I 

115TH CONGRESS 

1ST SESSION H. R. 4582 

To amend title XVIII of the Social Security Act to preserve access to 

rehabilitation innovation centers under the Medicare program. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 7, 2017 

Mr. OLSON (for himself, Mr. GENE GREEN of Texas, Mr. MICHAEL F. DOYLE

of Pennsylvania, Ms. ROYBAL-ALLARD, Mr. LOWENTHAL, Mr. FOSTER, 

and Mr. DANNY K. DAVIS of Illinois) 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 preserve 

access to rehabilitation innovation centers under the 

Medicare program. 

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 ‘‘Preserving Rehabilita5 tion Innovation Centers Act of 2017’’. 


daltland on DSKBBV9HB2PROD with BILLS
2 

•HR 4582 IH

1 SEC. 2. PRESERVING ACCESS TO REHABILITATION INNOVA2 TION CENTERS UNDER MEDICARE. 

3 Section 1886(j)(7)(E) of the Social Security Act (42 

4 U.S.C. 1395ww(j)(7)(E)) is amended— 

5 (1) by striking ‘‘PUBLIC AVAILABILITY OF DATA

6 SUBMITTED.—The’’ and inserting ‘‘PUBLIC AVAIL7 ABILITY OF DATA SUBMITTED— 

8 ‘‘(i) IN GENERAL.—The’’; and 

9 (2) by inserting after clause (i), as redesignated 

10 by paragraph (1), the following new clauses: 

11 ‘‘(ii) PUBLIC RECOGNITION OF REHA12 BILITATION INNOVATION CENTERS.—Not 

13 later than one year after the date of the 

14 enactment of this clause, the Secretary 

15 shall make publicly available on such Inter16 net website, in addition to the information 

17 required to be reported on such website 

18 under clause (i), a list of all rehabilitation 

19 innovation centers. 

20 ‘‘(iii) REHABILITATION INNOVATION

21 CENTERS DEFINED.—For purposes of 

22 clause (ii), the term ‘rehabilitation innova23 tion centers’ means a rehabilitation facility 

24 that, as of the date of the enactment of 

25 this clause, is a rehabilitation facility de26 scribed in either clause (iv) or (v). 


daltland on DSKBBV9HB2PROD with BILLS
3 

•HR 4582 IH

1 ‘‘(iv) NOT-FOR-PROFIT.—A rehabilita2 tion facility described in this clause is a re3 habilitation facility that— 

4 ‘‘(I) is classified as a not-for5 profit entity under the IRF Rate Set6 ting File for the Inpatient Rehabilita7 tion Facility Prospective Payment 

8 System for Federal Fiscal Year 2016 

9 (80 Fed. Reg. 47142); 

10 ‘‘(II) holds at least one Federal 

11 rehabilitation research and training 

12 designation for research projects on 

13 traumatic brain injury, spinal cord in14 jury, or stroke rehabilitation research 

15 from the National Institute on Dis16 ability, Independent Living, and Re17 habilitation Research at the Depart18 ment of Health and Human Services, 

19 based on such data submitted to the 

20 Secretary by a facility, in a form, 

21 manner, and time frame specified by 

22 the Secretary; 

23 ‘‘(III) has a minimum Medicare 

24 estimated weight per discharge of 

25 1.1144 for fiscal year 2016 according 


daltland on DSKBBV9HB2PROD with BILLS
4 

•HR 4582 IH

1 to the IRF Rate Setting File de2 scribed in subclause (I); and 

3 ‘‘(IV) is determined by the Sec4 retary, based upon such data sub5 mitted by the facility to the Secretary 

6 as the Secretary may require, to have 

7 had at least 300 Medicare discharges 

8 in a year. 

9 ‘‘(v) GOVERNMENT-OWNED.—A reha10 bilitation facility described in this clause is 

11 a rehabilitation facility that— 

12 ‘‘(I) is classified as a Govern13 ment-owned institution under the IRF 

14 Rate Setting File described in clause 

15 (iv)(I); 

16 ‘‘(II) holds at least one Federal 

17 rehabilitation research and training 

18 designation for research projects on 

19 traumatic brain injury, spinal cord in20 jury, or stroke rehabilitation research 

21 from the National Institute on Dis22 ability, Independent Living, and Re23 habilitation Research at the Depart24 ment of Health and Human Services, 

25 as determined based on such data 


daltland on DSKBBV9HB2PROD with BILLS
5 

•HR 4582 IH

1 submitted to the Secretary by the fa2 cility as the Secretary may require 

3 (and in a form, manner, and time 

4 frame specified by the Secretary); 

5 ‘‘(III) has a minimum Medicare 

6 estimated weight per discharge of 

7 1.1144 according to the IRF Rate 

8 Setting File described in clause 

9 (iv)(I); and 

10 ‘‘(IV) has a Medicare dispropor11 tionate share hospital (DSH) percent12 age of at least 0.6300 according to 

13 the IRF Rate Setting File described 

14 in clause (iv)(I). 

15 ‘‘(vi) IMPLEMENTATION.—Notwith16 standing any other provision of law the 

17 Secretary may implement clauses (ii) 

18 through (v) by program instructions or 

19 otherwise. 

20 ‘‘(vii) NONAPPLICATION OF PAPER21 WORK REDUCTION ACT.—Chapter 35 of 

22 title 44, United States Code, shall not 

23 apply to data collected under this clause. 

24 ‘‘(viii) STUDY.—Not later than 18 

25 months after the date of the enactment of 


daltland on DSKBBV9HB2PROD with BILLS
6 

•HR 4582 IH

1 this clause, the Medicare Payment Advi2 sory Commission established under section 

3 1805 shall submit to Congress a report 

4 analyzing the most recent three years of 

5 cost report data available for all rehabilita6 tion innovation centers (as defined in 

7 clause (ii)) and assess the payment ade8 quacy for such innovation centers under 

9 the Medicare program.’’. 

Æ 


daltland on DSKBBV9HB2PROD with BILLS