Preserving Rehabilitation Innovation Centers Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to study whether there should be an increase in the prospective payment rate for inpatient rehabilitation services that would otherwise be made to a rehabilitation innovation center to cover additional costs incurred in: (1) furnishing items and services to individuals conducting research, and (2) providing medical training.
Requires the study also to specify the amount of such an increase if the Secretary determines that it is recommended.
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[S. 1220 Introduced in Senate (IS)]
113th CONGRESS
1st Session
S. 1220
To amend title XVIII of the Social Security Act to preserve access to
rehabilitation innovation centers under the Medicare program.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
June 25, 2013
Mr. Kirk (for himself and Mr. Durbin) 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 preserve access to
rehabilitation innovation centers 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 ``Preserving Rehabilitation Innovation
Centers Act of 2013''.
SEC. 2. FINDING.
Congress makes the following findings:
(1) In the United States, there are an estimated 1,181
inpatient rehabilitation facilities. Among these facilities is
a small group of rehabilitation institutions that are important
for the future of rehabilitation care and medicine, as well as
to patient recovery.
(2) This unique category of inpatient rehabilitation
institutions treat the most complex conditions, such as
traumatic brain injury, stroke, spinal cord injury, childhood
disease, burns, and wartime injuries.
(3) These leading inpatient rehabilitation institutions are
all not-for-profit or Government-owned institutions and serve a
high volume of Medicare or Medicaid beneficiaries.
(4) Each member of this small group of inpatient
rehabilitation institutions has been recognized by the Federal
Government for its contributions to cutting-edge research to
develop solutions that enhance quality of care, improve patient
outcomes, and reduce health care costs.
(5) This cohort of inpatient rehabilitation institutions
helps to improve the practice and standard of rehabilitation
medicine across the Nation by training physicians, medical
students, and other clinicians.
(6) It is vital that these unique inpatient rehabilitation
institutions are supported so they can continue to lead the
Nation's efforts to--
(A) advance integrated, multidisciplinary
rehabilitation research;
(B) provide cutting-edge medical care to the most
complex rehabilitation patients;
(C) serve as education and training facilities for
the physicians, nurses, and other health professionals
who serve rehabilitation patients; and
(D) ensure Medicare and Medicaid beneficiaries
receive state-of-the-art, high-quality rehabilitation
care.
SEC. 3. INDIRECT COSTS PAYMENT FOR REHABILITATION INNOVATION CENTERS.
Section 1886(j) of the Social Security Act (42 U.S.C. 1395ww(j)) is
amended--
(1) by redesignating paragraph (8) as paragraph (9); and
(2) by inserting after paragraph (7) the following new
paragraph:
``(8) Indirect costs payment for rehabilitation innovation
centers.--
``(A) Study relating to additional payments to
rehabilitation innovation centers to account for higher
costs; authority to increase payments.--
``(i) Study.--Not later than July 1, 2015,
the Secretary shall conduct a study to
determine whether there should be an increase
in the prospective payment rate that would
otherwise be made to a rehabilitation
innovation center under this subsection for
purposes of covering the additional costs that
are incurred by such centers in furnishing
items and services to individuals under this
title, conducting research, and providing
medical training, and if the Secretary
determines that such an increase is
recommended, the amount of such increase that
is needed to cover such additional costs.
``(ii) Authority to increase payments.--
Insofar as the Secretary determines under
clause (i) that there should be an increase in
the prospective payment rate to rehabilitation
innovation centers, the Secretary may provide
on a prospective basis for an appropriate
percentage increase in such rate.
``(B) Rehabilitation innovation center defined.--
``(i) In general.--Subject to clause (iv),
in this paragraph, the term `rehabilitation
innovation center' means a rehabilitation
facility that, determined as of the date of the
enactment of this paragraph, is described in
clause (ii) or clause (iii).
``(ii) Not-for-profit.--A rehabilitation
facility described in this clause is a facility
that--
``(I) is classified as a not-for-
profit entity under the Centers for
Medicare & Medicaid Services 2010
Provider of Services file;
``(II) holds at least one Federal
rehabilitation research and training
designation for research projects on
traumatic brain injury, spinal cord
injury, or stroke rehabilitation
research from the Rehabilitation
Research and Training Centers or the
Rehabilitation Engineering Research
Center at the National Institute on
Disability and Rehabilitation Research
at the Department of Education;
``(III) has a minimum Medicare case
mix index of 1.1144 according to the
IRF Rate Setting File for the
Correction Notice for the Inpatient
Rehabilitation Facility Prospective
Payment System for Federal Fiscal Year
2012 (78 Fed. Reg. 59256); and
``(IV) has at least 300 Medicare
discharges per year or at least 200
Medicaid discharges per year.
``(iii) Government-owned.--A rehabilitation
facility described in this clause is a facility
that--
``(I) is classified as a
Government-owned institution under the
Centers for Medicare & Medicaid
Services 2010 Provider of Services
file;
``(II) holds at least one Federal
rehabilitation research and training
designation for research projects on
traumatic brain injury, spinal cord
injury, or stroke rehabilitation
research from the Rehabilitation
Research and Training Centers, the
Rehabilitation Engineering Research
Center, or the Model Spinal Cord Injury
Systems at the National Institute on
Disability and Rehabilitation Research
at the Department of Education;
``(III) has a minimum Medicare case
mix index of 1.1144 according to the
IRF Rate Setting File for the
Correction Notice for the Inpatient
Rehabilitation Facility Prospective
Payment System for Federal Fiscal Year
2012 (78 Fed. Reg. 59256); and
``(IV) has a disproportionate share
hospital (DSH) percentage of at least
0.6300 according to the IRF Rate
Setting File for the Correction Notice
for the Inpatient Rehabilitation
Facility Prospective Payment System for
Federal Fiscal Year 2012 (78 Fed. Reg.
59256).
``(iv) Authority.--The Secretary may
consider applications from inpatient
rehabilitation facilities that are not
described in clause (ii) or (iii) as of the
date of the enactment of this paragraph but who
are subsequently so described.''.
<all>
Introduced in Senate
Read twice and referred to the Committee on Finance.
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