I 

114TH CONGRESS 

1ST SESSION H. R. 3780 

To amend title XVIII of the Social Security Act to sunset certain penalties 

relating to meaningful electronic health records use by Medicare eligible 

professionals and hospitals, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 21, 2015 

Mr. KING of Iowa (for himself, Mrs. BLACKBURN, and Mr. ZINKE) introduced 

the following bill; which was referred 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 

A BILL 

To amend title XVIII of the Social Security Act to sunset 

certain penalties relating to meaningful electronic health 

records use by Medicare eligible professionals and hospitals, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Putting Patients and 

5 Providers Ahead of Compressed Regulatory Timelines Act 

6 of 2015’’. 


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1 SEC. 2. SUNSETTING CERTAIN PENALTIES RELATING TO 

2 MEANINGFUL EHR USE. 

3 (a) ELIGIBLE PROFESSIONALS.— 

4 (1) IN GENERAL.—Section 1848(a)(7) of the 

5 Social Security Act (42 U.S.C. 1395w–4(a)(7)) is 

6 amended by striking subparagraph (A). 

7 (2) EFFECTIVE DATE; REBATE.— 

8 (A) EFFECTIVE DATE.—The amendment 

9 made by paragraph (1) shall apply with respect 

10 to items and services furnished on or after Jan11 uary 1, 2015. 

12 (B) REBATE.—With respect to items and 

13 services furnished during the period beginning 

14 on January 1, 2015, and ending on the date of 

15 the enactment of this Act, the Secretary of 

16 Health and Human Services shall implement a 

17 method to provide eligible professionals (as de18 fined in section 1848(o)(5)(C) of the Social Se19 curity Act (42 U.S.C. 1395w–4(o)(5)(C))) a re20 imbursement equal to the amount by which— 

21 (i) the amount of reimbursement 

22 made under section 1848 of such Act (42 

23 U.S.C. 1395w–4), before application of 

24 this subsection, for such items and services 

25 furnished during such period by such pro26 fessionals; is less than 


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1 (ii) the amount of reimbursement that 

2 would have been made under such section, 

3 after application of this subsection, for 

4 such items and services furnished by such 

5 professionals during such period. 

6 (b) ELIGIBLE HOSPITALS.— 

7 (1) IN GENERAL.—Section 1886(b)(3)(B) of 

8 the Social Security Act (42 U.S.C. 

9 1395ww(b)(3)(B)) is amended by striking clause 

10 (ix). 

11 (2) EFFECTIVE DATE; REBATE.— 

12 (A) EFFECTIVE DATE.—The amendment 

13 made by paragraph (1) shall apply with respect 

14 to items and services furnished on or after Oc15 tober 1, 2014. 

16 (B) REBATE.—With respect to items and 

17 services furnished during the period beginning 

18 on October 1, 2014, and ending on the date of 

19 the enactment of this Act, the Secretary of 

20 Health and Human Services shall implement a 

21 method to provide eligible hospitals (as defined 

22 in section 1886(n)(6)(A) of the Social Security 

23 Act (42 U.S.C. 1395ww(n)(6)(A))) a reimburse24 ment equal to the amount by which— 


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1 (i) the amount of reimbursement 

2 made under section 1886 of such Act (42 

3 U.S.C. 1395ww), before application of this 

4 subsection, for such items and services fur5 nished during such period by such hos6 pitals; is less than 

7 (ii) the amount of reimbursement that 

8 would have been made under such section, 

9 after application of this subsection, for 

10 such items and services furnished by such 

11 hospitals during such period. 

12 (c) CRITICAL ACCESS HOSPITALS.— 

13 (1) IN GENERAL.—Section 1814(l) of the Social 

14 Security Act (42 U.S.C. 1395f(l)) is amended by 

15 striking paragraph (4). 

16 (2) EFFECTIVE DATE; REBATE.— 

17 (A) EFFECTIVE DATE.—The amendment 

18 made by paragraph (1) shall apply with respect 

19 to items and services furnished during a report20 ing period beginning on or after October 1, 

21 2014. 

22 (B) REBATE.—With respect to items and 

23 services furnished during the period beginning 

24 on the first day on which paragraph (1) applies, 

25 and ending on the date of the enactment of this 


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1 Act, the Secretary of Health and Human Serv2 ices shall implement a method to provide crit3 ical access hospitals a reimbursement equal to 

4 the amount by which— 

5 (i) the amount of reimbursement 

6 made under section 1814 of the Social Se7 curity Act (42 U.S.C. 1395f), before appli8 cation of this subsection, for such items 

9 and services furnished during such period 

10 by such hospitals; is less than 

11 (ii) the amount of reimbursement that 

12 would have been made under such section, 

13 after application of this subsection, for 

14 such items and services furnished by such 

15 hospitals during such period. 

16 (d) MEDICARE ADVANTAGE.— 

17 (1) IN GENERAL.—Section 1853 of the Social 

18 Security Act (42 U.S.C. 1395w–23) is amended— 

19 (A) in subsection (l)— 

20 (i) in paragraph (1)— 

21 (I) by striking ‘‘paragraphs (3) 

22 and (4)’’ and inserting ‘‘paragraph 

23 (3)’’; 


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1 (II) by striking ‘‘sections 1848(o) 

2 and 1848(a)(7)’’ and inserting ‘‘sec3 tion 1848(o)’’; and 

4 (III) by striking ‘‘and payment 

5 adjustments under paragraph (4) 

6 shall apply to’’; and 

7 (ii) by striking paragraph (4); and 

8 (B) in subsection (m)— 

9 (i) in paragraph (1)— 

10 (I) by striking ‘‘paragraphs (3) 

11 and (4)’’ and inserting ‘‘paragraph 

12 (3)’’; 

13 (II) by striking ‘‘sections 1886(n) 

14 and 1886(b)(3)(B)(ix)’’ and inserting 

15 ‘‘section 1886(n)’’; and 

16 (III) by striking ‘‘and payment 

17 adjustments under paragraph (4) 

18 shall apply to’’; and 

19 (ii) by striking paragraph (4). 

20 (2) EFFECTIVE DATE; REBATE.— 

21 (A) EFFECTIVE DATE.—The amendments 

22 made by paragraph (1) shall apply with respect 

23 to items and services furnished during an appli24 cable period beginning on or after October 1, 

25 2014. 


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1 (B) REBATE.—With respect to items and 

2 services furnished during the period beginning 

3 on the first day on which paragraph (1) applies, 

4 and ending on the date of the enactment of this 

5 Act, the Secretary of Health and Human Serv6 ices shall implement a method to provide MA 

7 organizations a reimbursement equal to the 

8 amount by which— 

9 (i) the payment amount payable under 

10 section 1853 of the Social Security Act (42 

11 U.S.C. 1395w–23) for such organization, 

12 before application of this subsection, for 

13 such items and services furnished during 

14 such period; is less than 

15 (ii) the payment amount that would 

16 have been payable under such section for 

17 such organization, after application of this 

18 subsection, for such items and services fur19 nished during such period. 

Æ 


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