Preserving Rehabilitation Innovation Centers Act of 2019
This bill directs the Centers for Medicare & Medicaid Services to publish and biennially update a list of all rehabilitation innovation centers. The bill defines rehabilitation innovation centers as nonprofit or government-owned rehabilitation facilities that (1) hold specified federal research and training designations for traumatic brain injury, spinal cord injury, or stroke rehabilitation research; and (2) serve at least a certain number of Medicare patients.
The Medicare Payment Advisory Commission must analyze the three most recent years of cost report data for all rehabilitation innovation centers and assess the payment adequacy for such innovation centers under Medicare.
[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1901 Introduced in House (IH)]
<DOC>
116th CONGRESS
1st Session
H. R. 1901
To amend title XVIII of the Social Security Act to preserve access to
rehabilitation innovation centers under the Medicare program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 27, 2019
Mr. Olson (for himself, Ms. Schakowsky, Ms. Kelly of Illinois, Mr.
Michael F. Doyle of Pennsylvania, and Mr. Foster) introduced the
following bill; which was referred to the Committee on Ways and Means,
and in addition to the Committee on Energy and Commerce, for a period
to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
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 2019''.
SEC. 2. PRESERVING ACCESS TO REHABILITATION INNOVATION CENTERS UNDER
MEDICARE.
Section 1886(j)(7)(E) of the Social Security Act (42 U.S.C.
1395ww(j)(7)(E)) is amended--
(1) by striking ``Public availability of data submitted.--
The'' and inserting ``Public availability of data submitted.--
``(i) In general.--The''; and
(2) by inserting after clause (i), as redesignated by
paragraph (1), the following new clauses:
``(ii) Public recognition of rehabilitation
innovation centers.--Beginning not later than
one year after the date of the enactment of
this clause, the Secretary shall make publicly
available on such Internet website, in addition
to the information required to be reported on
such website under clause (i), a list of all
rehabilitation innovation centers, and shall
update such list on such website not less
frequently than biennially.
``(iii) Rehabilitation innovation centers
defined.--For purposes of clause (ii), the term
`rehabilitation innovation centers' means a
rehabilitation facility that, as of the
applicable date (as defined in clause (vi), is
a rehabilitation facility described in either
clause (iv) or (v).
``(iv) Not-for-profit.--A rehabilitation
facility described in this clause is a
rehabilitation facility that--
``(I) is classified as a not-for-
profit entity under the IRF Rate
Setting File for the Inpatient
Rehabilitation Facility Prospective
Payment System for Federal Fiscal Year
2016 (80 Fed. Reg. 47036), or any
successor regulations that contain such
information;
``(II) holds, as of the applicable
date 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 National Institute on
Disability, Independent Living, and
Rehabilitation Research at the
Department of Health and Human
Services, based on such data submitted
to the Secretary by a facility, in a
form, manner, and time frame specified
by the Secretary;
``(III) has a minimum Medicare
estimated weight per discharge of
1.1144 for the most recent fiscal year
for which such information is available
according to the IRF Rate Setting File
described in subclause (I), or any
successor regulations that contain such
information; and
``(IV) is determined by the
Secretary based upon such data
submitted to the Secretary by the
facility with respect to the most
recent year for which such information
is available as the Secretary may
require, to have had at least 300
Medicare discharges in a year.
``(v) Government-owned.--A rehabilitation
facility described in this clause is a
rehabilitation facility that--
``(I) is classified as a
Government-owned institution under the
IRF Rate Setting File described in
clause (iv)(I), or any successor
regulations that contain such
information;
``(II) holds, as of the applicable
date, 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 National Institute on
Disability, Independent Living, and
Rehabilitation Research at the
Department of Health and Human
Services, as determined based on such
data submitted to the Secretary by the
facility as the Secretary may require
(and in a form, manner, and time frame
specified by the Secretary);
``(III) has a minimum Medicare
estimated weight per discharge of
1.1144 for the most recent fiscal year
for which such information is available
according to the IRF Rate Setting File
described in clause (iv)(I), or any
successor regulations that contain such
information; and
``(IV) has a Medicare
disproportionate share hospital (DSH)
percentage of at least 0.6300 for the
most recent fiscal year for which such
information is available according to
the IRF Rate Setting File described in
clause (iv)(I), or any successor
regulations that contain such
information.
``(vi) Applicable date defined.--For
purposes of clauses (iii), (iv), and (v), the
term `applicable date' means--
``(I) with respect to the initial
publication of a list under clause
(ii), the date of the enactment of such
clause; and
``(II) with respect to the
publication of an updated list under
clause (ii), a date specified by the
Secretary that is not more than 1 year
prior to the date of such publication.
``(vii) Implementation.--Notwithstanding
any other provision of law the Secretary may
implement clauses (ii) through (vi) by program
instruction or otherwise.
``(viii) Nonapplication of paperwork
reduction act.--Chapter 35 of title 44, United
States Code, shall not apply to data collected
under clauses (ii) through (v).
``(ix) Study and report.--Not later than
March 15, 2021, and as determined necessary by
the Medicare Payment Advisory Commission as
part of subsequent annual reports under section
1805(b)(1)(C), the Commission shall submit to
Congress a report analyzing the most recent
three years of cost report data available for
all rehabilitation innovation centers (as
defined in clause (ii)) and assess the adequacy
of payments to such innovation centers for
inpatient rehabilitation services under this
title. Any report submitted under the preceding
sentence shall include recommendations for such
legislation and administrative action as the
Commission determines appropriate.''.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
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