```

[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4067 Reported in House (RH)]

                                                 Union Calendar No. 431
113th CONGRESS
  2d Session
                                H. R. 4067

                      [Report No. 113-582, Part I]

    To provide for the extension of the enforcement instruction on 
    supervision requirements for outpatient therapeutic services in 
        critical access and small rural hospitals through 2014.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                           February 18, 2014

 Ms. Jenkins introduced the following bill; which was referred to the 
 Committee on Energy and Commerce, and in addition to the Committee on 
   Ways and Means, 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

                           September 9, 2014

  Additional sponsors: Mr. Huelskamp, Mr. Daines, Mr. Loebsack, Mrs. 
                          Noem, and Mr. Schock

                           September 9, 2014

           Reported from the Committee on Energy and Commerce

                           September 9, 2014

The Committee on Ways and Means discharged; committed to the Committee 
 of the Whole House on the State of the Union and ordered to be printed

_______________________________________________________________________

                                 A BILL

 
    To provide for the extension of the enforcement instruction on 
    supervision requirements for outpatient therapeutic services in 
        critical access and small rural hospitals through 2014.

 

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

SECTION 1. EXTENSION OF ENFORCEMENT INSTRUCTION ON SUPERVISION 
              REQUIREMENTS FOR OUTPATIENT THERAPEUTIC SERVICES IN 
              CRITICAL ACCESS AND SMALL RURAL HOSPITALS THROUGH 2014.

    The Secretary of Health and Human Services shall continue to apply 
through calendar year 2014 the enforcement instruction described in the 
notice of the Centers for Medicare & Medicaid Services entitled 
``Enforcement Instruction on Supervision Requirements for Outpatient 
Therapeutic Services in Critical Access and Small Rural Hospitals for 
CY 2013'', dated November 1, 2012 (providing for an exception to the 
restatement and clarification under the final rulemaking changes to the 
Medicare hospital outpatient prospective payment system and calendar 
year 2009 payment rates (published in the Federal Register on November 
18, 2008, 73 Fed. Reg. 68702 through 68704) with respect to 
requirements for direct supervision by physicians for therapeutic 
hospital outpatient services).
                                                 Union Calendar No. 431

113th CONGRESS

  2d Session

                               H. R. 4067

                      [Report No. 113-582, Part I]

_______________________________________________________________________

                                 A BILL

    To provide for the extension of the enforcement instruction on 
    supervision requirements for outpatient therapeutic services in 
        critical access and small rural hospitals through 2014.

_______________________________________________________________________

                           September 9, 2014

           Reported from the Committee on Energy and Commerce

                           September 9, 2014

The Committee on Ways and Means discharged; committed to the Committee 
 of the Whole House on the State of the Union and ordered to be printed
```