A bill to amend title XVIII of the Social Security Act to prevent overpayment for hospital discharges to post-acute care services by eliminating the limitation on the number of diagnosis-related groups (DRGs) subject to the special transfer policy

4 Pages·1999·0.14 MB·English

by  United States. Congress. House

I
106thcongress H. R.1936
1stSession
To amend title X^^II ofthe Social Security Act to prevent overpayment
for hospital discharges to post-acute care services by eliminating the
limitation on the number of diagnosis-related groups (DRGs) subject
tothespecialtransferpolicy.
IX TPIE HOUSE OF REPRESEXTATRT^S
]\IAY25,1999
i\lr.Starkintroducedthefollowingbill;whichwasreferredtotheCommittee
onWays and Means, and in addition tothe Committeeon Commerce,
foraperiodtobesubsequentlydeterminedbytheSpeaker,ineachcase
forconsiderationofsuchprovisionsasfallwithinthejurisdictionofthe
committeeconcerned
A
BILL
To amend title XM^II ofthe Social SecurityAct to prevent
overpawient for hospital dischargees to post-acute care
services by eliminating- the limitation on the number of
diagnosis-related groups (DRGs) subject to the special
transferpolicy.
1 Beiienactedbytlw SenateandHouseofRepresenta-
2 tivesoftheUnitedStatesofAmericain Congressassembled,
—
1 SECTION 1. PREVENTION OF OVERPAYMENT FOR HOS-
2 PITAL DISCHARGES TO POST-ACUTE CARE
3 SERVICESBYELIMINATINGTHELIMITATION
4 ON THE NUMBER OF DIAGNOSIS-RELATED
5 GROUPS (ORGS) SUBJECT TO THE SPECIAL
6 TRANSFERPOLICY.
7 (a) In General.—Section 1886(d)(5)(J) ofthe So-
8 cial Security Act (42 U.S.C. 1395w(d)(5)(J)) is
9 amended
10 (1) in clause (i), inthematterbeforesubclause
11 (D-
12 (A)bystriking wliichisclassified-witliin
13 a diagnosis-related group described in clause
14 (iii), and", and
15 (B) by inserting "and adjusting for dif-
16 ferences in length of stay among regions and
17 States to the extent the Secretary' determines
18 suchadjustmenttobefeasibleandappropriate"
19 after"(asdefinedbytheSecretary'";
20 (2) inclause (ii)—
21 (A) in the matter before subclause (I), by
22 striking "classified with a diagnosis-related
23 group (describedinclause (iii))", and
24 (B) in subclause (TV), by striking "clause
25 (iv)(I)" andinserting"clause (iii)";
26 (3)bystrikingclause (iii);and
•HR1936IH
—
1 (4) illclause (iv)
2 (A) by strikino'the dash after "description
3 of and all that followsuj)to "p()st-discharg:e",
4 (B) bystriking and" andallthatfollows
5 andinserting-aperiod, and
6 (C) by redesignating such clause as clause
7 (iii).
—
8 (b) Effectr^ Date. The amendments made by
9 subsection (a) apply to discharges occurring on or after
10 October1,2000.
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