I 

113TH CONGRESS 

1ST SESSION H. R. 3613 

To amend title XVIII of the Social Security Act to provide for a change 

in payment for certain hospitals under Medicare. 

IN THE HOUSE OF REPRESENTATIVES 

NOVEMBER 21, 2013 

Mr. RANGEL (for himself and Mr. CROWLEY) introduced the following bill; 

which was referred to the Committee on Ways and Means 

A BILL 

To amend title XVIII of the Social Security Act to provide 

for a change in payment for certain hospitals under 

Medicare. 

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

3 SECTION 1. CHANGE IN MEDICARE PAYMENT FOR CERTAIN 

4 HOSPITALS. 

5 (a) IN GENERAL.—Subsection (d)(1)(B) of section 

6 1886 of the Social Security Act (42 U.S.C. 1395ww) is 

7 amended— 

8 (1) in clause (iv)-— 

9 (A) in subclause (I)— 

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1 (i) by striking ‘‘(iv)(I)’’ and inserting 

2 ‘‘(iv)’’; and 

3 (ii) by striking ‘‘or’’at the end; and 

4 (B) in subclause (II)— 

5 (i) by striking ‘‘, or’’ at the end and 

6 inserting a semicolon; and 

7 (ii) by redesignating such subclause as 

8 clause (vi) and by moving it to immediately 

9 follow clause (v); and 

10 (2) in clause (v), by striking the semicolon at 

11 the end and inserting ‘‘, or’’. 

12 (b) CONFORMING PAYMENT REFERENCES.—Sub13 section (b) of such section is amended— 

14 (1) in paragraph (2)(E)(ii), by adding at the 

15 end the following new subclause: 

16 ‘‘(III) Hospitals described in 

17 clause (vi) of such subsection.’’; 

18 (2) in paragraph (3)(F)(iii), by adding at the 

19 end the following new subclause: 

20 ‘‘(VI) Hospitals described in 

21 clause (vi) of such subsection.’’; 

22 (3) in paragraph (3)(G)(ii), by inserting ‘‘or 

23 (vi)’’ after ‘‘clause (iv)’’; 

24 (4) in paragraph (3)(H)(iv), by adding at the 

25 end the following new subclause: 

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1 ‘‘(IV) Hospitals described in 

2 clause (vi) of such subsection.’’; 

3 (5) in paragraph (3)(J), by striking ‘‘subsection 

4 (d)(1)(B)(iv)’’ and inserting ‘‘clause (iv) or (vi) of 

5 subsection (d)(1)(B)’’; and 

6 (6) in paragraph (7)(B), by adding at the end 

7 the following new clause: 

8 ‘‘(iv) Hospitals described in clause (vi) 

9 of such subsection.’’. 

10 (c) ADDITIONAL CONFORMING AMENDMENTS.—The 

11 second sentence of subsection (d)(1)(B) of such section is 

12 amended— 

13 (1) by inserting ‘‘(as in effect as of such date)’’ 

14 after ‘‘clause (iv)’’; and 

15 (2) by inserting ‘‘(or, in the case of a hospital 

16 described in clause (iv)(II), as so in effect, shall be 

17 classified under clause (vi) on and after the effective 

18 date of such clause (vi) and for cost reporting peri19 ods beginning on or after January 1, 2014, shall not 

20 be subject to subsection (m) as of the date of such 

21 classification)’’ after ‘‘so classified’’. 

22 (d) APPLICATION.—In the case of a hospital that is 

23 classified under clause (iv)(II) of section 1886(d)(1)(B) of 

24 the Social Security Act (42 U.S.C. 1395ww(d)(1)(B)) on 

25 the day before the date of the enactment of this Act and 

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1 which is classified under clause (vi) of such section after 

2 such date of enactment, payments for inpatient operating 

3 costs for cost reporting periods beginning on or after Jan4 uary 1, 2014, shall be based upon the target amount per 

5 discharge established pursuant to section 1886(b) of such 

6 Act (42 U.S.C. 1395ww(b)) in effect for the cost reporting 

7 period for such hospital beginning during fiscal year 2001, 

8 increased for each succeeding cost reporting period (begin9 ning before the date of the enactment of this Act) by the 

10 applicable percentage increase under section 

11 1886(b)(3)(B)(ii) of such Act (42 U.S.C. 

12 1395ww(b)(3)(B)(ii)). 

Æ 

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