,i #aaith ,,congress #ast ,session ,h4 ,r4 #eadb ,,in ,,the ,,house ,,of ,,representatives ,september #d1 #bjbe,mr4 ,hern of ,oklahoma 7for himself and ,ms4 ,sewell7 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 title ,,xviii of the ,social ,security ,act to ensure stability in payments to home health agencies under the ,medicare program4 #a4 ,short title ,this ,act may be cited as the ,home ,health ,stabilization ,act of #bjbe4 #b4 ,ensuring beneficiary access to ,medicare home health services 7a7 ,delaying adjustments ,section #ahie7;b77#c77;,d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;fff7b77#c77;,d77 is amended by adding at the end the following new clauses3 7iv7 ,special rule for #bjbf and #bjbg ,for #bjbf and #bjbg1 the ,secretary shall provide for a positive adjustment to the standard prospective payment amount to fully offset the -#d4jei percent ,permanent ,adjustment ,factor and the -#e4j percent ,temporary ,adjustment ,factor applied to the calendar year #bjbf national1 standardized #cj-;day period payment rate in the proposed rule entitled1 ,medicare and ,medicaid ,programs2 ,calendar ,year #bjbf ,home ,health ,prospective ,payment ,system 7,,hh ,,pps7 ,rate ,update2 ,requirements for the ,,hh ,quality ,reporting ,program and the ,,hh ,value-,based ,purchasing ,expanded ,model2 ,durable ,medical ,equipment1 ,prosthetics1 ,orthotics1 and ,supplies 7,,dmepos7 ,competitive ,bidding ,program ,updates2 ,,dmepos ,accreditation ,requirements2 ,provider ,enrollment2 and ,other ,medicare and ,medicaid ,policies published in the ,federal ,register on ,july #b1 #bjbe 7#ij ,fed4 ,reg4 #biajh74 ,notwithstanding any other provision of law1 the ,secretary may implement this clause by program instruction or otherwise4 7v7 ,special rule for #bjbf and #bjbg ,for #bjbf and #bjbg1 the ,secretary shall establish the national1 standardized #cj-;day period payment rate based on the #bjbe rate1 taking into account the adjustment under clause 7iv7 and updated based on all other provisions of this section1 except that such rate for #bjbf or #bjbg shall not be further adjusted based on clause 7ii7 or clause 7iii74 7vi7 ,exception ,in determining actual expenditures under clause 7i7 for #bjbf and #bjbg the ,secretary shall exclude the additional amounts paid as a result of clauses 7iv7 and 7v71 and no adjustments under clause 7ii7 or clause 7iii7 shall be made to offset for such amounts4 4 7b7 ,construction ,nothing in this section shall be construed as signifying congressional approval or disapproval of the methodology promulgated by the ,secretary to implement section #ahie7;b77#c77;,d7 of the ,social ,security ,act in the final rule entitled1 ,medicare ,program2 ,calendar ,year 7,,cy7 #bjbc ,home ,health ,prospective ,payment ,system ,rate ,update2 ,home ,health ,quality ,reporting ,program ,requirements2 ,home ,health ,value-,based ,purchasing ,expanded ,model ,requirements2 and ,home ,infusion ,therapy ,services ,requirements published in the ,federal ,register on ,november #d1 #bjbb 7#hg ,fed4 ,reg4 #ffgij74