A bill to amend title XVIII of the Social Security Act to rectify overpayment to certain long-term care hospitals

4 Pages·1998·0.15 MB·English

by  United States. Congress. House

PROPFRTYOF
NOV 16 REC'D
HCFALIBRARY
105t2hdcSoesnsgironess H. R. 4533
ToamendtitleXVTIIoftheSocialSecurityActtorectifyoverpajmient
tocertainlong-termcarehospitals.
IN THE HOUSE OF REPRESENTATIVES
September9,1988
Mr.Starkintroducedthefollowingbill;whichwasreferredtotheCommittee
onWaysandMeans
A
BILL
ToamendtitleXVIIIoftheSocialSecurityActtorectify
overpaymenttocertainlong-termcarehospitals.
1 BeitenactedbytheSenateandHouseofRepresenta-
2 tivesoftheUnitedStatesofAmericainCongressassembled,
3 SECTION1.SHORTTITLE.
4 ThisActmaybe citedasthe "MedicareLong-Term
5 CareHospitalPaymentCorrectionActof1998".
6 SEC.2.ADJUSTMENTINPAYMENTAMOUNTTOLONG-TERM
7 CAREHOSPITALS.
—
8 (a)InGeneral. Section 1886(b) oftheSocialSe-
9 curityAct(42U.S.C.1395ww(b))isamended—
—
2
1 (1) in paragraph (1)(A), by inserting "subject
2 to paragi-aph (8)" before "are less than or equal to
3 thetargetamount";and
4 (2) by adding at the end the following new \
5 paragraph:
6 "(8)(A) Notwithstandingparagraph (1), inthe case
7 of a hospital described in subsection (d)(l)(B)(iv), the
8 Secretaryshallcompare
9 "(i)theaverageinpatientlengthofstayofsuch
10 hospital during the cost reporting period described
11 inclause(i)or(ii) ofparagraph(3)(A),and
12 "(ii) the average inpatient length of stay of
IS such hospital during the two cost reporting period
14 beginningforwhich the Secretaryhas the most re-
15 centsettledcostreportforthehospital.
16 , "(B)IftheSecretarydeterminesthattheaveragein-
17 patient length of stay described in subparagraph (A)(ii)
18 is5percentlessthantheaverageinpatientlengthofstay
19 described in subparagraph (A)(i), the target amount for
20 suchhospitalforthecostreportingperiodbeginningdur-
21 ingthe current fiscalyear shall be equal to the product
22 of—
23 "(i) the target amount for the cost reporting
24 perioddescribedinsubparagraph(A)(i), and
•HR4533m
—
3
1 "(ii) the fraction (expressed as a percentage),
2 thenumeratorofwhichisthetargetamountforthe
* 3 cost reporting period described in subparagraph
^ 4 (A)(ii), and the denominator ofwhich is the target
5 amount for the cost reporting period described in
6 subparagraph(A)(i).".
7 (b) ConsiderationofLengthofStayinLong-
8 TermCareProspectivePayment SystemProposal
—
9 Under Balanced Budget Act of 1997. Section
10 4422(a)(2) ofthe Balanced BudgetAct of 1997 (Pubhc
11 Law105-33)isamended
12 (1) in subparagraph (A), by striking "and" at
13 theend;
14 (2) insubparagraph (B), bystrikingtheperiod
15 andinserting and"; and
16 (3)byaddingattheendthefollowdngnewsub-
17 paragraph:
18 "(C) shall consider adjustmentsinamount
19 ofpayments to long-term care hospitals whose
20 averageinpatientlengthofstayduringthebase
21 yeargreatlyexceedsthehospitals' averageinpa-
22 tientlengthofstayinlateryears.".
<HR4533IH
4 3 fiOTS DDOiflHfll a
—
1 (c) Effective Date. The amendments made by
2 subsection (a) shall applywith respect to cost reporting
3 periodsbeginningonorafterOctober1,1998. ^
O
I
1
i
•HR4533IH