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; 83 are original cosponsors, there from 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 |
| D-NY | Eliot L. Engel | Original | Mar 9, 2007 |
| R-NJ | Frank A. LoBiondo | Original | Mar 9, 2007 |
| D-NY | Gary L. Ackerman | Original | Mar 9, 2007 |
| D-TX | Gene Green | Original | Mar 9, 2007 |
| D-MA | James P. McGovern | Original | Mar 9, 2007 |
| R-NY | James T. Walsh | Original | Mar 9, 2007 |
| D-PA | Jason Altmire | Original | Mar 9, 2007 |
| R-PA | Jim Gerlach | Original | Mar 9, 2007 |
| R-NJ | Jim Saxton | Original | Mar 9, 2007 |
| R-PA | John E. Peterson | Original | Mar 9, 2007 |
| R-NY | John M. McHugh | Original | Mar 9, 2007 |
| D-PA | John P. Murtha | Original | Mar 9, 2007 |
| R-NV | Jon C. Porter | Original | Mar 9, 2007 |
| R-TX | Kay Granger | Original | Mar 9, 2007 |
| R-MO | Kenny C. Hulshof | Original | Mar 9, 2007 |
| D-TN | Lincoln Davis | Original | Mar 9, 2007 |
| D-CA | Lois Capps | Original | Mar 9, 2007 |
| R-TX | Louie Gohmert | Original | Mar 9, 2007 |
| D-NY | Louise McIntosh Slaughter | Original | Mar 9, 2007 |
| D-CA | Lynn C. Woolsey | Original | Mar 9, 2007 |
| D-AR | Marion Berry | Original | Mar 9, 2007 |
| D-CO | Mark Udall | Original | Mar 9, 2007 |
| R-TN | Marsha Blackburn | Original | Mar 9, 2007 |
| D-MA | Martin T. Meehan | Original | Mar 9, 2007 |
| D-NY | Maurice D. Hinchey | Original | Mar 9, 2007 |
| D-HI | Mazie K. Hirono | Original | Mar 9, 2007 |
| D-MA | Michael E. Capuano | Original | Mar 9, 2007 |
| D-NY | Michael R. McNulty | Original | Mar 9, 2007 |
| R-NJ | Mike Ferguson | Original | Mar 9, 2007 |
| R-AL | Mike Rogers | Original | Mar 9, 2007 |
| D-CA | Mike Thompson | Original | Mar 9, 2007 |
| D-HI | Neil Abercrombie | Original | Mar 9, 2007 |
| D-WV | Nick J. Rahall II | Original | Mar 9, 2007 |
| D-NY | Nita M. Lowey | Original | Mar 9, 2007 |
| D-NH | Paul W. Hodes | Original | Mar 9, 2007 |
| R-TX | Pete Sessions | Original | Mar 9, 2007 |
| R-IL | Peter J. Roskam | Original | Mar 9, 2007 |
| R-NY | Peter T. King | Original | Mar 9, 2007 |
| R-PA | Phil English | Original | Mar 9, 2007 |
| R-TX | Ralph M. Hall | Original | Mar 9, 2007 |
| R-IL | Ray LaHood | Original | Mar 9, 2007 |
| D-MA | Richard E. Neal | Original | Mar 9, 2007 |
| D-PA | Robert A. Brady | Original | Mar 9, 2007 |
| R-AL | Robert B. Aderholt | Original | Mar 9, 2007 |
| D-AL | Robert E. (Bud) Cramer Jr. | Original | Mar 9, 2007 |
| R-LA | Rodney Alexander | Original | Mar 9, 2007 |
| R-KY | Ron Lewis | Original | Mar 9, 2007 |
| D-NJ | Rush Holt | Original | Mar 9, 2007 |
| R-TX | Sam Johnson | Original | Mar 9, 2007 |
| R-NJ | Scott Garrett | Original | Mar 9, 2007 |
| D-NV | Shelley Berkley | Original | Mar 9, 2007 |
| D-TX | Silvestre Reyes | Original | Mar 9, 2007 |
| D-TX | Solomon P. Ortiz | Original | Mar 9, 2007 |
| R-AL | Spencer Bachus | Original | Mar 9, 2007 |
