,,ii  #aaeth ,,congress  #ast ,session  
,s4 #bbjd  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #g1  
#bjag,mr4 ,cassidy 7for himself and ,mr4
 ,durbin7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,finance  ,a ,,bill   
,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 #bjag4  #b4 ,preserving
 access to rehabilitation innovation    
centers under ,medicare ,section        
#ahhf7;j77#g77;,e7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acieww7j77#g77;,e77 is amended--  7#a7 
by striking ,public ,availability of    
,data ,submitted4--,the and inserting   
,public ,availability of ,data          
,submitted4-- 7i7 ,in general ,the  2   
and  7#b7 by inserting after clause 7i71
 as redesignated by paragraph 7#a71 the 

following new clauses3  7ii7 ,public    
recognition of rehabilitation innovation
 centers ,not later than one year after 
the date of the enactment of this       
clause1 the ,secretary shall make       
publicly available on such ,internet    
website1 in addition to the information 
required to be reported on such website 
under clause 7i71 a list of all         
rehabilitation innovation centers4      
7iii7 ,rehabilitation innovation centers
 defined ,for purposes of clause 7ii71  
the term rehabilitation innovation      
centers means a rehabilitation facility 
that1 as of the date of the enactment of
 this clause1 is a rehabilitation       
facility described in either clause 7iv7
 or 7v74  7iv7 ,not-for-profit ,a       
rehabilitation facility described in    
this clause is a rehabilitation facility
 that-- 7,i7 is classified as a         
not-for-profit entity under the ,,irf   
,rate ,setting ,file for the ,inpatient 
,rehabilitation ,facility ,prospective  
,payment ,system for ,federal ,fiscal   

,year #bjaf 7#hj ,fed4 ,reg4 #dgadb72   
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 ,national ,institute  
on ,disability1 ,independent ,living1   
and ,rehabilitation ,research at the    
,department of ,health and ,human       
,services1 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 estimated weight per  
discharge of #a4aadd for fiscal year    
#bjaf according to the ,,irf ,rate      
,setting ,file described in subclause   
7,i72 and  7,,iv7 is determined by the  
,secretary1 based upon such data        
submitted by the facility to the        
,secretary as the ,secretary may        
require1 to have had at least #cjj      
,medicare discharges in a year4  7v7    
,government-owned ,a rehabilitation     

facility described in this clause is a  
rehabilitation facility that-- 7,i7 is  
classified as a ,government-owned       
institution under the ,,irf ,rate       
,setting ,file described in clause      
7iv77,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        
,national ,institute on ,disability1    
,independent ,living1 and               
,rehabilitation ,research at the        
,department of ,health and ,human       
,services1 as determined based on such  
data submitted to the ,secretary by the 
facility as the ,secretary may require  
7and in a form1 manner1 and time frame  
specified by the ,secretary72  7,,iii7  
has a minimum ,medicare estimated weight
 per discharge of #a4aadd according to  
the ,,irf ,rate ,setting ,file described
 in clause 7iv77,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      
7iv77,i74  7vi7 ,implementation         
,notwithstanding any other provision of 
law the ,secretary may implement clauses
 7ii7 through 7v7 by program            
instructions or otherwise4  7vii7       
,nonapplication of paperwork reduction  
act ,chapter #ce of title #dd1 ,united  
,states ,code1 shall not apply to data  
collected under this clause4  7viii7    
,study ,not later than #ah months after 
the date of the enactment of this       
clause1 the ,medicare ,payment ,advisory
 ,commission established under section  
#ahje shall submit to ,congress a report
 analyzing the most recent three years  
of cost report data available for all   
rehabilitation innovation centers 7as   
defined in clause 7ii77 and assess the  
payment adequacy for such innovation    
centers under the ,medicare program4  4