent fiscal year''; and
(ii) by striking ``; and'' and inserting a
period; and
(D) by striking subclause (IV); and
(3) in subparagraph (D)--
(A) by amending the header to read as follows:
``Applicable percentage increase beginning with fiscal
year 2021'';
(B) in the matter preceding clause (i), by striking
``fiscal years 2011 through 2022'' and inserting
``fiscal year 2019 and each subsequent fiscal year'';
and
(C) in clause (ii), by striking ``each of fiscal
years 2019 through 2022'' and inserting ``fiscal year
2019 and each subsequent fiscal year''.
<all>