| D-TN | Steve Cohen | Original | Mar 9, 2007 |
| D-NY | Steve Israel | Original | Mar 9, 2007 |
| R-AL | Terry Everett | Original | Mar 9, 2007 |
| R-NY | Thomas M. Reynolds | Original | Mar 9, 2007 |
| D-PA | Tim Holden | Original | Mar 9, 2007 |
| R-PA | Tim Murphy | Original | Mar 9, 2007 |
| D-NY | Timothy H. Bishop | Original | Mar 9, 2007 |
| R-PA | Todd Russell Platts | Original | Mar 9, 2007 |
| R-MI | Vernon J. Ehlers | Original | Mar 9, 2007 |
| R-VA | Virgil H. Goode Jr. | Original | Mar 9, 2007 |
| R-NY | Vito Fossella | Original | Mar 9, 2007 |
| D-LA | William J. Jefferson | Original | Mar 9, 2007 |
| D-MO | Wm. Lacy Clay | Original | Mar 9, 2007 |
| R-TN | Zach Wamp | Original | Mar 9, 2007 |
| D-TX | Charles A. Gonzalez | Mar 14, 2007 | |
| R-VA | J. Randy Forbes | Mar 14, 2007 | |
| R-AL | Jo Bonner | Mar 14, 2007 | |
| D-KY | John A. Yarmuth | Mar 14, 2007 | |
| R-TX | Ted Poe | Mar 14, 2007 | |
| R-TX | Mac Thornberry | Mar 15, 2007 | |
| D-TX | Ciro D. Rodriguez | Mar 23, 2007 | |
| D-FL | Corrine Brown | Mar 23, 2007 | |
| R-TN | David Davis | Mar 23, 2007 | |
| R-NE | Jeff Fortenberry | Mar 23, 2007 | |
| D-MI | John Conyers, Jr. | Mar 23, 2007 | |
| D-MA | John W. Olver | Mar 23, 2007 | |
| R-PA | Joseph R. Pitts | Mar 23, 2007 | |
| D-ME | Michael H. Michaud | Mar 23, 2007 | |
| R-ID | Michael K. Simpson | Mar 23, 2007 | |
| R-MO | Sam Graves | Mar 23, 2007 | |
| R-MI | Thaddeus G. McCotter | Mar 23, 2007 | |
| R-MO | W. Todd Akin | Mar 23, 2007 | |
| D-MA | Bill Delahunt | Mar 29, 2007 | |
| D-TX | Eddie Bernice Johnson | Mar 29, 2007 | |
| D-MO | Emanuel Cleaver | Mar 29, 2007 | |
| D-GA | Jim Marshall | Mar 29, 2007 | |
| R-AR | John Boozman | Mar 29, 2007 | |
| R-TX | K. Michael Conaway | Mar 29, 2007 | |
| R-TX | Kevin Brady | Mar 29, 2007 | |
| D-AR | Mike Ross | Mar 29, 2007 | |
| D-PA | Paul E. Kanjorski | Mar 29, 2007 | |
| D-VT | Peter Welch | Mar 29, 2007 | |
| R-MI | Tim Walberg | Mar 29, 2007 | |
| R-MD | Wayne T. Gilchrest | Mar 29, 2007 | |
| D-PA | Christopher P. Carney | Mar 30, 2007 | |
| D-MI | Dale E. Kildee | Apr 17, 2007 | |
| D-RI | James R. Langevin | Apr 17, 2007 | |
| D-IL | Janice D. Schakowsky | Apr 17, 2007 | |
| D-NY | Jerrold Nadler | Apr 17, 2007 | |
| R-SC | Joe Wilson | Apr 17, 2007 | |
| D-NY | John J. Hall | Apr 17, 2007 | |
| D-VA | Rick Boucher | Apr 17, 2007 | |
| D-NY | Yvette D. Clarke | Apr 17, 2007 | |
| R-IL | Donald A. Manzullo | Apr 19, 2007 | |
| D-NJ | Albio Sires | Apr 20, 2007 | |
| R-FL | Dave Weldon | Apr 20, 2007 | |
| D-NJ | Steven R. Rothman | Apr 20, 2007 | |
| D-IN | Brad Ellsworth | Apr 25, 2007 | |
| R-FL | C. W. Bill Young | Apr 25, 2007 | |
| D-TX | Chet Edwards | Apr 25, 2007 | |
| D-FL | Debbie Wasserman Schultz | Apr 25, 2007 | |
| D-NY | Gregory W. Meeks | Apr 25, 2007 | |
| D-PA | Patrick J. Murphy | Apr 25, 2007 | |
| D-IL | Rahm Emanuel | Apr 25, 2007 | |
| D-OK | Dan Boren | May 3, 2007 | |
