,i #aagth ,,congress #ast ,session ,h4 ,r4 #acdi ,,in ,,the ,,house ,,of ,,representatives ,february #be1 #bjba,ms4 ,kaptur 7for herself1 ,mr4 ,gibbs1 ,mr4 ,fitzpatrick1 ,mr4 ,bergman1 ,mrs4 ,beatty1 ,mr4 ,gonzalez of ,ohio1 ,mr4 ,van ,drew1 ,mr4 ,katko1 ,mr4 ,morelle1 ,mrs4 ,hayes1 ,mr4 ,stivers1 ,mr4 ,allred1 and ,mr4 ,ryan7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 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 title ,,xviii of the ,social ,security ,act to provide for the conversion of certain accelerated and advance payments to grants under parts ,a and ,b of the ,medicare program4 #a4 ,short title ,this ,act may be cited as ,the ,,covid-#ai ,hospital and ,health ,provider ,loan ,conversion ,act of #bjba4 #b4 ,providing for the conversion of certain accelerated and advance payments to grants under parts ,a and ,b of the ,medicare program 7a7 ,conversion of payments 7#a7 ,part ,a ,section #ahae7;f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;g7f77 is amended-- 7,a7 in paragraph 7#b71 by adding at the end the following new subparagraph3 7,d7 ,in the case of an accelerated payment made to a hospital under such program on or after the date of the enactment of the ,,cares ,act and so made during the emergency period described in section #aace7;g77#a77;,b71 the ,secretary shall waive the requirement that such payment be repaid 7or recouped7 if the hospital meets the requirements described in paragraph 7#e71 except that such waiver shall not apply with respect to any amounts from such payment that were not used for health care related expenses or lost revenues that are attributable to coronavirus as of ,december #ca1 #bjba1 based on the attestation of the hospital4 ,the hospital shall repay any such amounts to the ,secretary not later than ,july #a1 #bjbc4 ,the interest rate for any such amount not so repaid as of such date shall be #b percent if the hospital demonstrates hardship4 2 7,b7 in paragraph 7#c71 by inserting and paragraph 7#b77;,d7 after paragraph 7#b77;,c72 and 7,c7 by adding at the end the following new paragraph3 7#e7 ,for purposes of paragraph 7#b77;,d71 the requirements described in this paragraph are the following3 7,a7 ,the hospital did not use any portion of a payment described in such paragraph for compensation or benefits1 including salary1 bonuses1 awards of stock1 or other financial benefits1 for an officer or employee described in section #djjd7;a77#b7 of the ,,cares ,act 7,public ,law #aaf-acf74 7,b7 ,the hospital used at least #fj percent of such payment for employee compensation 7other than an officer or employee described in subparagraph 7,a77 during the period beginning on ,january #a1 #bjbj1 and ending on ,december #ca1 #bjba4 7,c7 ,the hospital did not balance bill or surprise bill any ,,covid-#ai patient4 4 7#b7 ,part ,b 7,a7 ,in general ,in carrying out the program described in section #dba4bad of title #db1 ,code of ,federal ,regulations 7or a successor regulation71 in the case of a payment made under such program to an entity on or after the date of the enactment of the ,,cares ,act 7,public ,law #aaf-acf7 and so made during the emergency period described in section #aace7;g77#a77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b771 the ,secretary of ,health and ,human ,services shall waive the requirement that such payment be repaid 7or recouped7 if the entity meets the requirements described in subparagraph 7,b71 except that such waiver shall not apply with respect to any amounts from such payment that were not used for health care related expenses or lost revenues that are attributable to coronavirus as of ,december #ca1 #bjba1 based on the attestation of the entity4 ,the entity shall repay any such amounts to the ,secretary not later than ,july #a1 #bjbc4 ,the interest rate for any such amount not so repaid as of such date shall be #b percent if the entity demonstrates hardship4 7,b7 ,requirements ,for purposes of subparagraph 7,a71 the requirements described in this subparagraph are the following3 7i7 ,the entity did not use any portion of a payment described in such subparagraph for compensation or benefits1 including salary1 bonuses1 awards of stock1 or other financial benefits1 for an officer or employee described in section #djjd7;a77#b7 of the ,,cares ,act 7,public ,law #aaf-acf74 7ii7 ,the entity used at least #fj percent of such payment for employee compensation 7other than an officer or employee described in clause 7i77 during the period beginning on ,january #a1 #bjbj1 and ending on ,june #cj1 #bjba4 7iii7 ,the entity did not balance bill or surprise bill any ,,covid-#ai patient4 7b7 ,ensuring the solvency of ,medicare trust funds 7#a7 ,federal ,hospital ,insurance ,trust ,fund ,section #ahag of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;i7 is amended by adding at the end the following new subsection3 7l7 ,accelerated payment program transfers 7#a7 ,in general ,there shall be transferred from the ,general ,fund of the ,treasury to the ,trust ,fund1 periodically 7as determined by the ,managing ,trustee71 amounts such that the aggregate amount so transferred under this paragraph equals the total amount of specified payments 7as defined in paragraph 7#b77 made under this part4 7#b7 ,specified payment ,in this subsection1 the term specified payment means a payment that is made-- 7,a7 under section #ahae7;e77#c72 and 7,b7 during the emergency period described in section #aace7;g77#a77;,b74 4 7#b7 ,federal ,supplementary ,medical ,insurance ,trust ,fund ,section #ahdd7;f7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew7f77 is amended-- 7,a7 by striking 7#a7 ,there shall be transferred and inserting ,there shall be transferred2 7,b7 by striking during the period beginning on the first day of the emergency period described in section #aace7;g77#a77;,b7 and ending on the date of the enactment of this paragraph and inserting during the emergency period described in section #aace7;g77#a77;,b72 and 7,c7 by striking paragraph 7#b74 7c7 ,insurer requirements ,subpart ,,ii of part ,a of title ,,xxvii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is amended by adding at the end the following new section3 #bgcj4 ,coverage and payment requirements for items and services furnished to ,,covid-#ai patients out-of-network ,in the case of an item or service furnished by a health care provider to a ,,covid-#ai patient who is an enrollee in a group health plan or group or individual health insurance coverage offered by a health insurance issuer1 if such provider does not have in effect a contractual relationship for furnishing such item or service under such plan or coverage1 the plan or issuer 7as applicable7-- 7#a7 shall pay to such provider the amount which would have been payable to such provider had such provider had in effect such a relationship for furnishing such item or service2 and 7#b7 shall ensure that any applicable cost-sharing requirement is the same requirement that would have applied had such item or service been furnished by a provider that had in effect such a relationship4 4 7d7 ,publication ,the ,secretary of ,health and ,human ,services shall publish on a public website the following3 7#a7 ,a specification of each hospital to which a waiver described in section #ahae7;f77#b77;,d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;g7f77#b77;,d77 applies and each entity to which a waiver described in subsection 7a77#b77;,a7 applies4 7#b7 ,the amount to which such waivers apply with respect to each such hospital and entity4