,,ii #aaith ,,congress #ast ,session ,s4 #bfbh ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #ca1 #bjbe ,mr4 ,warnock 7for himself and ,mr4 ,wicker7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xviii of the ,social ,security ,act to establish new payment rules for certain catastrophic specialty hospitals under the ,medicare program4 #a4 ,short title ,this ,act may be cited as the ,catastrophic ,specialty ,hospital ,act of #bjbe4 #b4 ,establishing new payment rules for certain catastrophic specialty hospitals under the ,medicare program ,section #ahhf7m7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieww7m77 is amended-- 7#a7 in paragraph 7#f77;,a77i71 by inserting and paragraph 7#h7 after and 7,g72 and 7#b7 by adding at the end the following new paragraph3 7#h7 ,treatment of certain catastrophic specialty hospitals 7,a7 ,in general ,notwithstanding section #abc of the ,medicare1 ,medicaid1 and ,,schip ,balanced ,budget ,refinement ,act of #aiii and section #cjg7;b7 of the ,medicare1 ,medicaid1 and ,,schip ,benefits ,improvement and ,protection ,act of #bjjj1 for cost reporting periods beginning on or after the date of the enactment of this subparagraph1 the system described in paragraph 7#a7 shall not apply and payment shall be made to a long-term care hospital without regard to such system and without regard to paragraph 7#f7 if such long-term care hospital is designated as a catastrophic specialty hospital under subparagraph 7,b7 with respect to such period4 7,b7 ,designation ,the ,secretary shall designate a long-term care hospital as a catastrophic specialty hospital with respect to a cost reporting period if such long-term care hospital meets the following criteria3 7i7 ,of the discharges from the hospital during each cost reporting period occurring during the #c-year period ending on the day before the first day of the cost reporting period for which such hospital seeks such designation1 including discharges of individuals not entitled to benefits under part ,a1 at least #hj percent were classified under an ,,ms-,,ltch-,,drg relating to spinal cord injury or acquired brain injury 7as specified by the ,secretary7 or would have been so classified had such individual been entitled to such benefits4 7ii7 ,the hospital offered a continuum of care during such #c-year period that included inpatient care1 outpatient care1 and a focus on long-term health and wellness for individuals with spinal cord injuries or acquired brain injuries4 7iii7 ,the hospital had1 for the #a-year period beginning on the first day of such #c-year period and for each subsequent #a-year period occurring during such #c-year period-- 7,i7 at least #age discharges of individuals 7including individuals not entitled to benefits under part ,a7 classified under an ,,ms-,,ltch-,,drg relating to spinal cord injury 7as specified by the ,secretary7 or that would have been so classified had such individual been so entitled to such benefits2 and 7,,ii7 at least #age discharges of individuals 7including individuals not entitled to benefits under part ,a7 classified under an ,,ms-,,ltch-,,drg relating to acquired brain injury 7as specified by the ,secretary7 or that would have been so classified had such individual been so entitled to such benefits4 7iv7 ,at least #cj percent of inpatients discharged from the hospital during each cost reporting period occurring during such #c-year period 7including both individuals entitled to1 or enrolled for1 benefits under this title and individuals not so entitled or enrolled7 were admitted from outside of the ,state in which such hospital is located1 as determined by the ,states of residency of such inpatients and based on such data submitted by the hospital to the ,secretary as the ,secretary may require4 7v7 ,the hospital has exhibited1 during such #c-year period1 commitment to neurorehabilitation research in specialty areas1 as evidenced by one or more 7as determined appropriate by the ,secretary7 of the following3 7,i7 ,employment of full-time dedicated neurorehabilitation research personnel who are primarily focused on spinal cord injury or acquired brain injury neurorehabilitation4 7,,ii7 ,contributions to the field of neurorehabilitation via publications of such personnel in peer reviewed journals in the areas of the neurorehabilitation of spinal cord injuries1 acquired brain injuries1 and other paralyzing neuromuscular conditions4 7,,iii7 ,the maintenance of a clinical training program providing fellowships1 residencies1 or ,master of ,public ,health programs with a focus on acquired brain injury or spinal cord injury4 7,,iv7 ,maintenance of an approved medical residency training program 7or affiliation with such a program7 in neurology or physical medicine and rehabilitation4 7,c7 ,length of designation 7i7 ,in general ,a designation made by the ,secretary under subparagraph 7,b7 7or a redesignation made by the ,secretary under clause 7ii77 with respect to a hospital and a cost reporting period 7referred to in this clause as the initial cost reporting period7 shall be effective for such initial cost reporting period and each succeeding cost reporting period occurring during the #c-year period beginning on the first day of such initial cost reporting period4 7ii7 ,redesignation ,the ,secretary shall1 for the first cost reporting in which a designation 7or redesignation7 of a hospital as a catastrophic specialty hospital is due to expire under clause 7i71 determine whether such hospital continues to meet the criteria specified in subparagraph 7,b7 for such cost reporting period4 ,if the ,secretary determines that such hospital does continue to meet such criteria for such cost reporting period1 the ,secretary shall redesignate such hospital as a catastrophic specialty hospital4 ,if the ,secretary determines that such hospital does not continue to meet such criteria for such cost reporting period1 the ,secretary shall-- 7,i7 provide such hospital #fj days to submit additional information demonstrating such hospital's compliance with such criteria2 and 7,,ii7 if such hospital fails to make such demonstration1 allow such designation to expire as of the first day of such cost reporting period4 4