,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #hehj  ,,in ,,the ,,house ,,of  
,,representatives  ,july #bh1 #bjbb,ms4 
,sewell 7for herself and ,mr4 ,smith of 
,missouri7 introduced the following     
bill2 which was referred to the         
,committee on ,ways and ,means  ,a      
,,bill  ,to amend the ,coronavirus ,aid1
 ,relief1 and ,economic ,security ,act  
to provide for a #ab-month extension of 
the ,medicare long-term care hospital   
waiver of the site-neutral ,,ipps       
payment rate4  #a4 ,short title ,this   
,act may be cited as the ,the ,,ltch    
,access and ,stability ,act4  #b4       
,extension of ,medicare long-term care  
hospital waiver of site-neutral ,,ipps  
payment rate  7a7 ,in general ,section  
#cgaa of the ,coronavirus ,aid1 ,relief1
 and ,economic ,security ,act 7#db      
,u4,s4,c4 #acieww note7 is amended--    
7#a7 in the section header1 by striking 
during emergency period2 and  7#b7 by   
adding at the end the following new     
subsection3  7c7 ,twelve-,month         

continued application of waiver of      
site-,neutral ,,ipps payment rate ,with 
respect to inpatient hospital services  
furnished by a long-term care hospital  
described in section                    
#ahhf7;d77#a77;,b77iv7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#a77;,b77iv77 during the     
#ab-month period beginning on the last  
day of the emergency period described in
 section #aace7;g77#a77;,b7 of such ,act
 7#db ,u4,s4,c4                         
#acbj;b-#e7;g77#a77;,b771 the ,secretary
 of ,health and ,human ,services shall  
continue to waive subparagraph 7,a77i7  
of section #ahhf7m77#f7 of such ,act    
7#db ,u4,s4,c4 #acieww7m77#f771 relating
 to the application of the site-neutral 
payment rate 7and payment shall be made 
to a long-term care hospital without    
regard to such section7 for a discharge1
 if the admission occurs during such    
#ab-month period4  4  7b7 ,report ,not  
later than #ab months after the date of 
the enactment of this ,act1 the         

,secretary of ,health and ,human        
,services shall submit to ,congress a   
report on the impact of the waiver of   
section #ahhf7m77#f77;,a77i7 of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7m77#f77;,a77i771 relating to the
 application of the site-neutral payment
 rate1 during the emergency period      
described in section #aace7;g77#a77;,b7 
of such ,act 7#db ,u4,s4,c4             
#acbj;b-#e7;g77#a77;,b77 and the        
#ab-month period following such period  
pursuant to section #cgaa7;c7 of the    
,coronavirus ,aid1 ,relief1 and         
,economic ,security ,act 7#db ,u4,s4,c4 
#acieww note71 as added by subsection   
7a74 ,the report shall-- 7#a7 include-- 
7,a7 information on the access of       
,medicare beneficiaries 7including those
 enrolled under part ,c of title ,,xviii
 of the ,social ,security ,act7 to long 
term care hospitals2  7,b7 any          
noticeable trends in admissions to long 
term care hospitals2 and  7,c7 data     
related to the financial status and     

facility closures of long term care     
hospitals during the period of fiscal   
years #bjag through #bjba2 and  7#b7    
assess the role of post-acute care      
facilities1 including long-term care    
hospitals1 in maintaining ,medicare     
beneficiary access to services during   
the ,,covid-#ai pandemic and estimate   
the effect that site-neutral payment    
policies may have on beneficiary access 
during future pandemic responses4