#aadth ,,congress #b;d ,session ,s4 #aafh ,,an ,,act ,to amend title ,,xviii of the ,social ,security ,act to preserve access to rehabilitation innovation centers under the ,medicare program4 #a4 ,short title ,this ,act may be cited as the ,preserving ,rehabilitation ,innovation ,centers ,act of #bjaf4 #b4 ,findings ,congress makes the following findings3 7#a7 ,in the ,united ,states1 there are an estimated #a1aha inpatient rehabilitation facilities4 ,among these facilities is a small group of inpatient rehabilitation institutions that are contributing to the future of rehabilitation care medicine1 as well as to patient recovery1 scientific innovation1 and quality of life4 7#b7 ,this unique category of inpatient rehabilitation institutions treats the most complex patient conditions1 such as traumatic brain injury1 stroke1 spinal cord injury1 childhood disease1 burns1 and wartime injuries4 7#c7 ,these leading inpatient rehabilitation institutions are all not-for-profit or ,government-owned institutions and serve a high volume of ,medicare or ,medicaid beneficiaries4 7#d7 ,these leading inpatient rehabilitation institutions have been recognized by the ,federal ,government for their contributions to cutting-edge research to develop solutions that enhance quality of care1 improve patient outcomes1 and reduce health care costs4 7#e7 ,these leading inpatient rehabilitation institutions help to improve the practice and standard of rehabilitation medicine across the ,nation in urban1 suburban1 and rural communities by training physicians1 medical students1 and other clinicians1 and providing care to patients from all #ej ,states4 7#f7 ,it is vital that these leading inpatient rehabilitation institutions are supported so they can continue to lead the ,nation's efforts to-- 7,a7 advance integrated1 multidisciplinary rehabilitation research2 7,b7 provide cutting-edge medical care to the most complex rehabilitation patients2 7,c7 serve as education and training facilities for the physicians1 nurses1 and other health professionals who serve rehabilitation patients2 7,d7 ensure ,medicare and ,medicaid beneficiaries receive state-of-the-art1 high-quality rehabilitation care by developing and disseminating best practices and advancing the quality of care utilized by post-acute providers in all #ej ,states2 and 7,e7 support other inpatient rehabilitation institutions in rural areas to help ensure access to quality post-acute care for patients living in these communities4 #c4 ,study and report relating to the costs incurred by1 and the ,medicare payments made to1 rehabilitation innovation centers 7a7 ,in general ,section #ahhf7;j7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieww7j77 is amended-- 7#a7 by redesignating paragraph 7#h7 as paragraph 7#i72 and 7#b7 by inserting after paragraph 7#g7 the following new paragraph3 7#h7 ,study and report relating to the costs incurred by1 and the ,medicare payments made to1 rehabilitation innovation centers 7,a7 ,study ,the ,secretary shall conduct a study to assess the costs incurred by rehabilitation innovation centers 7as defined in subparagraph 7,c77 that are beyond the prospective rate for each of the following activities3 7i7 ,furnishing items and services to individuals under this title4 7ii7 ,conducting research4 7iii7 ,providing medical training4 7,b7 ,report ,not later than ,july #a1 #bjai1 the ,secretary shall submit to ,congress a report containing the results of the study under subparagraph 7,a71 together with recommendations for such legislation and administrative action as the ,secretary determines appropriate4 7,c7 ,rehabilitation innovation center defined 7i7 ,in general ,in this paragraph1 the term rehabilitation innovation center means a rehabilitation facility that1 determined as of the date of the enactment of this paragraph1 is described in clause 7ii7 or clause 7iii74 7ii7 ,not-for-profit ,a rehabilitation facility described in this clause is a facility that-- 7,i7 is classified as a not-for-profit entity under the ,,irf ,rate ,setting ,file for the ,correction ,notice for the ,inpatient ,rehabilitation ,facility ,prospective ,payment ,system for ,federal ,fiscal ,year #bjab 7#gh ,fed4 ,reg4 #eibef72 7,,ii7 holds at least one ,federal rehabilitation research and training designation for research projects on traumatic brain injury1 spinal cord injury1 or stroke rehabilitation research from the ,rehabilitation ,research and ,training ,centers or the ,rehabilitation ,engineering ,research ,center at the ,national ,institute on ,disability and ,rehabilitation ,research at the ,department of ,education1 based on such data submitted to the ,secretary by a facility1 in a form1 manner1 and time frame specified by the ,secretary2 7,,iii7 has a minimum ,medicare case mix index of #a4aadd for fiscal year #bjab according to the ,,irf ,rate ,setting ,file described in subclause 7,i72 and 7,,iv7 had at least #cjj ,medicare discharges or at least #bjj ,medicaid discharges in a prior year as determined by the ,secretary4 7iii7 ,government-owned ,a rehabilitation facility described in this clause is a facility that-- 7,i7 is classified as a ,government-owned institution under the ,,irf ,rate ,setting ,file described in clause 7ii77,i72 7,,ii7 holds at least one ,federal rehabilitation research and training designation for research projects on traumatic brain injury1 spinal cord injury1 or stroke rehabilitation research from the ,rehabilitation ,research and ,training ,centers1 the ,rehabilitation ,engineering ,research ,center1 or the ,model ,spinal ,cord ,injury ,systems at the ,national ,institute on ,disability and ,rehabilitation ,research at the ,department of ,education1 based on such data submitted to the ,secretary by a facility1 in a form1 manner1 and time frame specified by the ,secretary2 7,,iii7 has a minimum ,medicare case mix index of #a4aadd for #bjab according to the ,,irf ,rate ,setting ,file described in clause 7ii77,i72 and 7,,iv7 has a ,medicare disproportionate share hospital 7,,dsh7 percentage of at least #j4fcjj according to the ,,irf ,rate ,setting ,file described in clause 7ii77,i774 4 ,passed the ,senate ,december #aj 7legislative day1 ,december #i71 #bjaf4,secretary