H.R. 741 — Introduced in House

I 115th CONGRESS 1st Session H. R. 741 IN THE HOUSE OF REPRESENTATIVES January 30, 2017Ms. 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 amend title XVIII of the Social Security Act to provide for a permanent extension of the enforcement instruction on Medicare 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 2017. 2. Permanent extension of enforcement instruction on Medicare supervision requirements for outpatient therapeutic services in critical access and small rural hospitals (a) In general 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 January 1, 2017, 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), as previously extended under section 1 of Public Law 113–198, as amended by section 1 of Public Law 114–112 and section 16004(a) of the 21st Century Cures Act (Public Law 114–255). . (b) Repeal of required report Section 16004 of the 21st Century Cures Act (Public Law 114–255) is amended by striking subsection (b).