H.R. 4136 — Introduced in House

I 115th CONGRESS 1st Session H. R. 4136 IN THE HOUSE OF REPRESENTATIVES October 25, 2017Mr. Smith of Missouri (for himself, Ms. Eshoo, Mr. Mullin, and Mr. Bera) 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 amend title XVIII of the Social Security Act to strengthen intensive cardiac rehabilitation programs under the Medicare program. 1. Short title This Act may be cited as the Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act. 2. Revised requirements for Medicare intensive cardiac rehabilitation programs Section 1861(eee)(4) of the Social Security Act (42 U.S.C. 1395x(eee)(4)) is amended— (1) in subparagraph (A)— (A) in the matter preceding clause (i)— (i) by striking physician-supervised program (as described in paragraph (2)) and inserting program (supervised as described in paragraph (2) for cardiac rehabilitation); and (ii) by striking , in peer-reviewed published research, that it accomplished and inserting in peer-reviewed published research specific to the exact program, that, notwithstanding other concurrent therapies, including prescription drugs, by lifestyle changes alone it accomplished; (B) in clause (i)— (i) in subclause (I), by striking positively affected and inserting reversed; (ii) in subclause (II), by striking or and inserting and; and (iii) by striking subclause (III); (C) in clause (ii), in the matter preceding subclause (I), by inserting both a statistically significant increase in the measure of blood flow to the heart when compared to a control group and before a statistically significant; and (D) by adding at the end the following new sentence: Any program that the Secretary approved under this paragraph before the date of the enactment of the Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act as an intensive cardiac rehabilitation program according to the requirements under this subparagraph as in effect before such date shall be deemed to meet the requirements under this subparagraph applied pursuant to the amendments made by such Act. ; and (2) in subparagraph (B)— (A) in clause (v), by striking at the end or; (B) in clause (vi), by striking at the end the period; and (C) by adding at the end the following new clauses: (vii) stable, chronic heart failure (defined as patients with left ventricular ejection fraction of 35 percent or less and New York Heart Association (NYHA) class II to IV symptoms despite being on optimal heart failure therapy for at least 6 weeks); or (viii) any additional condition for which the Secretary has determined that a cardiac rehabilitation program shall be covered. .