731 
(1) in paragraph (3), by striking ‘‘or’’ at the 
end; 
(2) by redesignating paragraph (4) as para-
graph (6); and 
(3) by inserting after paragraph (3), the fol-
lowing: 
‘‘(4) propose interventions that have been shown 
by empirical evidence to reduce recidivism; 
‘‘(5) when appropriate, use validated assessment 
tools to target preliminarily qualified offenders with 
a moderate or high risk of recidivism and a need for 
treatment and services; or’’. 
SEC. 14028. TRANSPARENCY, PROGRAM ACCOUNTABILITY, 
AND ENHANCEMENT OF LOCAL AUTHORITY. 
(a) IN GENERAL.—Section 2991(a) of title I of the 
Omnibus Crime Control and Safe Streets Act of 1968 (42 
U.S.C. 3797aa(a)) is amended— 
(1) in paragraph (7)— 
(A) in the heading, by striking ‘‘MENTAL 
ILLNESS’’ and inserting ‘‘MENTAL
ILLNESS; 
MENTAL HEALTH DISORDER’’; and 
(B) by striking ‘‘term ‘mental illness’ 
means’’ and inserting ‘‘terms ‘mental illness’ 
and ‘mental health disorder’ mean’’; and
732 
(2) by striking paragraph (9) and inserting the 
following: 
‘‘(9) PRELIMINARILY QUALIFIED OFFENDER.— 
‘‘(A) IN
GENERAL.—The term ‘prelimi-
narily qualified offender’ means an adult or ju-
venile accused of an offense who— 
‘‘(i)(I) previously or currently has been 
diagnosed by a qualified mental health pro-
fessional as having a mental illness or co- 
occurring mental illness and substance 
abuse disorders; 
‘‘(II) manifests obvious signs of mental 
illness or co-occurring mental illness and 
substance abuse disorders during arrest or 
confinement or before any court; or 
‘‘(III) in the case of a veterans treat-
ment court provided under subsection (i), 
has been diagnosed with, or manifests obvi-
ous signs of, mental illness or a substance 
abuse disorder or co-occurring mental ill-
ness and substance abuse disorder; 
‘‘(ii) has been unanimously approved 
for participation in a program funded 
under this section by, when appropriate— 
‘‘(I) the relevant—
733 
‘‘(aa) prosecuting attorney; 
‘‘(bb) defense attorney; 
‘‘(cc) probation or corrections 
official; and 
‘‘(dd) judge; and 
‘‘(II) a representative from the 
relevant mental health agency de-
scribed in subsection (b)(5)(B)(i); 
‘‘(iii) has been determined, by each 
person described in clause (ii) who is in-
volved in approving the adult or juvenile 
for participation in a program funded 
under this section, to not pose a risk of vio-
lence to any person in the program, or the 
public, if selected to participate in the pro-
gram; and 
‘‘(iv) has not been charged with or con-
victed of— 
‘‘(I) any sex offense (as defined in 
section 111 of the Sex Offender Reg-
istration and Notification Act (42 
U.S.C. 16911)) or any offense relating 
to the sexual exploitation of children; 
or
734 
‘‘(II) murder or assault with in-
tent to commit murder. 
‘‘(B) 
DETERMINATION.—In 
determining 
whether to designate a defendant as a prelimi-
narily qualified offender, the relevant pros-
ecuting attorney, defense attorney, probation or 
corrections official, judge, and mental health or 
substance abuse agency representative shall take 
into account— 
‘‘(i) whether the participation of the 
defendant in the program would pose a sub-
stantial risk of violence to the community; 
‘‘(ii) the criminal history of the defend-
ant and the nature and severity of the of-
fense for which the defendant is charged; 
‘‘(iii) the views of any relevant victims 
to the offense; 
‘‘(iv) the extent to which the defendant 
would benefit from participation in the pro-
gram; 
‘‘(v) the extent to which the community 
would realize cost savings because of the de-
fendant’s participation in the program; and 
‘‘(vi) whether the defendant satisfies 
the eligibility criteria for program partici-
735 
pation unanimously established by the rel-
evant prosecuting attorney, defense attor-
ney, probation or corrections official, judge 
and mental health or substance abuse agen-
cy representative.’’. 
