#aad? ,,congress  #b;d ,session  ,s4    
#aafh  ,,an ,,act  ,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 ( #bjaf4  #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    
,/udy & report relat+ to ! co/s incurr$ 
by1 & ! ,m$ic>e paym5ts made to1        
rehabilitation innovation c5t]s  7a7 ,9 
g5]al ,section #ahhf7;j7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acieww7j77 is am5d$-- 7#a7 by          
r$esignat+ p>agraph 7#h7 z p>agraph     
7#i72 &  7#b7 by ins]t+ aft] p>agraph   
7#g7 ! foll[+ new p>agraph3  7#h7 ,/udy 
& report relat+ to ! co/s incurr$ by1 & 
! ,m$ic>e paym5ts made to1              
rehabilitation innovation c5t]s  7,a7   
,/udy ,! ,secret>y %all conduct a /udy  
to assess ! co/s incurr$ by             
rehabilitation innovation c5t]s 7z def9$

 9 subp>agraph 7,c77 t are beyond !     
prospective rate = ea* ( ! foll[+       
activities3 7i7 ,furni%+ items & s]vices
 to individuals "u ?is title4  7ii7     
,conduct+ rese>*4  7iii7 ,provid+ m$ical
 tra9+4  7,b7 ,report ,n lat] ?an ,july 
#a1 #bjai1 ! ,secret>y %all submit to   
,congress a report conta9+ ! results ( !
 /udy "u subp>agraph 7,a71 toge!r )     
recomm5dations = su* legislation &      
adm9i/rative action z ! ,secret>y       
det]m9es appropriate4  7,c7             
,rehabilitation innovation c5t] def9$   
7i7 ,9 g5]al ,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 ! ,,irf ,rate ,sett+
 ,file = ! ,correction ,notice = !      
,inpati5t ,rehabilitation ,facility     
,prospective ,paym5t ,sy/em = ,f$]al    

,fiscal ,ye> #bjab 7#gh ,f$4 ,reg4      
#eibef72  7,,ii7 holds at lea/ "o ,f$]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 ( ,education1 bas$ on   
su* data submitt$ to ! ,secret>y by a   
facility1 9 a =m1 mann]1 & "t frame     
specifi$ by ! ,secret>y2  7,,iii7 has a 
m9imum ,m$ic>e case mix index ( #a4aadd 
= fiscal ye> #bjab accord+ to ! ,,irf   
,rate ,sett+ ,file describ$ 9 subclause 
7,i72 &  7,,iv7 _h at lea/ #cjj ,m$ic>e 
dis*>ges or at lea/ #bjj ,m$icaid       
dis*>ges 9 a prior ye> z det]m9$ by !   
,secret>y4  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 ! ,,irf ,rate ,sett+ ,file describ$ 9

 clause 7ii77,i72  7,,ii7 holds at lea/ 
"o ,f$]al rehabilitation rese>* & tra9+ 
designation = rese>* projects on        
traumatic bra9 injury1 sp9al cord       
injury1 or /roke rehabilitation rese>* f
 ! ,rehabilitation ,rese>* & ,tra9+     
,c5t]s1 ! ,rehabilitation ,eng9e]+      
,rese>* ,c5t]1 or ! ,model ,sp9al ,cord 
,injury ,sy/ems at ! ,national ,in/itute
 on ,disability & ,rehabilitation       
,rese>* at ! ,dep>tm5t ( ,education1    
bas$ on su* data submitt$ to ! ,secret>y
 by a facility1 9 a =m1 mann]1 & "t     
frame specifi$ by ! ,secret>y2  7,,iii7 
has a m9imum ,m$ic>e case mix index (   
#a4aadd = #bjab accord+ to ! ,,irf ,rate
 ,sett+ ,file describ$ 9 clause         
7ii77,i72 &  7,,iv7 has a ,m$ic>e       
disproportionate %>e hospital 7,,d%7    
p]c5tage ( at lea/ #j4fcjj accord+ to ! 
,,irf ,rate ,sett+ ,file describ$ 9     
clause 7ii77,i774  4  ,pass$ ! ,s5ate   
,decemb] #aj 7legislative day1 ,decemb] 
#i71 #bjaf4,secret>y