To improve Medicare beneficiary access by extending the 60 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility.
Latest action · Mar 13, 2007 Referred to the Subcommittee on Health.
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedMar 9, 2007
- Passed HouseNot reached
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
Summary
Amends the Deficit Reduction Act of 2005 to revise the classification criterion used to determine whether a hospital or hospital unit is an inpatient rehabilitation facility under title XVIII (Medicare) of the Social Security Act. Eliminates the current schedule of applicable percentages. Directs the Secretary of Health and Human Services, instead, to require in the classification criterion a compliance rate no greater than the 60% compliance rate that became effective for cost reporting periods beginning on or after July 1, 2006.
Requires the Secretary, for cost reporting periods beginning on or after July 1, 2008, to include patients with comorbidity in the inpatient population that counts towards such 60% compliance rate.
Requires the Centers for Medicare & Medicaid Services and Medicare fiscal intermediaries, Medicare administrative contractors, recovery audit contractors, and other government agents to use and apply the criteria established in HCFA Ruling 85-2, as issued on July 31, 1985, as the sole standard for determining the medical necessity of servivces provided by inpatient rehabilitation hospitals and units to Medicare beneficiaries.
Directs the Secretary to report to specified congressional committees: (1) an examination of the impact of the 75% rule on the Medicare program, and specifically on Medicare beneficiaries; and (2) alternatives to the 75% rule policy for determining exclusion criteria for inpatient rehabilitation hospital and unit designation under the Medicare program.
Cosponsors 240
Members who signed on, in the order they did. Signatures ran from Mar 9, 2007 to Jun 12, 2008, with 83 there on the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| D-FL | Allen Boyd | Original | Mar 9, 2007 |
| D-PA | Allyson Y. Schwartz | Original | Mar 9, 2007 |
| D-AL | Artur Davis | Original | Mar 9, 2007 |
| D-MA | Barney Frank | Original | Mar 9, 2007 |
| D-TN | Bart Gordon | Original | Mar 9, 2007 |
| D-MN | Betty McCollum | Original | Mar 9, 2007 |
| D-NJ | Bill Pascrell, Jr. | Original | Mar 9, 2007 |
| R-PA | Bill Shuster | Original | Mar 9, 2007 |
| D-NY | Brian Higgins | Original | Mar 9, 2007 |
| D-NY | Carolyn B. Maloney | Original | Mar 9, 2007 |
| R-PA | Charles W. Dent | Original | Mar 9, 2007 |
| R-NJ | Christopher H. Smith | Original | Mar 9, 2007 |
| D-KS | Dennis Moore | Original | Mar 9, 2007 |
| D-NJ | Donald M. Payne | Original | Mar 9, 2007 |
| D-MD | Elijah E. Cummings | Original | Mar 9, 2007 |
Actions 3
Everything that happened, newest first.
- Mar 13, 2007Referred to the Subcommittee on Health.
- Mar 9, 2007Introduced in House
- Mar 9, 2007Referred to the House Committee on Ways and Means.
Subjects
Assigned by the Library of Congress. Policy area: Health.
Text 1
Each version as it was printed, newest first.
- Mar 9, 2007Introduced in House
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov.