HR 5536 · 117th Congress 2021–2023, ended

SMART Act

Latest action · Oct 11, 2021 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.

  1. IntroducedOct 8, 2021
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Stabilizing Medicare Access to Rehabilitation and Therapy Act or the SMART Act

This bill modifies the application of a certain Medicare payment methodology for outpatient physical therapy services and outpatient occupational therapy services that are furnished by a therapy assistant.

Under current law, effective January 1, 2022, payment for such services is 85% of the otherwise applicable rate. The bill delays this effective date by one year and excludes services that are furnished in rural or medically underserved areas from this payment methodology.

The bill also specifies that supervision requirements for outpatient physical therapy services that are furnished through private practice may not be more stringent for purposes of Medicare coverage than under state law.

Cosponsors 45

Members who signed on, in the order they did. Signatures ran from Oct 8, 2021 to Nov 17, 2022; 1 is an original cosponsor, there from the day it was introduced.

SeatCosponsorSigned on
R-MOJason SmithOriginalOct 8, 2021
R-AZDebbie LeskoNov 2, 2021
D-WADerek KilmerNov 2, 2021
R-WVDavid B. McKinleyNov 17, 2021
R-INJackie WalorskiNov 17, 2021
D-AZTom O'HalleranNov 17, 2021
D-NCG. K. ButterfieldNov 30, 2021
D-OHMarcy KapturNov 30, 2021
D-ORSuzanne BonamiciNov 30, 2021
R-NDKelly ArmstrongDec 2, 2021
D-CAJimmy PanettaDec 9, 2021
D-ILMike QuigleyDec 9, 2021
R-NEDon BaconDec 14, 2021
D-ILJanice D. SchakowskyDec 14, 2021
D-CATony CárdenasDec 14, 2021
D-INFrank J. MrvanJan 25, 2022
D-PAConor LambFeb 7, 2022
D-DELisa Blunt RochesterFeb 7, 2022
D-ILRobin L. KellyFeb 7, 2022
D-MAJames P. McGovernMar 1, 2022
D-ORKurt SchraderMar 1, 2022
R-NVMark E. AmodeiMar 1, 2022
D-MASeth MoultonMar 1, 2022
D-PASusan WildMar 1, 2022
D-MSBennie G. ThompsonMar 3, 2022
D-WIRon KindMar 3, 2022
D-TXMarc A. VeaseyMar 28, 2022
D-CAPete AguilarMar 28, 2022
R-CADavid G. ValadaoApr 14, 2022
R-PAJohn JoyceApr 14, 2022
R-MSTrent KellyApr 14, 2022
R-FLGus M. BilirakisMay 3, 2022
D-WIMark PocanMay 3, 2022
R-MSSteven M. PalazzoMay 3, 2022
R-SDDusty JohnsonMay 19, 2022
R-MSMichael GuestJul 1, 2022
R-FLW. Gregory SteubeJul 1, 2022
D-MIElissa SlotkinJul 20, 2022
R-NYNicole MalliotakisAug 19, 2022
D-NHChris PappasSep 14, 2022
R-NYElise M. StefanikSep 14, 2022
D-PAMadeleine DeanSep 20, 2022
D-MNDean PhillipsSep 22, 2022
D-IACynthia AxneSep 29, 2022
D-ILRaja KrishnamoorthiNov 17, 2022

Committees 2

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

ChamberCommitteeWhat it did
HouseEnergy and Commerce Committee
Referred Oct 8, 2021
Health Subcommittee
Referred Oct 11, 2021
HouseWays and Means Committee
Referred Oct 8, 2021
Health Subcommittee
Referred Oct 8, 2021

Actions 4

Everything that happened, newest first.

  1. Oct 11, 2021Referred to the Subcommittee on Health.
  2. Oct 8, 2021Introduced in House
  3. Oct 8, 2021Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
  4. Oct 8, 2021Referred to the Subcommittee on Health.

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 revise certain payment rules for outpatient physical therapy and outpatient occupational therapy furnished in rural areas and medically underserved areas, and for other purposes.
Short Title(s) as Introduced
SMART Act
Stabilizing Medicare Access to Rehabilitation and Therapy Act

Subjects

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

Text 1

Each version as it was printed, newest first.

  1. Oct 8, 2021Introduced 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.