H.R. 5164 — Introduced in House

I 114th CONGRESS 2d Session H. R. 5164 IN THE HOUSE OF REPRESENTATIVES May 3, 2016 Ms. Jenkins of Kansas (for herself, Mr. Loebsack, and Mr. Smith of Nebraska) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To provide for a permanent extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals. 1. Short title This Act may be cited as the Rural Hospital Regulatory Relief Act of 2016. 2. Permanent extension of enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals Section 1834 of the Social Security Act (42 U.S.C. 1395m) is amended by adding at the end the following new subsection: (t) Permanent extension of enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals On and after the date of the enactment of this subsection, the Secretary shall continue to apply the enforcement instruction described in the notice of the Centers for Medicare & Medicaid Services entitled Enforcement Instruction on Supervision Requirements for Outpatient Therapeutic Services in Critical Access and Small Rural Hospitals for CY 2013, dated November 1, 2012 (providing for an exception to the restatement and clarification under the final rulemaking changes to the Medicare hospital outpatient prospective payment system and calendar year 2009 payment rates (published in the Federal Register on November 18, 2008, 73 Fed. Reg. 68702 through 68704) with respect to requirements for direct supervision by physicians for therapeutic hospital outpatient services), and extended by section 1 of Public Law 113–198 and section 1 of Public Law 114–112. .