I 

117TH CONGRESS 

1ST SESSION H. R. 2455 

To amend the IMPACT Act of 2014 to reset data collection and the development of a payment system technical prototype for post-acute care providers under the Medicare program to take into account the effects 

of COVID–19. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 12, 2021 

Ms. SEWELL (for herself and Mr. BUCHANAN) 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 the IMPACT Act of 2014 to reset data collection 

and the development of a payment system technical prototype for post-acute care providers under the Medicare 

program to take into account the effects of COVID– 

19. 

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 ‘‘Resetting the Impact 

5 Act of 2021’’ or the ‘‘TRIA Act of 2021’’. 


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1 SEC. 2. RESETTING DATA COLLECTION AND THE DEVELOP2 MENT OF A PAYMENT SYSTEM TECHNICAL 

3 PROTOTYPE FOR POST-ACUTE CARE PRO4 VIDERS UNDER THE MEDICARE PROGRAM TO 

5 TAKE INTO ACCOUNT THE EFFECTS OF 

6 COVID–19. 

7 (a) IN GENERAL.—Section 2(b)(2) of the IMPACT 

8 Act of 2014 (Public Law 113–185) is amended— 

9 (1) in subparagraph (A)— 

10 (A) in the matter preceding clause (i), by 

11 striking ‘‘Not later than’’ and all that follows 

12 through ‘‘subsection (a),’’ and inserting ‘‘Not 

13 earlier than the date that is 2 years after the 

14 later of January 1, 2022, and the date by which 

15 the Secretary of Health and Human Services 

16 has collected at least 8 specified calendar quar17 ters (as defined in subparagraph (C)) of stand18 ardized patient assessment data under sub19 section (b) of section 1899B of the Social Secu20 rity Act, of data on quality measures under 

21 subsection (c) of such section, and of resource 

22 use and claims data under subsection (d) of 

23 such section from each of the PAC payment 

24 systems (as defined in subsection (a)(2)(D) of 

25 such section),’’; and 

26 (B) in clause (i)— 


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1 (i) in subclause (III), by striking 

2 ‘‘and’’ at the end; 

3 (ii) in subclause (IV), by striking the 

4 period and inserting ‘‘; and’’; and 

5 (iii) by adding at the end the fol6 lowing new subclause: 

7 ‘‘(V) account for the role that 

8 each type of PAC provider may play 

9 during public health emergencies, tak10 ing into account the value of each 

11 such type of provider during the 

12 COVID–19 public health emergency, 

13 such as the percent of patient popu14 lations served by each such type of 

15 provider with or recovering from 

16 COVID–19, as well as the acuity lev17 els of such populations.’’; and 

18 (2) by adding at the end the following new sub19 paragraph: 

20 ‘‘(C) SPECIFIED CALENDAR QUARTER DE21 FINED.—For purposes of subparagraph (A), the 

22 term ‘specified calendar quarter’ means a cal23 endar quarter— 

24 ‘‘(i) beginning after the prospective 

25 payment system for home health agencies 


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1 under section 1895 of the Social Security 

2 Act has incorporated the Patient-Driven 

3 Groupings Model (as described at 83 Fed. 

4 Reg. 56446 et seq.); 

5 ‘‘(ii) beginning after the prospective 

6 payment system for skilled nursing facili7 ties under section 1888(e) of such Act has 

8 incorporated the Patient-Driven Payment 

9 Model (as described in 83 Fed. Reg. 39162 

10 et seq.); and 

11 ‘‘(iii) no portion of which occurs dur12 ing a nationwide public health emergency 

13 declared by the Secretary pursuant to sec14 tion 319 of the Public Health Service Act 

15 with respect to which any waiver has been 

16 effectuated by the Secretary pursuant to 

17 section 1135 of the Social Security Act.’’. 

18 (b) EFFECTIVE DATE.—The amendments made by 

19 subsection (a) shall take effect as if included in the enact20 ment of the IMPACT Act of 2014 (Public Law 113–185). 

Æ 


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