,i #aafth ,,congress #b;d ,session ,h4 ,r4 #hhbf ,,in ,,the ,,house ,,of ,,representatives ,november #cj1 #bjbj,ms4 ,sewell of ,alabama 7for herself1 ,mr4 ,pascrell1 and ,mr4 ,suozzi7 introduced the following bill2 which was referred to the ,committee on ,ways and ,means1 and in addition to the ,committee on ,energy and ,commerce1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend the ,,impact ,act of #bjad to reset data collection and the development of a payment system technical prototype for post-acute care providers under the ,medicare program to take into account the effects of ,,covid-#ai4 #a4 ,short title ,this ,act may be cited as ,the ,resetting the ,impact ,act 7,,tria7 of #bjbj4 #b4 ,resetting data collection and the development of a payment system technical prototype for post-acute care providers under the ,medicare program to take into account the effects of ,,covid-#ai 7a7 ,in general ,section #b7;b77#b7 of the ,,impact ,act of #bjad 7,public ,law #aac-ahe7 is amended-- 7#a7 in subparagraph 7,a7-- 7,a7 in the matter preceding clause 7i71 by striking ,not later than and all that follows through subsection 7a71 and inserting ,not earlier than the date that is #b years after the later of ,january #a1 #bjba1 and the date by which the ,secretary of ,health and ,human ,services has collected at least #ab specified calendar quarters 7as defined in subparagraph 7,c77 of standardized patient assessment data under subsection 7b7 of section #ahii;,b of the ,social ,security ,act1 of data on quality measures under subsection 7c7 of such section1 and of resource use and claims data under subsection 7d7 of such section from each of the ,,pac payment systems 7as defined in subsection 7a77#b77;,d7 of such section712 7,b7 in clause 7i7-- 7i7 in subclause 7,,iii71 by striking and at the end2 7ii7 in subclause 7,,iv71 by striking the period at the end and inserting a semicolon2 and 7iii7 by adding at the end the following new subclauses3 7,v7 ensure that payments under the system would be sufficient to support the resources needed to provide quality patient care1 including with respect to items and services needed by the highest-acuity patients1 including those with or recovering from medically-complex occurrences of ,,covid-#ai and those with major or extreme severity of illness 7as defined by the ,all ,patients ,refined ,diagnosis ,related ,groups 7,,apr-,,drg7 patient classification system71 to ensure that such individuals retain access to care in relevant ,,pac provider settings2 7,,vi7 take into account1 to the greatest extent possible1 the most recently available ,,pac provider data described in any of subsections 7b7 through 7d7 of section #ahii;,b of such ,act2 and 7,,vii7 taking into account the impact assessment described in clause 7vi71 ensure that payment and access to care under the system would be adequate for each ,,pac provider setting during a pandemic of similar scope and impact as that of ,,covid-#ai4 2 7,c7 in clause 7iv71 by striking and at the end2 7,d7 in clause 7v7 by striking the period at the end and inserting 2 and2 and 7,e7 by adding at the end the following new clause3 7vi7 an impact assessment that-- 7,i7 evaluates the capabilities and limitations of each ,,pac provider setting with respect to quality of care1 patient safety1 and containment of infectious disease during the emergency period described in section #aace7;g77#a77;,b7 of the ,social ,security ,act2 7,,ii7 reviews and compares the relative capabilities of each ,,pac provider setting in meeting the clinical needs of individuals with ,,covid-#ai and the needs of referring acute-care hospitals1 including a specific assessment of such capabilities with respect to individuals with high-acuity ,,covid-#ai cases1 including such individuals requiring ventilator services and such individuals with major and extreme levels of severity of illness 7as defined under the ,,apr-,d,r,gs patient classification system7 and individuals requiring intensive medical rehabilitation1 therapy1 and rehabilitation nursing care2 7,,iii7 evaluates the relative abilities of each ,,pac provider setting to prevent1 mitigate1 and contain the intra-facility and community spread of ,,covid-#ai2 7,,iv7 specifies the types of adjustments in clinical capacity1 infection control protocols1 isolation space1 physical plant1 personnel1 access to personal protective equipment1 and other changes by each ,,pac provider setting needed to safely mitigate the spread of future pandemics that are similar in scope and impact to that of ,,covid-#ai2 and 7,v7 is made publicly available at least #f months before the date on which the report under this subparagraph is submitted to ,congress4 2 and 7#b7 by adding at the end the following new subparagraph3 7,c7 ,specified calendar quarter defined ,for purposes of subparagraph 7,a71 the term specified calendar quarter means a calendar quarter-- 7i7 beginning after the prospective payment system for home health agencies under section #ahie of the ,social ,security ,act has incorporated the ,patient-,driven ,groupings ,model 7as described at #hc ,fed4 ,reg4 #efddf et seq472 7ii7 beginning after the prospective payment system for skilled nursing facilities under section #ahhh7;e7 of such ,act has incorporated the ,patient-,driven ,payment ,model 7as described in #hc ,fed4 ,reg4 #ciafb et seq472 and 7iii7 no portion of which occurs during a nationwide public health emergency declared by the ,secretary pursuant to section #cai of the ,public ,health ,service ,act with respect to which any waiver has been effectuated by the ,secretary pursuant to section #aace of the ,social ,security ,act4 4 7b7 ,effective date ,the amendments made by subsection 7a7 shall take effect as if included in the enactment of the ,,impact ,act of #bjad 7,public ,law #aac-ahe74