,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #efdd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #cj1 #bjbe  
,mr4 ,l\d]milk 7= himself1 ,ms4         
,de,gette1 ,mr4 ,au/9 ,scott ( ,georgia1
 ,mr4 ,cr[1 & ,ms4 ,williams ( ,georgia7
 introduc$ ! foll[+ bill2 :i* 0 ref]r$  
to ! ,committee on ,ways & ,means  ,a   
,,bill  ,to am5d title ,,xviii ( !      
,social ,security ,act to e/abli% new   
paym5t rules = c]ta9 cata/rophic        
specialty hospitals "u ! ,m$ic>e        
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,cata/rophic ,specialty     
,hospital ,act ( #bjbe4  #b4 ,e/abli%+  
new paym5t rules = c]ta9 cata/rophic    
specialty hospitals "u ! ,m$ic>e program
 ,section #ahhf7m7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acieww7m77 is     
am5d$--  7#a7 9 p>agraph 7#f77;,a77i71  
by ins]t+ & p>agraph 7#h7 aft] & 7,g72 &
  7#b7 by add+ at ! end ! foll[+ new    
p>agraph3  7#h7 ,treatm5t ( c]ta9       
cata/rophic specialty hospitals  7,a7 ,9
 g5]al ,not)/&+ section #abc ( !        

,m$ic>e1 ,m$icaid1 & ,,s*ip ,balanc$    
,budget ,ref9em5t ,act ( #aiii & section
 #cjg7;b7 ( ! ,m$ic>e1 ,m$icaid1 &      
,,s*ip ,b5efits ,improvem5t &           
,protection ,act ( #bjjj1 = co/ report+ 
p]iods beg9n+ on or aft] ! date ( !     
enactm5t ( ?is subp>agraph1 ! sy/em     
describ$ 9 p>agraph 7#a7 %all n apply 7&
 paym5t %all be made to a long-t]m c>e  
hospital )\t reg>d to su* sy/em & )\t   
reg>d to p>agraph 7#f77 if su* long-t]m 
c>e hospital is designat$ z a           
cata/rophic specialty hospital "u       
subp>agraph 7,b7 ) respect to su* p]iod4
  7,b7 ,designation ,! ,secret>y %all   
designate a long-t]m c>e hospital z a   
cata/rophic specialty hospital ) respect
 to a co/ report+ p]iod if su* long-t]m 
c>e hospital meets ! foll[+ crit]ia3    
7i7 ,( ! dis*>ges f ! hospital dur+ ea* 
co/ report+ p]iod occurr+ dur+ ! #c-ye> 
p]iod end+ on ! day be=e ! fir/ day ( ! 
co/ report+ p]iod = :i* su* hospital    
seeks su* designation1 includ+ dis*>ges 
( individuals n entitl$ to b5efits "u "p

 ,a1 at lea/ #hj p]c5t 7 classifi$ "u an
 ,,ms-,,lt*-,,drg relat+ to sp9al cord  
injury or acquir$ bra9 injury 7z        
specifi$ by ! ,secret>y7 or w\ld h be5 s
 classifi$ _h su* individual be5 entitl$
 to su* b5efits4  7ii7 ,! hospital (f]$ 
a cont9uum ( c>e dur+ su* #c-ye> p]iod t
 includ$ inpati5t c>e1 outpati5t c>e1 & 
a focus on long-t]m heal? & wellness =  
individuals ) sp9al cord injuries or    
acquir$ bra9 injuries4  7iii7 ,!        
hospital _h1 = ! #a-ye> p]iod beg9n+ on 
! fir/ day ( su* #c-ye> p]iod & = ea*   
subsequ5t #a-ye> p]iod occurr+ dur+ su* 
#c-ye> p]iod-- 7,i7 at lea/ #age        
dis*>ges ( individuals 7includ+         
individuals n entitl$ to b5efits "u "p  
,a7 classifi$ "u an ,,ms-,,lt*-,,drg    
relat+ to sp9al cord injury 7z specifi$ 
by ! ,secret>y7 or t w\ld h be5 s       
classifi$ _h su* individual be5 s       
entitl$ to su* b5efits2 &  7,,ii7 at    
lea/ #age dis*>ges ( individuals        
7includ+ individuals n entitl$ to       
b5efits "u "p ,a7 classifi$ "u an       