(b) TECHNICAL AND CONFORMING AMENDMENT.—Sec-
tion 2927(2) of title I of the Omnibus Crime Control and 
Safe Streets Act of 1968 (42 U.S.C. 3797s–6(2)) is amended 
by striking ‘‘has the meaning given that term in section 
2991(a).’’ and inserting ‘‘means an offense that— 
‘‘(A) does not have as an element the use, 
attempted use, or threatened use of physical force 
against the person or property of another; or 
‘‘(B) is not a felony that by its nature in-
volves a substantial risk that physical force 
against the person or property of another may be 
used in the course of committing the offense.’’. 
SEC. 14029. GRANT ACCOUNTABILITY. 
Section 2991 of title I of the Omnibus Crime Control 
and Safe Streets Act of 1968 (42 U.S.C. 3797aa) is amend-
ed by inserting after subsection (l), as added by section 
14022, the following: 
‘‘(m) ACCOUNTABILITY.—All grants awarded by the 
Attorney General under this section shall be subject to the 
following accountability provisions:
736 
‘‘(1) AUDIT REQUIREMENT.— 
‘‘(A) DEFINITION.—In this paragraph, the 
term ‘unresolved audit finding’ means a finding 
in the final audit report of the Inspector General 
of the Department of Justice that the audited 
grantee has utilized grant funds for an unau-
thorized expenditure or otherwise unallowable 
cost that is not closed or resolved within 12 
months from the date when the final audit report 
is issued. 
‘‘(B) AUDITS.—Beginning in the first fiscal 
year beginning after the date of enactment of 
this subsection, and in each fiscal year there-
after, the Inspector General of the Department of 
Justice shall conduct audits of recipients of 
grants under this section to prevent waste, fraud, 
and abuse of funds by grantees. The Inspector 
General shall determine the appropriate number 
of grantees to be audited each year. 
‘‘(C) MANDATORY EXCLUSION.—A recipient 
of grant funds under this section that is found 
to have an unresolved audit finding shall not be 
eligible to receive grant funds under this section 
during the first 2 fiscal years beginning after the
737 
end of the 12-month period described in subpara-
graph (A). 
‘‘(D) PRIORITY.—In awarding grants under 
this section, the Attorney General shall give pri-
ority to eligible applicants that did not have an 
unresolved audit finding during the 3 fiscal 
years before submitting an application for a 
grant under this section. 
‘‘(E) REIMBURSEMENT.—If an entity is 
awarded grant funds under this section during 
the 2-fiscal-year period during which the entity 
is barred from receiving grants under subpara-
graph (C), the Attorney General shall— 
‘‘(i) deposit an amount equal to the 
amount of the grant funds that were im-
properly awarded to the grantee into the 
General Fund of the Treasury; and 
‘‘(ii) seek to recoup the costs of the re-
payment to the fund from the grant recipi-
ent that was erroneously awarded grant 
funds. 
‘‘(2) 
NONPROFIT
ORGANIZATION
REQUIRE-
MENTS.— 
‘‘(A) DEFINITION.—For purposes of this 
paragraph and the grant programs under this
739 
shall make the information disclosed under this 
subparagraph available for public inspection. 
‘‘(3) CONFERENCE EXPENDITURES.— 
‘‘(A) 
LIMITATION.—No 
amounts 
made 
available to the Department of Justice under this 
section may be used by the Attorney General, or 
by any individual or entity awarded discre-
tionary funds through a cooperative agreement 
under this section, to host or support any ex-
penditure for conferences that uses more than 
$20,000 in funds made available by the Depart-
ment of Justice, unless the head of the relevant 
agency or department, provides prior written 
authorization that the funds may be expended to 
host the conference. 
‘‘(B) WRITTEN
APPROVAL.—Written ap-
proval under subparagraph (A) shall include a 
written estimate of all costs associated with the 
conference, including the cost of all food, bev-
erages, audio-visual equipment, honoraria for 
speakers, and entertainment. 
