I 
117TH CONGRESS 
2D SESSION 
H. R. 9271 
To amend title XVIII of the Social Security Act to preserve access to 
rehabilitation innovation centers under the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 3, 2022 
Ms. SCHAKOWSKY (for herself, Mr. LAHOOD, Mr. QUIGLEY, Mr. HERN, Ms. 
NEWMAN, Ms. ROYBAL-ALLARD, Mr. CASTEN, Mr. SCHNEIDER, and Mr. 
BOST) introduced the following bill; which was referred to the Committee 
on Ways and Means, and in addition to the Committee on Energy and 
Commerce, for a period to be subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to preserve 
access to rehabilitation innovation centers under the 
Medicare program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Dr. Joanne Smith Me-
morial Rehabilitation Innovation Centers Act of 2022’’. 
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SEC. 2. PRESERVING ACCESS TO REHABILITATION INNOVA-
TION CENTERS UNDER MEDICARE. 
(a) IN GENERAL.—Section 1886(j)(7)(E) of the So-
cial Security Act (42 U.S.C. 1395ww(j)(7)(E)) is amend-
ed— 
(1) by striking ‘‘PUBLIC AVAILABILITY OF DATA 
SUBMITTED.—The’’ and inserting ‘‘PUBLIC AVAIL-
ABILITY OF DATA SUBMITTED.— 
‘‘(i) IN GENERAL.—The’’; and 
(2) by inserting after clause (i), as redesignated 
by paragraph (1), the following new clauses: 
‘‘(ii) PUBLIC RECOGNITION OF REHA-
BILITATION
INNOVATION
CENTERS.—Be-
ginning not later than 18 months after the 
date of the enactment of this clause, the 
Secretary shall make publicly available on 
such Internet website, in addition to the 
information required to be reported on 
such website under clause (i), a list of all 
rehabilitation innovation centers, and shall 
update such list on such website not less 
frequently than biennially. In carrying out 
the activities under this clause, the Sec-
retary may, as permitted by law, dissemi-
nate research, best practices, and other 
clinical information identified or developed 
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by such rehabilitation innovation centers 
to, as determined appropriate by the Sec-
retary, Federal agencies, hospitals, health 
professional organizations, and national 
and State accreditation bodies. 
‘‘(iii) REHABILITATION
INNOVATION 
CENTERS
DEFINED.—For 
purposes 
of 
clause (ii), the term ‘rehabilitation innova-
tion centers’ means a rehabilitation facility 
that, as of the applicable date (as defined 
in clause (v)), is a rehabilitation facility 
described in clause (iv). 
‘‘(iv) REHABILITATION FACILITY DE-
SCRIBED.— 
‘‘(I) IN
GENERAL.—Subject to 
subclause (II), a rehabilitation facility 
described in this clause is a rehabilita-
tion facility that— 
‘‘(aa) is classified as a reha-
bilitation facility under the IRF 
Rate Setting File for the Inpa-
tient Rehabilitation Facility Pro-
spective Payment System for 
Federal Fiscal Year 2019 (83 
Fed. Reg. 38514), or any suc-
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cessor regulations that contain 
such information; 
‘‘(bb) holds at least one 
Federal rehabilitation research 
and training designation for re-
search 
projects 
on 
traumatic 
brain injury or spinal cord injury 
from the National Institute on 
Disability, Independent Living, 
and Rehabilitation Research at 
the Department of Health and 
Human Services, based on such 
data submitted to the Secretary 
by a facility, in a form, manner, 
and time frame specified by the 
Secretary; 
‘‘(cc) submits to the Sec-
retary a description of the clin-
ical research enterprise of the fa-
cility and a summary of research 
activities of the facility that are 
supported by Federal agencies; 
‘‘(dd) has a minimum Medi-
care estimated weight per dis-
charge of 1.20 for the most re-
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cent fiscal year for which such 
information is available according 
to the IRF Rate Setting File de-
scribed in item (aa), or any suc-
cessor regulations that contain 
such information; and 
‘‘(ee) has a minimum teach-
ing status of 0.075 for the most 
recent fiscal year for which such 
information is available according 
to the IRF Rate Setting File de-
scribed in item (aa), or any suc-
cessor regulations that contain 
such information. 
‘‘(II) WAIVER.—The Secretary 
may, as determined appropriate, waive 
any of the requirements under items 
(aa) through (ee) of subclause (I). 
‘‘(v) APPLICABLE
DATE
DEFINED.— 
For purposes of clauses (iii) and (iv), the 
term ‘applicable date’ means— 
‘‘(I) with respect to the initial 
publication of a list under clause (ii), 
the date of the enactment of such 
clause; and 
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‘‘(II) with respect to the publica-
tion of an updated list under clause 
(ii), a date specified by the Secretary 
that is not more than one year prior 
to the date of such publication. 
‘‘(vi) 
IMPLEMENTATION.—Notwith-
standing any other provision of law the 
Secretary may implement clauses (ii) 
through (v) by program instruction or oth-
erwise. 
‘‘(vii) NONAPPLICATION
OF
PAPER-
WORK
REDUCTION
ACT.—Chapter 35 of 
title 44, United States Code, shall not 
apply to data collected under clauses (ii) 
through (v).’’. 
(b) REPORT.—Not later than 3 years after the date 
of the enactment of this Act, the Secretary of Health and 
Human Services shall submit to Congress a report con-
taining any recommendations for such legislation or ad-
ministrative action as the Secretary determines appro-
priate to preserve access to rehabilitation innovation cen-
ters (as defined in section 1886(j)(7)(E)(iii) of the Social 
Security Act, as added by subsection (a)). 
Æ 
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