,,ib  ,union ,calendar ,no4 #aac  #aadth
 ,,congress  #ast ,session  ,h4 ,r4     
#behj  ,report ,no4 #aad-aef  ,,in ,,the
 ,,house ,,of ,,representatives  ,may   
#bi1 #bjae ,mr4 ,boustany introduced the
 following bill2 which was referred to  
the ,committee on ,ways and ,means      
,june #af1 #bjae ,reported with an      
amendment1 committed to the ,committee  
of the ,whole ,house on the ,state of   
the ,union1 and ordered to be printed   
,strike out all after the enacting      
clause and insert the part printed in   
italic ,for text of introduced bill1 see
 copy of bill as introduced on ,may #bi1
 #bjae  ,a ,,bill  ,to provide for a    
technical change to the ,medicare       
long-term care hospital moratorium      
exception1 and for other purposes4  #a4 
,short title ,this ,act may be cited as 
the ,,ltch ,technical ,correction ,act  
of #bjae4  #b4 ,technical change to the 
,medicare long-term care hospital       
moratorium exception  7a7 ,in general   
,section #aad7;d7 of the ,medicare1     

,medicaid1 and ,,schip ,extension ,act  
of #bjjg 7#db ,u4,s4,c4 #acieww note71  
as amended by sections #cajf7;b7 and    
#ajcab7;b7 of ,public ,law #aaa-adh1    
section #abjf7;b77#b7 of the ,pathway   
for ,,sgr ,reform ,act of #bjac         
7division ,b of ,public ,law #aac-fg71  
and section #aab of the ,protecting     
,access to ,medicare ,act of #bjad1 is  
amended1 in paragraph 7#g71 by striking 
,the moratorium under paragraph         
7#a77;,a7 and inserting ,any moratorium 
under paragraph 7#a7 in the matter      
preceding subparagraph 7,a74  7b7       
,effective date ,the amendment made by  
subsection 7a7 shall take effect as if  
included in the enactment of section    
#aab of the ,protecting ,access to      
,medicare ,act of #bjad4  #c4           
,modification to ,medicare long-term    
care hospital high cost outlier payments
 ,section #ahhf7m7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acieww7m77 is amended by adding at the 
end the following new paragraph3  7#g7  

,treatment of high cost outlier payments
  7,a7 ,adjustment to the standard      
,federal payment rate for estimated high
 cost outlier payments ,under the system
 described in paragraph 7#a71 for fiscal
 years beginning on or after ,october   
#a1 #bjaf1 the ,secretary shall reduce  
the standard ,federal payment rate as if
 the estimated aggregate amount of high 
cost outlier payments for standard      
,federal payment rate discharges for    
each such fiscal year would be equal to 
#h percent of estimated aggregate       
payments for standard ,federal payment  
rate discharges for each such fiscal    
year4  7,b7 ,limitation on high cost    
outlier payment amounts ,notwithstanding
 subparagraph 7,a71 the ,secretary shall
 set the fixed loss amount for high cost
 outlier payments such that the         
estimated aggregate amount of high cost 
outlier payments made for standard      
,federal payment rate discharges for    
fiscal years beginning on or after      
,october #a1 #bjaf1 shall be equal to   

#ii4jfbe percent of #h percent of       
estimated aggregate payments for        
standard ,federal payment rate          
discharges for each such fiscal year4   
7,c7 ,waiver of budget neutrality ,any  
reduction in payments resulting from the
 application of subparagraph 7,b7 shall 
not be taken into account in applying   
any budget neutrality provision under   
such system4  7,d7 ,no effect on site   
neutral high cost outlier payment rate  
,this paragraph shall not apply with    
respect to the computation of the       
applicable site neutral payment rate    
under paragraph 7#f71 except for the    
standard ,federal payment rate portion  
of blended payment rates determined     
under subparagraph 7,b77iii77,,ii7 of   
such paragraph4  4  ,june #af1 #bjae    
,reported with an amendment1 committed  
to the ,committee of the ,whole ,house  
on the ,state of the ,union1 and ordered
 to be printed