‘‘(C) REPORT.—The Deputy Attorney Gen-
eral shall submit an annual report to the Com-
mittee on the Judiciary of the Senate and the 
Committee on the Judiciary of the House of Rep-
740 
resentatives on all conference expenditures ap-
proved under this paragraph. 
‘‘(4) ANNUAL CERTIFICATION.—Beginning in the 
first fiscal year beginning after the date of enactment 
of this subsection, the Attorney General shall submit, 
to the Committee on the Judiciary and the Committee 
on Appropriations of the Senate and the Committee 
on the Judiciary and the Committee on Appropria-
tions of the House of Representatives, an annual cer-
tification— 
‘‘(A) indicating whether— 
‘‘(i) all audits issued by the Office of 
the Inspector General under paragraph (1) 
have been completed and reviewed by the 
appropriate Assistant Attorney General or 
Director; 
‘‘(ii) all mandatory exclusions required 
under paragraph (1)(C) have been issued; 
and 
‘‘(iii) 
all 
reimbursements 
required 
under paragraph (1)(E) have been made; 
and 
‘‘(B) that includes a list of any grant re-
cipients excluded under paragraph (1) from the 
previous year.
741 
‘‘(n) PREVENTING DUPLICATIVE GRANTS.— 
‘‘(1) IN GENERAL.—Before the Attorney General 
awards a grant to an applicant under this section, 
the Attorney General shall compare potential grant 
awards with other grants awarded under this Act to 
determine if duplicate grant awards are awarded for 
the same purpose. 
‘‘(2) REPORT.—If the Attorney General awards 
duplicate grants to the same applicant for the same 
purpose the Attorney General shall submit to the 
Committee on the Judiciary of the Senate and the 
Committee on the Judiciary of the House of Rep-
resentatives a report that includes— 
‘‘(A) a list of all duplicate grants awarded, 
including the total dollar amount of any dupli-
cate grants awarded; and 
‘‘(B) the reason the Attorney General 
awarded the duplicate grants.’’. 
DIVISION 
C—INCREASING 
CHOICE, ACCESS, AND QUAL-
ITY IN HEALTH CARE FOR 
AMERICANS 
SEC. 15000. SHORT TITLE. 
This division may be cited as the ‘‘Increasing Choice, 
Access, and Quality in Health Care for Americans Act’’.
742 
TITLE XV—PROVISIONS 
RELATING TO MEDICARE PART A 
SEC. 15001. DEVELOPMENT OF MEDICARE HCPCS VERSION 
OF MS–DRG CODES FOR SIMILAR HOSPITAL 
SERVICES. 
Section 1886 of the Social Security Act (42 U.S.C. 
1395ww) is amended by adding at the end the following 
new subsection: 
‘‘(t) RELATING SIMILAR INPATIENT AND OUTPATIENT 
HOSPITAL SERVICES.— 
‘‘(1) DEVELOPMENT OF HCPCS VERSION OF MS– 
DRG CODES.—Not later than January 1, 2018, the 
Secretary shall develop HCPCS versions for MS– 
DRGs that are similar to the ICD–10–PCS for such 
MS–DRGs such that, to the extent possible, the MS– 
DRG assignment shall be similar for a claim coded 
with the HCPCS version as an identical claim coded 
with a ICD–10–PCS code. 
‘‘(2) COVERAGE
OF
SURGICAL
MS–DRGS.—In 
carrying out paragraph (1), the Secretary shall de-
velop HCPCS versions of MS–DRG codes for not 
fewer than 10 surgical MS–DRGs. 
‘‘(3) PUBLICATION AND DISSEMINATION OF THE 
HCPCS VERSIONS OF MS–DRGS.—
743 
‘‘(A) IN GENERAL.—The Secretary shall de-
velop a HCPCS MS–DRG definitions manual 
and software that is similar to the definitions 
manual and software for ICD–10–PCS codes for 
such MS–DRGs. The Secretary shall post the 
HCPCS MS–DRG definitions manual and soft-
ware on the Internet website of the Centers for 
Medicare & Medicaid Services. The HCPCS 
MS–DRG definitions manual and software shall 
be in the public domain and available for use 
and redistribution without charge. 
