I 

114TH CONGRESS 

2D SESSION H. R. 5614 

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

in Medicare classification for certain hospitals. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 1, 2016 

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 Medicare classification for certain hospitals. 

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 CLASSIFICATION FOR 

4 CERTAIN 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 (iii) in clause (v), by striking the 

11 semicolon at the end and inserting ‘‘, or’’. 

12 (b) CONFORMING PAYMENT REFERENCES.—The sec13 ond sentence of subsection (d)(1)(B) of such section is 

14 amended— 

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

16 after ‘‘clause (iv)’’; and 

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

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

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

20 date of such clause (vi) and for cost-reporting peri21 ods beginning on or after January 1, 2015, shall not 

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

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

24 (c) APPLICATION.— 


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1 (1) IN GENERAL.—For cost-reporting periods 

2 beginning on or after January 1, 2015, in the case 

3 of an applicable hospital (as defined in paragraph 

4 (3)), the following shall apply: 

5 (A) Payment for inpatient operating costs 

6 shall be made on the TEFRA basis in the man7 ner provided in section 412.526(c) of title 42, 

8 Code of Federal Regulations (as in effect on 

9 January 1, 2015). 

10 (B) Payment for capital costs shall be 

11 made in the manner provided by section 

12 412.526(c)(4) of title 42, Code of Federal Reg13 ulations (as in effect on such date). 

14 (C) Claims for payment for Medicare bene15 ficiaries who are discharged on of after January 

16 1, 2015, shall be processed as claims which are 

17 paid on a TEFRA payment basis as described 

18 in section 412.526(c) of title 42, Code of Fed19 eral Regulations (as in effect on such date). 

20 (2) ASSIGNMENT OF NEW PROVIDER NUM21 BER.—The Secretary of Health and Human Services 

22 shall assign a new provider number for an applicable 

23 hospital (as defined in paragraph (3)), effective for 

24 its first cost-reporting period beginning on or after 

25 the date of enactment of this Act. 


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1 (3) APPLICABLE HOSPITAL DEFINED.—In this 

2 subsection, the term ‘‘applicable hospital’’ means a 

3 hospital that is classified under clause (iv)(II) of sec4 tion 1886(d)(1)(B) of the Social Security Act (42 

5 U.S.C. 1395ww(d)(1)(B)) on the day before the date 

6 of the enactment of this Act and which is classified 

7 under clause (vi) of such section, as added by sub8 section (a), on or after such date of enactment. 

9 (d) CONFORMING TECHNICAL AMENDMENT.—Sec10 tion 1899B(a)(2)(A)(iv) of the Social Security Act (42 

11 U.S.C. 1395lll(a)(2)(A)(iv)) is amended by striking 

12 ‘‘1886(d)(1)(B)(iv)(II)’’ and inserting 

13 ‘‘1886(d)(1)(B)(vi)’’. 

Æ 


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