TRIA Act of 2021

To amend the IMPACT Act of 2014 to reset data collection and the development of a payment system technical prototype for post-acute care providers under the Medicare program to take into account the effects of COVID–19. 1. Short title This Act may be cited as the Resetting the Impact Act of 2021 TRIA Act of 2021 2. Resetting data collection and the development of a payment system technical prototype for post-acute care providers under the Medicare program to take into account the effects of COVID–19 (a) In general Section 2(b)(2) of the IMPACT Act of 2014 ( Public Law 113–185 (1) in subparagraph (A)— (A) in the matter preceding clause (i), by striking Not later than subsection (a), Not earlier than the date that is 2 years after the later of January 1, 2022, and the date by which the Secretary of Health and Human Services has collected at least 8 specified calendar quarters (as defined in subparagraph (C)) of standardized patient assessment data under subsection (b) of section 1899B of the Social Security Act, of data on quality measures under subsection (c) of such section, and of resource use and claims data under subsection (d) of such section from each of the PAC payment systems (as defined in subsection (a)(2)(D) of such section), (B) in clause (i)— (i) in subclause (III), by striking and (ii) in subclause (IV), by striking the period and inserting ; and (iii) by adding at the end the following new subclause: (V) account for the role that each type of PAC provider may play during public health emergencies, taking into account the value of each such type of provider during the COVID–19 public health emergency, such as the percent of patient populations served by each such type of provider with or recovering from COVID–19, as well as the acuity levels of such populations. ; and (2) by adding at the end the following new subparagraph: (C) Specified calendar quarter defined For purposes of subparagraph (A), the term specified calendar quarter (i) beginning after the prospective payment system for home health agencies under section 1895 of the Social Security Act has incorporated the Patient-Driven Groupings Model (as described at 83 Fed. Reg. 56446 et seq.); (ii) beginning after the prospective payment system for skilled nursing facilities under section 1888(e) of such Act has incorporated the Patient-Driven Payment Model (as described in 83 Fed. Reg. 39162 et seq.); and (iii) no portion of which occurs during a nationwide public health emergency declared by the Secretary pursuant to section 319 of the Public Health Service Act with respect to which any waiver has been effectuated by the Secretary pursuant to section 1135 of the Social Security Act. . (b) Effective date The amendments made by subsection (a) shall take effect as if included in the enactment of the IMPACT Act of 2014 ( Public Law 113–185

Summary: Resetting the Impact Act of 2021 or the TRIA Act of 2021 This bill requires certain data collection and recommendations relating to a Medicare post-acute care prospective payment system to incorporate the effects of COVID-19 on providers and patients. Current law requires the Centers for Medicare & Medicaid Services (CMS) and the Medicare Payment Advisory Commission to develop a prototype for a unified Medicare payment system for post-acute care that is based primarily on patient characteristics (e.g., cognitive ability, functional status, or impairments) rather than the provider setting (e.g., skilled nursing facility, home health agency, inpatient rehabilitation facility, or long-term care hospital). The bill requires the prototype to account for the role of post-acute care providers during public health emergencies, particularly in light of the COVID-19 emergency and the related effects on such providers and their patients. The bill also delays the development of the prototype until two years after the later of January 1, 2022, and the date by which the CMS has collected eight calendar quarters of data after the emergency ends and other changes have been implemented.