‘‘(B) USE OF PREVIOUS ANALYSIS DONE BY 
MEDPAC.—In developing the HCPCS MS–DRG 
definitions manual and software under subpara-
graph (A), the Secretary shall consult with the 
Medicare Payment Advisory Commission and 
shall consider the analysis done by such Commis-
sion in translating outpatient surgical claims 
into inpatient surgical MS–DRGs in preparing 
chapter 7 (relating to hospital short-stay policy 
issues) of its ‘Medicare and the Health Care De-
livery System’ report submitted to Congress in 
June 2015. 
‘‘(4) DEFINITION AND REFERENCE.—In this sub-
section:
744 
‘‘(A) HCPCS.—The term ‘HCPCS’ means, 
with respect to hospital items and services, the 
code under the Healthcare Common Procedure 
Coding System (HCPCS) (or a successor code) 
for such items and services. 
‘‘(B) ICD–10–PCS.—The term ‘ICD–10– 
PCS’ means the International Classification of 
Diseases, 10th Revision, Procedure Coding Sys-
tem, and includes any subsequent revision of 
such International Classification of Diseases, 
Procedure Coding System.’’. 
SEC. 15002. ESTABLISHING BENEFICIARY EQUITY IN THE 
MEDICARE 
HOSPITAL 
READMISSION 
PRO-
GRAM. 
(a) TRANSITIONAL ADJUSTMENT FOR DUAL ELIGIBLE 
POPULATION.—Section 1886(q)(3) of the Social Security 
Act (42 U.S.C. 1395ww(q)(3)) is amended— 
(1) in subparagraph (A), by inserting ‘‘subject to 
subparagraph (D),’’ after ‘‘purposes of paragraph 
(1),’’; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(D) 
TRANSITIONAL
ADJUSTMENT
FOR 
DUAL ELIGIBLES.—
745 
‘‘(i) IN GENERAL.—In determining a 
hospital’s adjustment factor under this 
paragraph for purposes of making pay-
ments for discharges occurring during and 
after fiscal year 2019, and before the appli-
cation of clause (i) of subparagraph (E), the 
Secretary shall assign hospitals to groups 
(as defined by the Secretary under clause 
(ii)) and apply the applicable provisions of 
this subsection using a methodology in a 
manner that allows for separate comparison 
of hospitals within each such group, as de-
termined by the Secretary. 
‘‘(ii) DEFINING
GROUPS.—For pur-
poses of this subparagraph, the Secretary 
shall define groups of hospitals, based on 
their overall proportion, of the inpatients 
who are entitled to, or enrolled for, benefits 
under part A, and who are full-benefit dual 
eligible individuals (as defined in section 
1935(c)(6)). In defining groups, the Sec-
retary shall consult the Medicare Payment 
Advisory Commission and may consider the 
analysis done by such Commission in pre-
paring the portion of its report submitted to
746 
Congress in June 2013 relating to readmis-
sions. 
‘‘(iii) MINIMIZING REPORTING BURDEN 
ON HOSPITALS.—In carrying out this sub-
paragraph, the Secretary shall not impose 
any additional reporting requirements on 
hospitals. 
‘‘(iv) BUDGET NEUTRAL DESIGN METH-
ODOLOGY.—The Secretary shall design the 
methodology to implement this subpara-
graph so that the estimated total amount of 
reductions in payments under this sub-
section equals the estimated total amount of 
reductions in payments that would other-
wise occur under this subsection if this sub-
paragraph did not apply.’’. 
(b) 
CHANGES
IN
RISK
ADJUSTMENT.—Section 
1886(q)(3) of the Social Security Act (42 U.S.C. 
