,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #bbib  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ac1 #bjae ,mr4  
,olson 7= himself1 ,mr4 ,g5e ,gre5 (    
,texas1 ,mr4 ,dold1 & ,mr4 ,danny ,k4   
,davis ( ,ill9ois7 introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means1 & 9 addition to !       
,committee on ,en]gy & ,comm]ce1 = a    
p]iod to be subsequ5tly det]m9$ by !    
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,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 ( #bjae4  #b4 ,f9d+s        
,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 ( inpati5t rehabilitation    
in/itutions t are contribut+ to ! future

 ( rehabilitation c>e m$ic9e1 z well z  
to pati5t recov]y1 sci5tific innovation1
 & quality ( life4  7#b7 ,?is unique    
category ( inpati5t rehabilitation      
in/itutions treats ! mo/ complex pati5t 
conditions1 su* z traumatic bra9 injury1
 /roke1 sp9al cord injury1 *ildhood     
disease1 burns1 & w>time injuries4  7#c7
 ,^! lead+ inpati5t rehabilitation      
in/itutions are all n-=-pr(it or        
,gov]nm5t-own$ in/itutions & s]ve a high
 volume ( ,m$ic>e or ,m$icaid           
b5efici>ies4  7#d7 ,^! lead+ inpati5t   
rehabilitation in/itutions h be5        
recogniz$ by ! ,f$]al ,gov]nm5t = _!    
contributions to cutt+-edge rese>* to   
develop solutions t enhance quality (   
c>e1 improve pati5t outcomes1 & r$uce   
heal? c>e co/s4  7#e7 ,^! lead+ inpati5t
 rehabilitation in/itutions help to     
improve ! practice & /&>d (             
rehabilitation m$ic9e across ! ,nation 9
 urban1 suburban1 & rural communities by
 tra9+ physicians1 m$ical /ud5ts1 & o!r 
cl9icians1 & provid+ c>e to pati5ts f   

all #ej ,/ates4  7#f7 ,x is vital t ^!  
lead+ 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>e by      
develop+ & dissem9at+ be/ practices &   
advanc+ ! quality ( c>e utiliz$ by      
po/-acute provid]s 9 all #ej ,/ates2 &  
7,e7 support o!r inpati5t rehabilitation
 in/itutions 9 rural areas to help      
ensure access to quality po/-acute c>e =
 pati5ts liv+ 9 ^! communities4  #c4    
,indirect co/s paym5t = rehabilitation  
innovation c5t]s  7a7 ,9 g5]al ,section 
#ahhf7;j7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acieww7j77 is am5d$--   

7#a7 by r$esignat+ p>agraph 7#h7 z      
p>agraph 7#i72 &  7#b7 by ins]t+ aft]   
p>agraph 7#g7 ! foll[+ new p>agraph3    
7#h7 ,indirect co/s paym5t =            
rehabilitation innovation c5t]s  7,a7   
,/udy relat+ to additional paym5ts to   
rehabilitation innovation c5t]s to      
acc\nt = high] co/s2 au?ority to        
increase paym5ts  7i7 ,/udy ,n lat] ?an 
,july #a1 #bjag1 ! ,secret>y %all       
conduct a /udy to det]m9e :e!r !re %\ld 
be an increase 9 ! prospective paym5t   
rate t w\ld o!rwise be made to a        
rehabilitation innovation c5t] "u ?is   
subsection = purposes ( cov]+ !         
additional co/s t are incurr$ 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  7b7 ,/udy & report to     
,congress on access to rehabilitation   
c>e 9 rural communities 9 ,/ates t d n h
 a rehabilitation innovation c5t]  7#a7 
,/udy ,! ,secret>y ( ,heal? & ,human    
,s]vices %all conduct a /udy on access  

by individuals 7includ+1 b n limit$ to1 
,m$ic>e b5efici>ies7 to rehabilitation  
c>e 9 rural communities 9 ,/ates 9 :i*  
!re is no rehabilitation innovation c5t]
 7z def9$ 9 section #ahhf7;j77#h77;,b7 (
 ! ,social ,security ,act1 z add$ by    
subsection 7a774  7#b7 ,report ,n lat]  
?an ,july #a1 #bjag1 ! ,secret>y (      
,heal? & ,human ,s]vices %all submit to 
,congress a report on ! /udy conduct$ "u
 p>agraph 7#a71 toge!r ) recomm5dations 
= su* legislation & adm9i/rative action 
z ! ,secret>y det]m9es appropriate4