,,ms-,,lt*-,,drg relat+ to acquir$ bra9 
injury 7z specifi$ by ! ,secret>y7 or t 
w\ld h be5 s classifi$ _h su* individual
 be5 s entitl$ to su* b5efits4  7iv7 ,at
 lea/ #cj p]c5t ( inpati5ts dis*>g$ f ! 
hospital dur+ ea* co/ report+ p]iod     
occurr+ dur+ su* #c-ye> p]iod 7includ+  
bo? individuals entitl$ to1 or enroll$  
=1 b5efits "u ?is title & individuals n 
s entitl$ or enroll$7 7 admitt$ f       
outside ( ! ,/ate 9 :i* su* hospital is 
locat$1 z det]m9$ by ! ,/ates ( resid5cy
 ( su* inpati5ts & bas$ on su* data     
submitt$ by ! hospital to ! ,secret>y z 
! ,secret>y may require4  7v7 ,!        
hospital has exhibit$1 dur+ su* #c-ye>  
p]iod1 commitm5t to neurorehabilitation 
rese>* 9 specialty areas1 z evid5c$ by  
"o or m 7z det]m9$ appropriate by !     
,secret>y7 ( ! foll[+3 7,i7 ,employm5t (
 full-"t d$icat$ neurorehabilitation    
rese>* p]sonnel :o are prim>ily focus$  
on sp9al cord injury or acquir$ bra9    
injury neurorehabilitation4  7,,ii7     
,contributions to ! field (             

neurorehabilitation via publications (  
su* p]sonnel 9 pe] review$ j\rnals 9 !  
areas ( ! neurorehabilitation ( sp9al   
cord injuries1 acquir$ bra9 injuries1 & 
o!r p>alyz+ neuromuscul> conditions4    
7,,iii7 ,! ma9t5ance ( a cl9ical tra9+  
program provid+ fell[%ips1 resid5cies1  
or ,ma/] ( ,public ,heal? programs ) a  
focus on acquir$ bra9 injury or sp9al   
cord injury4  7,,iv7 ,ma9t5ance ( an    
approv$ m$ical resid5cy tra9+ program   
7or affiliation ) su* a program7 9      
neurology or physical m$ic9e &          
rehabilitation4  7,c7 ,l5g? (           
designation  7i7 ,9 g5]al ,a designation
 made by ! ,secret>y "u subp>agraph 7,b7
 7or a r$esignation made by ! ,secret>y 
"u clause 7ii77 ) respect to a hospital 
& a co/ report p]iod 7ref]r$ to 9 ?is   
clause z ! initial co/ report+ p]iod7   
%all be effective = su* initial co/     
report+ p]iod & ea* succe$+ co/ report+ 
p]iod occurr+ dur+ ! #c-ye> p]iod beg9n+
 on ! fir/ day ( su* initial co/ report+
 p]iod4  7ii7 ,r$esignation ,! ,secret>y

 %all1 = ! fir/ co/ report+ 9 :i* a     
designation 7or r$esignation7 ( a       
hospital z a cata/rophic specialty      
hospital is due to expire "u clause 7i71
 det]m9e :e!r su* hospital cont9ues to  
meet ! crit]ia specifi$ 9 subp>agraph   
7,b7 = su* co/ report+ p]iod4 ,if !     
,secret>y det]m9es t su* hospital does  
cont9ue to meet su* crit]ia = su* co/   
report+ p]iod1 ! ,secret>y %all         
r$esignate su* hospital z a cata/rophic 
specialty hospital4 ,if ! ,secret>y     
det]m9es t su* hospital does n cont9ue  
to meet su* crit]ia = su* co/ report+   
p]iod1 ! ,secret>y %all-- 7,i7 provide  
su* hospital #fj days to submit         
additional in=mation demon/rat+ su*     
hospital's compliance ) su* crit]ia2 &  
7,,ii7 if su* hospital fails to make su*
 demon/ration1 all[ su* designation to  
expire z ( ! fir/ day ( su* co/ report+ 
p]iod4  4