H.R. 2580 — Introduced in House

I 114th CONGRESS 1st Session H. R. 2580 IN THE HOUSE OF REPRESENTATIVES May 29, 2015 Mr. Boustany introduced the following bill; which was referred to the Committee on Ways and Means A BILL To provide for a technical change to the Medicare long-term care hospital moratorium exception, and for other purposes. 1. Short title This Act may be cited as the LTCH Technical Correction Act of 2015. 2. Technical change to the Medicare long-term care hospital moratorium exception (a) In general Section 114(d) of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (42 U.S.C. 1395ww note), as amended by sections 3106(b) and 10312(b) of Public Law 111–148, section 1206(b)(2) of the Pathway for SGR Reform Act of 2013 (division B of Public Law 113–67), and section 112 of the Protecting Access to Medicare Act of 2014, is amended, in paragraph (7), by striking The moratorium under paragraph (1)(A) and inserting Any moratorium under paragraph (1) in the matter preceding subparagraph (A). (b) Effective date The amendment made by subsection (a) shall take effect as if included in the enactment of section 112 of the Protecting Access to Medicare Act of 2014. 3. Modification to Medicare long-term care hospital outlier payments Section 1886(m) of the Social Security Act (42 U.S.C. 1395ww(m)) is amended by adding at the end the following new paragraph: (7) Treatment of outlier payments (A) Reduction factor in establishing outlier pool Under the system described in paragraph (1), for rate years beginning on or after October 1, 2016, in adjusting the standard Federal rate for outlier payments, the Secretary shall apply a reduction factor of 8 percent to establish an outlier pool. (B) Limitation on payment amounts In reimbursing outlier payments under such system for such rate years, the Secretary shall structure pool payments such that the amounts paid in a rate year for outlier payments do not exceed an amount equivalent to 99.0625 percent of the outlier pool established under subparagraph (A) for such rate year. (C) Waiver of budget neutrality Any reduction in payments resulting from the application of subparagraphs (A) and (B) shall not be taken into account in applying any budget neutrality provision under such system. (D) No effect on site neutral payment rate This paragraph shall not apply with respect to the computation of the applicable site neutral payment rate under paragraph (6). .