H.R. 9392 — Introduced in House

I 117th CONGRESS 2d Session H. R. 9392 IN THE HOUSE OF REPRESENTATIVES December 1, 2022Mr. Meuser (for himself, Ms. Wild, and Mr. Mann) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to extend the Medicare-dependent hospital program and to update the calculation of the hospital specific rate for such hospitals. 1. Short title This Act may be cited as the Fairness for Rural Teaching Hospitals Act of 2022. 2. Extension of the medicare-dependent hospital program (a) Extension of payment methodology Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended— (1) in clause (i), by striking December 17, 2022 and inserting September 30, 2027; and (2) in clause (ii)(II), by striking , and before December 17, 2022 and inserting , and before September 30, 2027. (b) Conforming amendments (1) Extension of target amount Section 1886(b)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended— (A) in the matter preceding clause (i), by striking December 17, 2022 and inserting September 30, 2027; and (B) in clause (iv), by striking 2022 and inserting 2027. (2) Permitting hospitals to decline reclassification Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42 U.S.C. 1395ww note) is amended by striking 2022 and inserting 2027. 3. Update to calculation of hospital specific rate for medicare-dependent hospitals Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)), as amended by section 2, is further amended by inserting after clause (iii) the following: For purposes of clause (ii)(II), in calculating the amount determined under paragraph (1)(A)(iii) with respect to discharges occurring on or after January 1, 2023, the Secretary shall exclude an estimate of indirect medical costs in accordance with the requirements specified in paragraph (2)(C)(i). .