To amend title XVIII of the Social Security Act to provide for a change in Medicare classification for certain hospitals.

This bill amends title XVIII (Medicare) of the Social Security Act to remove certain hospitals specializing in neoplastic disease from their classification as long-term care hospitals for purposes of Medicare payment. The Centers for Medicare & Medicaid Services shall make payments to these hospitals under reasonable cost-based reimbursement rules rather than under the prospective payment system.

[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5614 Introduced in House (IH)]

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114th CONGRESS
  2d Session
                                H. R. 5614

To amend title XVIII of the Social Security Act to provide for a change 
           in Medicare classification for certain hospitals.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              July 1, 2016

 Mr. Crowley 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 change 
           in Medicare classification for certain hospitals.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. CHANGE IN MEDICARE CLASSIFICATION FOR CERTAIN HOSPITALS.

    (a) In General.--Subsection (d)(1)(B) of section 1886 of the Social 
Security Act (42 U.S.C. 1395ww) is amended--
            (1) in clause (iv)--
                    (A) in subclause (I)--
                            (i) by striking ``(iv)(I)'' and inserting 
                        ``(iv)''; and
                            (ii) by striking ``or'' at the end; and
                    (B) in subclause (II)--
                            (i) by striking ``, or'' at the end and 
                        inserting a semicolon; and
                            (ii) by redesignating such subclause as 
                        clause (vi) and by moving it to immediately 
                        follow clause (v); and
                            (iii) in clause (v), by striking the 
                        semicolon at the end and inserting ``, or''.
    (b) Conforming Payment References.--The second sentence of 
subsection (d)(1)(B) of such section is amended--
            (1) by inserting ``(as in effect as of such date)'' after 
        ``clause (iv)''; and
            (2) by inserting ``(or, in the case of a hospital described 
        in clause (iv)(II), as so in effect, shall be classified under 
        clause (vi) on and after the effective date of such clause (vi) 
        and for cost-reporting periods beginning on or after January 1, 
        2015, shall not be subject to subsection (m) as of the date of 
        such classification)'' after ``so classified''.
    (c) Application.--
            (1) In general.--For cost-reporting periods beginning on or 
        after January 1, 2015, in the case of an applicable hospital 
        (as defined in paragraph (3)), the following shall apply:
                    (A) Payment for inpatient operating costs shall be 
                made on the TEFRA basis in the manner provided in 
                section 412.526(c) of title 42, Code of Federal 
                Regulations (as in effect on January 1, 2015).
                    (B) Payment for capital costs shall be made in the 
                manner provided by section 412.526(c)(4) of title 42, 
                Code of Federal Regulations (as in effect on such 
                date).
                    (C) Claims for payment for Medicare beneficiaries 
                who are discharged on of after January 1, 2015, shall 
                be processed as claims which are paid on a TEFRA 
                payment basis as described in section 412.526(c) of 
                title 42, Code of Federal Regulations (as in effect on 
                such date).
            (2) Assignment of new provider number.--The Secretary of 
        Health and Human Services shall assign a new provider number 
        for an applicable hospital (as defined in paragraph (3)), 
        effective for its first cost-reporting period beginning on or 
        after the date of enactment of this Act.
            (3) Applicable hospital defined.--In this subsection, the 
        term ``applicable hospital'' means a hospital that is 
        classified under clause (iv)(II) of section 1886(d)(1)(B) of 
        the Social Security Act (42 U.S.C. 1395ww(d)(1)(B)) on the day 
        before the date of the enactment of this Act and which is 
        classified under clause (vi) of such section, as added by 
        subsection (a), on or after such date of enactment.
    (d) Conforming Technical Amendment.--Section 1899B(a)(2)(A)(iv) of 
the Social Security Act (42 U.S.C. 1395lll(a)(2)(A)(iv)) is amended by 
striking ``1886(d)(1)(B)(iv)(II)'' and inserting ``1886(d)(1)(B)(vi)''.
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