,,ii #aacth ,,congress #ast ,session ,s4 #abbj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #be1 #bjac ,mr4 ,kirk 7for himself and ,mr4 ,durbin7 introduced the following bill2 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 program4 #a4 ,short title ,this ,act may be cited as the ,preserving ,rehabilitation ,innovation ,centers ,act of #bjac4 #b4 ,finding ,congress makes the following findings3 7#a7 ,in the ,united ,states1 there are an estimated #a1aha inpatient rehabilitation facilities4 ,among these facilities is a small group of rehabilitation institutions that are important for the future of rehabilitation care and medicine1 as well as to patient recovery4 7#b7 ,this unique category of inpatient rehabilitation institutions treat the most complex conditions1 such as traumatic brain injury1 stroke1 spinal cord injury1 childhood disease1 burns1 and wartime injuries4 7#c7 ,these leading inpatient rehabilitation institutions are all not-for-profit or ,government-owned institutions and serve a high volume of ,medicare or ,medicaid beneficiaries4 7#d7 ,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 care1 improve patient outcomes1 and reduce health care costs4 7#e7 ,this cohort of inpatient rehabilitation institutions helps to improve the practice and standard of rehabilitation medicine across the ,nation by training physicians1 medical students1 and other clinicians4 7#f7 ,it is vital that these unique inpatient rehabilitation institutions are supported so they can continue to lead the ,nation's efforts to-- 7,a7 advance integrated1 multidisciplinary rehabilitation research2 7,b7 provide cutting-edge medical care to the most complex rehabilitation patients2 7,c7 serve as education and training facilities for the physicians1 nurses1 and other health professionals who serve rehabilitation patients2 and 7,d7 ensure ,medicare and ,medicaid beneficiaries receive state-of-the-art1 high-quality rehabilitation care4 #c4 ,indirect costs payment for rehabilitation innovation centers ,section #ahhf7;j7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieww7j77 is amended-- 7#a7 by redesignating paragraph 7#h7 as paragraph 7#i72 and 7#b7 by inserting after paragraph 7#g7 the following new paragraph3 7#h7 ,indirect costs payment for rehabilitation innovation centers 7,a7 ,study relating to additional payments to rehabilitation innovation centers to account for higher costs2 authority to increase payments 7i7 ,study ,not later than ,july #a1 #bjae1 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 title1 conducting research1 and providing medical training1 and if the ,secretary determines that such an increase is recommended1 the amount of such increase that is needed to cover such additional costs4 7ii7 ,authority to increase payments ,insofar as the ,secretary determines under clause 7i7 that there should be an increase in the prospective payment rate to rehabilitation innovation centers1 the ,secretary may provide on a prospective basis for an appropriate percentage increase in such rate4 7,b7 ,rehabilitation innovation center defined 7i7 ,in general ,subject to clause 7iv71 in this paragraph1 the term rehabilitation innovation center means a rehabilitation facility that1 determined as of the date of the enactment of this paragraph1 is described in clause 7ii7 or clause 7iii74 7ii7 ,not-for-profit ,a rehabilitation facility described in this clause is a facility that-- 7,i7 is classified as a not-for-profit entity under the ,centers for ,medicare ,medicaid ,services #bjaj ,provider of ,services file2 7,,ii7 holds at least one ,federal rehabilitation research and training designation for research projects on traumatic brain injury1 spinal cord injury1 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 ,education2 7,,iii7 has a minimum ,medicare case mix index of #a4aadd according to the ,,irf ,rate ,setting ,file for the ,correction ,notice for the ,inpatient ,rehabilitation ,facility ,prospective ,payment ,system for ,federal ,fiscal ,year #bjab 7#gh ,fed4 ,reg4 #eibef72 and 7,,iv7 has at least #cjj ,medicare discharges per year or at least #bjj ,medicaid discharges per year4 7iii7 ,government-owned ,a rehabilitation facility described in this clause is a facility that-- 7,i7 is classified as a ,government-owned institution under the ,centers for ,medicare ,medicaid ,services #bjaj ,provider of ,services file2 7,,ii7 holds at least one ,federal rehabilitation research and training designation for research projects on traumatic brain injury1 spinal cord injury1 or stroke rehabilitation research from the ,rehabilitation ,research and ,training ,centers1 the ,rehabilitation ,engineering ,research ,center1 or the ,model ,spinal ,cord ,injury ,systems at the ,national ,institute on ,disability and ,rehabilitation ,research at the ,department of ,education2 7,,iii7 has a minimum ,medicare case mix index of #a4aadd according to the ,,irf ,rate ,setting ,file for the ,correction ,notice for the ,inpatient ,rehabilitation ,facility ,prospective ,payment ,system for ,federal ,fiscal ,year #bjab 7#gh ,fed4 ,reg4 #eibef72 and 7,,iv7 has a disproportionate share hospital 7,,dsh7 percentage of at least #j4fcjj according to the ,,irf ,rate ,setting ,file for the ,correction ,notice for the ,inpatient ,rehabilitation ,facility ,prospective ,payment ,system for ,federal ,fiscal ,year #bjab 7#gh ,fed4 ,reg4 #eibef74 7iv7 ,authority ,the ,secretary may consider applications from inpatient rehabilitation facilities that are not described in clause 7ii7 or 7iii7 as of the date of the enactment of this paragraph but who are subsequently so described4 4