LTCH Technical Correction Act of 2015

To provide for a technical change to the Medicare long-term care hospital moratorium exception, and for other purposes. 1. Short title This Act may be cited as the LTCH Technical Correction Act of 2015 2. Technical change to the Medicare long-term care hospital moratorium exception (a) In general Section 114(d) of the Medicare, Medicaid, and SCHIP Extension Act of 2007 ( 42 U.S.C. 1395ww Public Law 111–148 Public Law 113–67 The moratorium under paragraph (1)(A) Any moratorium under paragraph (1) (b) Effective date The amendment made by subsection (a) shall take effect as if included in the enactment of section 112 of the Protecting Access to Medicare Act of 2014. 3. Modification to Medicare long-term care hospital high cost outlier payments Section 1886(m) of the Social Security Act ( 42 U.S.C. 1395ww(m) (7) Treatment of high cost outlier payments (A) Adjustment to the standard Federal payment rate for estimated high cost outlier payments Under the system described in paragraph (1), for fiscal years beginning on or after October 1, 2016, the Secretary shall reduce the standard Federal payment rate as if the estimated aggregate amount of high cost outlier payments for standard Federal payment rate discharges for each such fiscal year would be equal to 8 percent of estimated aggregate payments for standard Federal payment rate discharges for each such fiscal year. (B) Limitation on high cost outlier payment amounts Notwithstanding subparagraph (A), the Secretary shall set the fixed loss amount for high cost outlier payments such that the estimated aggregate amount of high cost outlier payments made for standard Federal payment rate discharges for fiscal years beginning on or after October 1, 2016, shall be equal to 99.0625 percent of 8 percent of estimated aggregate payments for standard Federal payment rate discharges for each such fiscal year. (C) Waiver of budget neutrality Any reduction in payments resulting from the application of subparagraph (B) shall not be taken into account in applying any budget neutrality provision under such system. (D) No effect on site neutral high cost outlier payment rate This paragraph shall not apply with respect to the computation of the applicable site neutral payment rate under paragraph (6), except for the standard Federal payment rate portion of blended payment rates determined under subparagraph (B)(iii)(II) of such paragraph. . 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

Summary: LTCH Technical Correction Act of 2015 (Sec. 2) This bill amends the Medicare, Medicaid, and SCHIP Extension Act of 2007, as amended by other specified federal law, with respect to the five-year moratorium beginning April 1, 2014, on the establishment of long-term care (LTC) hospitals and LTC satellite facilities and on the increase of LTC hospital beds in existing LTC hospitals or satellite facilities for purposes of title XVIII (Medicare) of the Social Security Act (SSAct). A technical correction is made to an exception to this moratorium for certain LTC hospitals that: began their qualifying period for Medicare payment on or before April 1, 2014; have a binding written agreement as of that date with an outside, unrelated party for the actual construction, renovation, lease, or demolition for an LTC hospital, and have expended, before that date, at least 10% of the project's estimated cost (or, if less, $ 2.5 million); or have obtained on or before that date an approved certificate of need in a state where one is required. This bill applies the exception to any similar moratorium. (Sec. 3) Amends SSAct title XVIII to direct the Department of Health and Human Services (HHS), under the prospective payment system for inpatient hospital services furnished by an LTC hospital for fiscal years beginning on or after October 1, 2016, to reduce the standard federal payment rate as if the estimated aggregate amount of high cost outlier payments for standard federal payment rate discharges for each fiscal year would be equal to 8% of estimated aggregate payments for standard federal payment rate discharges for that fiscal year. Directs HHS to set the fixed loss amount for high cost outlier payments so that the estimated aggregate amount of high cost outlier payments made for standard federal payment rate discharges for fiscal years beginning on or after October 1, 2016, shall be equal to 99.0625% of 8% of estimated aggregate payments for standard federal payment rate discharges for each such fiscal year.