| D-NY | Edolphus Towns | May 3, 2007 | |
| R-FL | Jeff Miller | May 3, 2007 | |
| R-TX | Ron Paul | May 3, 2007 | |
| D-TX | Ruben Hinojosa | May 3, 2007 | |
| R-FL | Vern Buchanan | May 3, 2007 | |
| R-NE | Adrian Smith | May 7, 2007 | |
| R-FL | Ander Crenshaw | May 7, 2007 | |
| D-NY | Anthony D. Weiner | May 7, 2007 | |
| D-MA | Edward J. Markey | May 7, 2007 | |
| R-KY | Geoff Davis | May 7, 2007 | |
| D-KY | Ben Chandler | May 10, 2007 | |
| D-NC | David E. Price | May 10, 2007 | |
| D-AZ | Harry E. Mitchell | May 10, 2007 | |
| D-TX | Henry Cuellar | May 10, 2007 | |
| R-FL | Ileana Ros-Lehtinen | May 10, 2007 | |
| D-MA | Stephen F. Lynch | May 10, 2007 | |
| D-ME | Thomas H. Allen | May 10, 2007 | |
| R-WA | David G. Reichert | May 16, 2007 | |
| D-FL | Robert Wexler | May 16, 2007 | |
| D-WI | Tammy Baldwin | May 16, 2007 | |
| R-KS | Todd Tiahrt | May 16, 2007 | |
| D-NC | G. K. Butterfield | May 17, 2007 | |
| R-SC | Henry E. Brown, Jr. | May 17, 2007 | |
| D-MN | James L. Oberstar | May 17, 2007 | |
| R-MO | Jo Ann Emerson | May 17, 2007 | |
| D-AZ | Raúl M. Grijalva | May 17, 2007 | |
| R-WA | Cathy McMorris Rodgers | May 23, 2007 | |
| R-MS | Charles W. "Chip" Pickering | May 23, 2007 | |
| R-NM | Heather Wilson | May 23, 2007 | |
| R-FL | Lincoln Diaz-Balart | May 23, 2007 | |
| R-FL | Tom Feeney | May 23, 2007 | |
| D-FL | Kendrick B. Meek | May 24, 2007 | |
| R-IA | Tom Latham | May 24, 2007 | |
| D-NY | Carolyn McCarthy | Jun 5, 2007 | |
| D-MN | Collin C. Peterson | Jun 5, 2007 | |
| R-KY | Harold Rogers | Jun 5, 2007 | |
| R-CO | Marilyn N. Musgrave | Jun 5, 2007 | |
| R-FL | Mario Diaz-Balart | Jun 5, 2007 | |
| D-NY | Nydia M. Velázquez | Jun 5, 2007 | |
| D-NC | Bob Etheridge | Jun 7, 2007 | |
| R-FL | John L. Mica | Jun 7, 2007 | |
| R-NY | John R. "Randy" Kuhl Jr. | Jun 7, 2007 | |
| R-IL | John Shimkus | Jun 7, 2007 | |
| D-MO | Russ Carnahan | Jun 7, 2007 | |
| R-KY | Ed Whitfield | Jun 11, 2007 | |
| R-NC | Walter B. Jones | Jun 11, 2007 | |
| D-IN | Baron P. Hill | Jun 14, 2007 | |
| D-IL | Bobby L. Rush | Jun 14, 2007 | |
| R-FL | Ginny Brown-Waite | Jun 14, 2007 | |
| D-PA | Joe Sestak | Jun 14, 2007 | |
| D-NY | Joseph Crowley | Jun 14, 2007 | |
| D-RI | Patrick J. Kennedy | Jun 14, 2007 | |
| R-FL | Ric Keller | Jun 14, 2007 | |
| D-WV | Alan B. Mollohan | Jun 19, 2007 | |
| R-ID | Bill Sali | Jun 19, 2007 | |
| D-AR | Vic Snyder | Jun 19, 2007 | |
| R-KS | Jerry Moran | Jun 20, 2007 | |
| D-CT | John B. Larson | Jun 21, 2007 | |
| D-TX | Al Green | Jun 22, 2007 | |
| D-CA | Grace F. Napolitano | Jun 22, 2007 | |
| R-TX | Randy Neugebauer | Jun 22, 2007 | |
| D-IL | Danny K. Davis | Jun 26, 2007 | |
| D-CO | John T. Salazar | Jun 26, 2007 | |
| D-NY | Jose E. Serrano | Jun 26, 2007 | |
| D-NY | Michael A. Arcuri | Jun 26, 2007 | |
| D-MI | Bart Stupak | Jun 28, 2007 | |
| D-GA | David Scott | Jun 28, 2007 | |
| R-IL | Jerry Weller | Jun 28, 2007 | |
