H.R. 3613 — Introduced in House

I 113th CONGRESS 1st Session H. R. 3613 IN THE HOUSE OF REPRESENTATIVES November 21, 2013Mr. Rangel (for himself and 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 payment for certain hospitals under Medicare. 1. Change in Medicare payment 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 orat 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 (2) in clause (v), by striking the semicolon at the end and inserting , or. (b) Conforming payment references Subsection (b) of such section is amended— (1) in paragraph (2)(E)(ii), by adding at the end the following new subclause: (III) Hospitals described in clause (vi) of such subsection. ; (2) in paragraph (3)(F)(iii), by adding at the end the following new subclause: (VI) Hospitals described in clause (vi) of such subsection. ; (3) in paragraph (3)(G)(ii), by inserting or (vi) after clause (iv); (4) in paragraph (3)(H)(iv), by adding at the end the following new subclause: (IV) Hospitals described in clause (vi) of such subsection. ; (5) in paragraph (3)(J), by striking subsection (d)(1)(B)(iv) and inserting clause (iv) or (vi) of subsection (d)(1)(B); and (6) in paragraph (7)(B), by adding at the end the following new clause: (iv) Hospitals described in clause (vi) of such subsection. . (c) Additional conforming amendments 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, 2014, shall not be subject to subsection (m) as of the date of such classification) after so classified. (d) Application In the case of 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 after such date of enactment, payments for inpatient operating costs for cost reporting periods beginning on or after January 1, 2014, shall be based upon the target amount per discharge established pursuant to section 1886(b) of such Act (42 U.S.C. 1395ww(b)) in effect for the cost reporting period for such hospital beginning during fiscal year 2001, increased for each succeeding cost reporting period (beginning before the date of the enactment of this Act) by the applicable percentage increase under section 1886(b)(3)(B)(ii) of such Act (42 U.S.C. 1395ww(b)(3)(B)(ii)).