,,ii #aac? ,,congress #a/ ,session ,s4 #abbj ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,june #be1 #bjac ,mr4 ,kirk 7= himself & ,mr4 ,durb97 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to pres]ve access to rehabilitation innovation c5t]s "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,pres]v+ ,rehabilitation ,innovation ,c5t]s ,act ( #bjac4 #b4 ,f9d+ ,congress makes ! foll[+ f9d+s3 7#a7 ,9 ! ,unit$ ,/ates1 !re are an e/imat$ #a1aha inpati5t rehabilitation facilities4 ,among ^! facilities is a small gr\p ( rehabilitation in/itutions t are important = ! future ( rehabilitation c>e & m$ic9e1 z well z to pati5t recov]y4 7#b7 ,?is unique category ( inpati5t rehabilitation in/itutions treat ! mo/ complex conditions1 su* z traumatic bra9 injury1 /roke1 sp9al cord injury1 *ildhood disease1 burns1 & w>time injuries4 7#c7 ,^! lead+ inpati5t rehabilitation in/itutions are all n-=-pr(it or ,gov]nm5t-own$ in/itutions & s]ve a high volume ( ,m$ic>e or ,m$icaid b5efici>ies4 7#d7 ,ea* memb] ( ?is small gr\p ( inpati5t rehabilitation in/itutions has be5 recogniz$ by ! ,f$]al ,gov]nm5t = its contributions to cutt+-edge rese>* to develop solutions t enhance quality ( c>e1 improve pati5t outcomes1 & r$uce heal? c>e co/s4 7#e7 ,?is cohort ( inpati5t rehabilitation in/itutions helps to improve ! practice & /&>d ( rehabilitation m$ic9e across ! ,nation by tra9+ physicians1 m$ical /ud5ts1 & o!r cl9icians4 7#f7 ,x is vital t ^! unique inpati5t rehabilitation in/itutions are support$ s !y c cont9ue to lead ! ,nation's ef=ts to-- 7,a7 advance integrat$1 multidiscipl9>y rehabilitation rese>*2 7,b7 provide cutt+-edge m$ical c>e to ! mo/ complex rehabilitation pati5ts2 7,c7 s]ve z education & tra9+ facilities = ! physicians1 nurses1 & o!r heal? pr(essionals :o s]ve rehabilitation pati5ts2 & 7,d7 ensure ,m$ic>e & ,m$icaid b5efici>ies receive /ate-(-!-art1 high-quality rehabilitation c>e4 #c4 ,indirect co/s paym5t = rehabilitation innovation c5t]s ,section #ahhf7;j7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7j77 is am5d$-- 7#a7 by r$esignat+ p>agraph 7#h7 z p>agraph 7#i72 & 7#b7 by ins]t+ aft] p>agraph 7#g7 ! foll[+ new p>agraph3 7#h7 ,indirect co/s paym5t = rehabilitation innovation c5t]s 7,a7 ,/udy relat+ to additional paym5ts to rehabilitation innovation c5t]s to acc\nt = high] co/s2 au?ority to increase paym5ts 7i7 ,/udy ,n lat] ?an ,july #a1 #bjae1 ! ,secret>y %all conduct a /udy to det]m9e :e!r !re %\ld be an increase 9 ! prospective paym5t rate t w\ld o!rwise be made to a rehabilitation innovation c5t] "u ?is subsection = purposes ( cov]+ ! additional co/s t are incurr$ by su* c5t]s 9 furni%+ items & s]vices to individuals "u ?is title1 conduct+ rese>*1 & provid+ m$ical tra9+1 & if ! ,secret>y det]m9es t su* an increase is recomm5d$1 ! am\nt ( su* increase t is ne$$ to cov] su* additional co/s4 7ii7 ,au?ority to increase paym5ts ,ins(> z ! ,secret>y det]m9es "u clause 7i7 t !re %\ld be an increase 9 ! prospective paym5t rate to rehabilitation innovation c5t]s1 ! ,secret>y may provide on a prospective basis = an appropriate p]c5tage increase 9 su* rate4 7,b7 ,rehabilitation innovation c5t] def9$ 7i7 ,9 g5]al ,subject to clause 7iv71 9 ?is p>agraph1 ! t]m rehabilitation innovation c5t] means a rehabilitation facility t1 det]m9$ z ( ! date ( ! enactm5t ( ?is p>agraph1 is describ$ 9 clause 7ii7 or clause 7iii74 7ii7 ,n-=-pr(it ,a rehabilitation facility describ$ 9 ?is clause is a facility t-- 7,i7 is classifi$ z a n-=-pr(it entity "u ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices #bjaj ,provid] ( ,s]vices file2 7,,ii7 holds at lea/ "o ,f$]al rehabilitation rese>* & tra9+ designation = rese>* projects on traumatic bra9 injury1 sp9al cord injury1 or /roke rehabilitation rese>* f ! ,rehabilitation ,rese>* & ,tra9+ ,c5t]s or ! ,rehabilitation ,eng9e]+ ,rese>* ,c5t] at ! ,national ,in/itute on ,disability & ,rehabilitation ,rese>* at ! ,dep>tm5t ( ,education2 7,,iii7 has a m9imum ,m$ic>e case mix index ( #a4aadd accord+ to ! ,,irf ,rate ,sett+ ,file = ! ,correction ,notice = ! ,inpati5t ,rehabilitation ,facility ,prospective ,paym5t ,sy/em = ,f$]al ,fiscal ,ye> #bjab 7#gh ,f$4 ,reg4 #eibef72 & 7,,iv7 has at lea/ #cjj ,m$ic>e dis*>ges p] ye> or at lea/ #bjj ,m$icaid dis*>ges p] ye>4 7iii7 ,gov]nm5t-own$ ,a rehabilitation facility describ$ 9 ?is clause is a facility t-- 7,i7 is classifi$ z a ,gov]nm5t-own$ in/itution "u ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices #bjaj ,provid] ( ,s]vices file2 7,,ii7 holds at lea/ "o ,f$]al rehabilitation rese>* & tra9+ designation = rese>* projects on traumatic bra9 injury1 sp9al cord injury1 or /roke rehabilitation rese>* f ! ,rehabilitation ,rese>* & ,tra9+ ,c5t]s1 ! ,rehabilitation ,eng9e]+ ,rese>* ,c5t]1 or ! ,model ,sp9al ,cord ,injury ,sy/ems at ! ,national ,in/itute on ,disability & ,rehabilitation ,rese>* at ! ,dep>tm5t ( ,education2 7,,iii7 has a m9imum ,m$ic>e case mix index ( #a4aadd accord+ to ! ,,irf ,rate ,sett+ ,file = ! ,correction ,notice = ! ,inpati5t ,rehabilitation ,facility ,prospective ,paym5t ,sy/em = ,f$]al ,fiscal ,ye> #bjab 7#gh ,f$4 ,reg4 #eibef72 & 7,,iv7 has a disproportionate %>e hospital 7,,d%7 p]c5tage ( at lea/ #j4fcjj accord+ to ! ,,irf ,rate ,sett+ ,file = ! ,correction ,notice = ! ,inpati5t ,rehabilitation ,facility ,prospective ,paym5t ,sy/em = ,f$]al ,fiscal ,ye> #bjab 7#gh ,f$4 ,reg4 #eibef74 7iv7 ,au?ority ,! ,secret>y may consid] applications f inpati5t rehabilitation facilities t are n describ$ 9 clause 7ii7 or 7iii7 z ( ! date ( ! enactm5t ( ?is p>agraph b :o are subsequ5tly s describ$4 4