This bill establishes a statutory definition for essential health system under Medicare.
Under the bill, an essential health system is one that (1) is an acute care hospital that is paid under Medicare's inpatient prospective payment system (excluding children’s, inpatient psychiatric, long-term care, rehabilitation hospitals, and certain cancer hospitals); (2) is a non-federal governmental or private nonprofit hospital; and (3) is a Medicaid disproportionate share hospital, has a Medicare disproportionate patient percentage of at least 35%, or has a Medicare disproportionate share hospital uncompensated care payment factor of 0.0005 or more.
[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7397 Introduced in House (IH)]
<DOC>
118th CONGRESS
2d Session
H. R. 7397
To amend title XVIII of the Social Security Act to establish a
definition of essential health system in statute.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 15, 2024
Mrs. Trahan (for herself and Mr. Valadao) 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 establish a
definition of essential health system in statute.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. ESTABLISHING A DEFINITION OF ESSENTIAL HEALTH SYSTEM IN
STATUTE.
Section 1861 of the Social Security Act (42 U.S.C. 1395x) is
amended by adding at the end the following new subsection:
``(nnn) Essential Health System.--The term `essential health
system' means a hospital--
``(1) that is a subsection (d) hospital (as defined in
section 1886(d)(1)(B));
``(2) that is a non-Federal governmental or private
nonprofit hospital; and
``(3) that--
``(A) meets the requirements of a Medicaid deemed
disproportionate share hospital (as described in
section 1923(b)(1));
``(B) has a Medicare disproportionate patient
percentage of at least 35 percent (as defined in
section 1886(d)(5)(F)(vi)); or
``(C) has a Medicare disproportionate share
hospital uncompensated care payment factor of 0.0005 or
more, (as defined in section 1886(r)(2)(C)).''.
<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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