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Union Calendar No. 113 

114TH CONGRESS 

1ST SESSION H. R. 2580 

[Report No. 114–156] 

To provide for a technical change to the Medicare long-term care hospital 

moratorium exception, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 29, 2015 

Mr. BOUSTANY introduced the following bill; which was referred to the 

Committee on Ways and Means 

JUNE 16, 2015 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on May 29, 2015] 


srobinson on DSK5SPTVN1PROD with BILLS
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•HR 2580 RH

A BILL 

To provide for a technical change to the Medicare longterm care hospital moratorium exception, and for other 

purposes. 


srobinson on DSK5SPTVN1PROD with BILLS
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•HR 2580 RH

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 ‘‘LTCH Technical Correc5 tion Act of 2015’’. 

6 SEC. 2. TECHNICAL CHANGE TO THE MEDICARE LONG7 TERM CARE HOSPITAL MORATORIUM EXCEP8 TION. 

9 (a) IN GENERAL.—Section 114(d) of the Medicare, 

10 Medicaid, and SCHIP Extension Act of 2007 (42 U.S.C. 

11 1395ww note), as amended by sections 3106(b) and 

12 10312(b) of Public Law 111–148, section 1206(b)(2) of the 

13 Pathway for SGR Reform Act of 2013 (division B of Public 

14 Law 113–67), and section 112 of the Protecting Access to 

15 Medicare Act of 2014, is amended, in paragraph (7), by 

16 striking ‘‘The moratorium under paragraph (1)(A)’’ and 

17 inserting ‘‘Any moratorium under paragraph (1)’’ in the 

18 matter preceding subparagraph (A). 

19 (b) EFFECTIVE DATE.—The amendment made by sub20 section (a) shall take effect as if included in the enactment 

21 of section 112 of the Protecting Access to Medicare Act of 

22 2014. 


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•HR 2580 RH

1 SEC. 3. MODIFICATION TO MEDICARE LONG-TERM CARE 

2 HOSPITAL HIGH COST OUTLIER PAYMENTS. 

3 Section 1886(m) of the Social Security Act (42 U.S.C. 

4 1395ww(m)) is amended by adding at the end the following 

5 new paragraph: 

6 ‘‘(7) TREATMENT OF HIGH COST OUTLIER PAY7 MENTS.— 

8 ‘‘(A) ADJUSTMENT TO THE STANDARD FED9 ERAL PAYMENT RATE FOR ESTIMATED HIGH

10 COST OUTLIER PAYMENTS.—Under the system 

11 described in paragraph (1), for fiscal years be12 ginning on or after October 1, 2016, the Sec13 retary shall reduce the standard Federal pay14 ment rate as if the estimated aggregate amount 

15 of high cost outlier payments for standard Fed16 eral payment rate discharges for each such fiscal 

17 year would be equal to 8 percent of estimated ag18 gregate payments for standard Federal payment 

19 rate discharges for each such fiscal year. 

20 ‘‘(B) LIMITATION ON HIGH COST OUTLIER

21 PAYMENT AMOUNTS.—Notwithstanding subpara22 graph (A), the Secretary shall set the fixed loss 

23 amount for high cost outlier payments such that 

24 the estimated aggregate amount of high cost 

25 outlier payments made for standard Federal 

26 payment rate discharges for fiscal years beginVerDate Sep 11 2014 22:40 Jun 16, 2015 Jkt 049200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6203 E:\BILLS\H2580.RH H2580

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•HR 2580 RH

1 ning on or after October 1, 2016, shall be equal 

2 to 99.0625 percent of 8 percent of estimated ag3 gregate payments for standard Federal payment 

4 rate discharges for each such fiscal year. 

5 ‘‘(C) WAIVER OF BUDGET NEUTRALITY.— 

6 Any reduction in payments resulting from the 

7 application of subparagraph (B) shall not be 

8 taken into account in applying any budget neu9 trality provision under such system. 

10 ‘‘(D) NO EFFECT ON SITE NEUTRAL HIGH

11 COST OUTLIER PAYMENT RATE.—This paragraph 

12 shall not apply with respect to the computation 

13 of the applicable site neutral payment rate under 

14 paragraph (6), except for the standard Federal 

15 payment rate portion of blended payment rates 

16 determined under subparagraph (B)(iii)(II) of 

17 such paragraph.’’. 


srobinson on DSK5SPTVN1PROD with BILLS
Union Calendar No. 113 

114TH CONGRESS 

1ST SESSION H. R. 2580 

[Report No. 114–156] 

A BILL 

To provide for a technical change to the Medicare 

and for other purposes. long-term care hospital moratorium exception, 

JUNE 16, 2015 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


srobinson on DSK5SPTVN1PROD with BILLS