HR 5273 · 114th Congress 2015–2017, ended

Helping Hospitals Improve Patient Care Act of 2016

Latest action · Jun 8, 2016 Received in the Senate and Read twice and referred to the Committee on Finance.

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.

  1. IntroducedMay 18, 2016
  2. Passed HouseJun 7, 2016
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Helping Hospitals Improve Patient Care Act of 2016

TITLE I--PROVISIONS RELATING TO MEDICARE PART A

(Sec. 101) The bill amends title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare & Medicaid Services (CMS) to develop, with respect to claims for hospital services, codes under the Healthcare Common Procedure Coding System (HCPCS) for similar inpatient and outpatient hospital services.

(Sec. 102) The bill establishes processes for adjusting a hospital's Medicare payments based on the hospital's overall proportion of inpatients who are dually eligible for Medicare and Medicaid.

(Sec. 103) The bill extends for five years the Rural Community Hospital Demonstration Program, through which Medicare pays certain rural hospitals on the basis of reasonable incurred costs rather than under the standard prospective payment system.

(Sec. 104) With respect to long-term care hospitals, the bill lifts a moratorium on bed increases. The bill reduces rates for high-cost outlier payments, which are additional Medicare payments made in extraordinarily high-cost cases.

(Sec. 105) The bill reduces the amount by which hospital payment rates for inpatient services increase in FY2018.

TITLE II--PROVISIONS RELATING TO MEDICARE PART B

(Sec. 201) The bill excludes certain off-campus outpatient departments (OPDs) from specified rules that mandate lower Medicare payments. Specifically, the exclusion applies to: (1) cancer hospitals in off-campus OPDs, and (2) mid-build OPDs. A "mid-build" OPD is one for which the provider had, before a certain date, a binding written agreement with an outside party for construction.

(Sec. 203) With respect to payment reductions for failing to meet requirements for the meaningful use of electronic health records (EHRs), the bill exempts eligible professionals who are based in ambulatory surgical centers.

TITLE III--OTHER MEDICARE PROVISIONS

(Sec. 301) Until plan year 2019, CMS may not terminate an MA plan solely because the plan failed to achieve a specified minimum quality rating.

(Sec. 302) CMS must annually report on Medicare enrollment data, as specified by the bill.

(Sec. 303) CMS shall: (1) request information and recommendations from stakeholders on information included in the Welcome to Medicare package, and (2) update the information included in the package accordingly.

Cosponsors 1

Members who signed on, in the order they did. All signed on May 18, 2016.

SeatCosponsorSigned on
D-WAJim McDermottOriginalMay 18, 2016

Committees 3

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseWays and Means Committee
Referred May 18, 2016Markup May 24, 2016Reported Jun 7, 2016
Health Subcommittee
Referred May 19, 2016
HouseEnergy and Commerce Committee
Referred May 18, 2016Discharged Jun 7, 2016
SenateFinance Committee
Referred Jun 8, 2016

Actions 14

Everything that happened, newest first.

  1. Jun 8, 2016Received in the Senate and Read twice and referred to the Committee on Finance.
  2. Jun 7, 2016Reported (Amended) by the Committee on Ways and Means. H. Rept. 114-604, Part I.
  3. Jun 7, 2016Committee on Energy and Commerce discharged.
  4. Jun 7, 2016Placed on the Union Calendar, Calendar No. 470.
  5. Jun 7, 2016Mr. Tiberi moved to suspend the rules and pass the bill, as amended.
  6. Jun 7, 2016Considered under suspension of the rules. (consideration: CR H3470-3475)
  7. Jun 7, 2016DEBATE - The House proceeded with forty minutes of debate on H.R. 5273.
  8. Jun 7, 2016Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H3470-3473)
  9. Jun 7, 2016Motion to reconsider laid on the table Agreed to without objection.
  10. May 24, 2016Committee Consideration and Mark-up Session Held.
  11. May 24, 2016Ordered to be Reported (Amended) by Voice Vote.
  12. May 19, 2016Referred to the Subcommittee on Health.
  13. May 18, 2016Introduced in House
  14. May 18, 2016Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

In the Congressional Record 2

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.

WhereIn the RecordMembersDate
ExtensionsDebate and remarks E863Jim McDermott D-WAJun 9, 2016
HouseDebate and remarks H3470–H3475Text printed H3470–H3473Danny K. Davis D-IL, Don Young R-AK, James B. Renacci R-OH, Jim McDermott D-WA, Kevin Brady R-TX, Patrick J. Tiberi R-OHJun 7, 2016

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.

Committee report

Congressional Budget Office cost estimate

  1. Jun 3, 2016H.R. 5273, Helping Hospitals Improve Patient Care Act of 2016As ordered reported by the House Committee on Ways and Means on May, 24 2016

Constitutional authority

Congress has the power to enact this legislation pursuant to the following: The constitutional authority on which this bill rests is the power of Congress to make rules for the government and regulation of the land and naval forces, as enumerated in Article I, Section 8, Clause 14 of the United States Constitution.

The sponsor’s statement, as printed in the Congressional Record, vol. 162, no. 79, May 18, 2016, page H2845.

Related bills 9

Companion bills and other measures the record links to this one.

Titles 3

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To amend title XVIII of the Social Security Act to provide for regulatory relief under the Medicare program for certain providers of services and suppliers and increased transparency in hospital coding and enrollment data, and for other purposes.
Short Titles as Introduced
Helping Hospitals Improve Patient Care Act of 2016
Short Titles as Passed House
Helping Hospitals Improve Patient Care Act of 2016

Subjects

Assigned by the Library of Congress. Policy area: Health.

Text 4

Each version as it was printed, newest first.

  1. Jun 8, 2016Referred in Senate
  2. Jun 7, 2016Reported in House
  3. Jun 7, 2016Engrossed in House
  4. May 18, 2016Introduced in House

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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.