| R-TN | John J. Duncan, Jr. | Jun 28, 2007 | |
| R-LA | Bobby Jindal | Jul 11, 2007 | |
| D-IL | Jerry F. Costello | Jul 11, 2007 | |
| R-IL | Judy Biggert | Jul 11, 2007 | |
| R-TX | Lamar Smith | Jul 11, 2007 | |
| D-IL | Luis V. Gutierrez | Jul 11, 2007 | |
| D-NC | Brad Miller | Jul 12, 2007 | |
| R-MI | Candice S. Miller | Jul 12, 2007 | |
| R-MI | Fred Upton | Jul 12, 2007 | |
| R-NC | Robin Hayes | Jul 12, 2007 | |
| D-NH | Carol Shea-Porter | Jul 18, 2007 | |
| D-NC | Mike McIntyre | Jul 18, 2007 | |
| D-MI | Carolyn C. Kilpatrick | Jul 19, 2007 | |
| R-FL | Gus M. Bilirakis | Jul 19, 2007 | |
| R-OK | Mary Fallin | Jul 19, 2007 | |
| D-UT | Jim Matheson | Jul 24, 2007 | |
| D-MA | John F. Tierney | Jul 27, 2007 | |
| R-LA | Charles W. Boustany, Jr. | Jul 31, 2007 | |
| R-FL | Connie Mack | Jul 31, 2007 | |
| D-PA | Chaka Fattah | Aug 3, 2007 | |
| R-MS | Roger F. Wicker | Aug 3, 2007 | |
| D-TX | Nick Lampson | Sep 4, 2007 | |
| D-FL | Alcee L. Hastings | Sep 20, 2007 | |
| D-PA | Michael F. Doyle | Sep 20, 2007 | |
| R-NJ | Rodney P. Frelinghuysen | Sep 20, 2007 | |
| D-LA | Charlie Melancon | Sep 27, 2007 | |
| D-IL | Daniel Lipinski | Sep 27, 2007 | |
| R-VA | Jo Ann Davis | Oct 4, 2007 | |
| D-SC | John M. Spratt, Jr. | Oct 4, 2007 | |
| D-GA | Sanford D. Bishop, Jr. | Oct 4, 2007 | |
| R-GA | Lynn A. Westmoreland | Oct 16, 2007 | |
| D-KS | Nancy E. Boyda | Oct 16, 2007 | |
| D-TX | Sheila Jackson Lee | Oct 16, 2007 | |
| R-LA | Richard H. Baker | Oct 18, 2007 | |
| R-OK | Tom Cole | Oct 31, 2007 | |
| D-MO | Ike Skelton | Nov 13, 2007 | |
| R-TX | John R. Carter | Dec 13, 2007 | |
| D-IN | André Carson | Jun 12, 2008 |
Committees 1
Where it was sent and what each committee and subcommittee did with it, in order.
| Chamber | Committee | What it did |
|---|---|---|
| House | Ways and Means Committee | Referred Mar 9, 2007 |
| Health Subcommittee | Referred Mar 13, 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.
In the Congressional Record 1
Days the Record’s own index lists this bill, newest first, with the pages and the members it names. Pages starting H are the House, S the Senate, E Extensions of Remarks.
| Where | In the Record | Members | Date |
|---|---|---|---|
| Extensions | Debate and remarks E510 | John S. Tanner D-TN | Mar 9, 2007 |
Research
What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.
Printed hearings 1
Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.
| Number | Hearing | Committee | Held |
|---|---|---|---|
| Serial No. 110-41 | PAYMENTS TO CERTAIN MEDICARE FEE-FOR-SERVICE PROVIDERS164 pages | Ways and Means Committee | May 15, 2007 |
Titles 1
Every title it has carried, official and short, at each stage.
- Official Title as Introduced
- 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.
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; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.