1395ww(q)(3)), as amended by subsection (a), is further 
amended by adding at the end the following new subpara-
graph: 
‘‘(E) CHANGES IN RISK ADJUSTMENT.— 
‘‘(i) CONSIDERATION OF RECOMMENDA-
TIONS IN IMPACT REPORTS.—The Secretary 
may take into account the studies conducted
747 
and the recommendations made by the Sec-
retary under section 2(d)(1) of the IMPACT 
Act of 2014 (Public Law 113–185; 42 
U.S.C. 1395lll note) with respect to the ap-
plication under this subsection of risk ad-
justment methodologies. Nothing in this 
clause shall be construed as precluding con-
sideration of the use of groupings of hos-
pitals. 
‘‘(ii) CONSIDERATION
OF
EXCLUSION 
OF PATIENT CASES BASED ON V OR OTHER 
APPROPRIATE
CODES.—In 
promulgating 
regulations to carry out this subsection with 
respect to discharges occurring after fiscal 
year 2018, the Secretary may consider the 
use of V or other ICD-related codes for re-
moval of a readmission. The Secretary may 
consider modifying measures under this 
subsection to incorporate V or other ICD-re-
lated codes at the same time as other 
changes are being made under this subpara-
graph. 
‘‘(iii) REMOVAL OF CERTAIN READMIS-
SIONS.—In promulgating regulations to 
carry out this subsection, with respect to
748 
discharges occurring after fiscal year 2018, 
the Secretary may consider removal as a re-
admission of an admission that is classified 
within one or more of the following: trans-
plants, end-stage renal disease, burns, trau-
ma, psychosis, or substance abuse. The Sec-
retary may consider modifying measures 
under this subsection to remove readmis-
sions at the same time as other changes are 
being made under this subparagraph.’’. 
(c) MEDPAC STUDY ON READMISSIONS PROGRAM.— 
The Medicare Payment Advisory Commission shall conduct 
a study to review overall hospital readmissions described 
in section 1886(q)(5)(E) of the Social Security Act (42 
U.S.C. 1395ww(q)(5)(E)) and whether such readmissions 
are related to any changes in outpatient and emergency 
services furnished. The Commission shall submit to Con-
gress a report on such study in its report to Congress in 
June 2018. 
SEC. 15003. FIVE-YEAR EXTENSION OF THE RURAL COMMU-
NITY HOSPITAL DEMONSTRATION PROGRAM. 
(a) EXTENSION.—Section 410A of the Medicare Pre-
scription Drug, Improvement, and Modernization Act of 
2003 (Public Law 108–173; 42 U.S.C. 1395ww note) is 
amended—
749 
(1) in subsection (a)(5), by striking ‘‘5-year ex-
tension period’’ and inserting ‘‘10-year extension pe-
riod’’; and 
(2) in subsection (g)— 
(A) in the subsection heading, by striking 
‘‘FIVE-YEAR’’ and inserting ‘‘TEN-YEAR’’; 
(B) in paragraph (1), by striking ‘‘addi-
tional 5-year’’ and inserting ‘‘additional 10- 
year’’; 
(C) by striking ‘‘5-year extension period’’ 
and inserting ‘‘10-year extension period’’ each 
place it appears; 
(D) in paragraph (4)(B)— 
(i) in the matter preceding clause (i), 
by inserting ‘‘each 5-year period in’’ after 
‘‘hospital during’’; and 
(ii) in clause (i), by inserting ‘‘each 
applicable 5-year period in’’ after ‘‘the first 
day of’’; and 
(E) by adding at the end the following new 
paragraphs: 
‘‘(5) OTHER
HOSPITALS
IN
DEMONSTRATION 
PROGRAM.—During the second 5 years of the 10-year 
extension period, the Secretary shall apply the provi-
sions of paragraph (4) to rural community hospitals
750 
that are not described in paragraph (4) but are par-
ticipating in the demonstration program under this 
section as of December 30, 2014, in a similar manner 
as such provisions apply to rural community hos-
pitals described in paragraph (4). 
‘‘(6) EXPANSION OF DEMONSTRATION PROGRAM 
TO RURAL AREAS IN ANY STATE.— 
‘‘(A) IN
GENERAL.—The Secretary shall, 
notwithstanding subsection (a)(2) or paragraph 
(2) of this subsection, not later than 120 days 
after the date of the enactment of this paragraph, 
issue a solicitation for applications to select up 
to the maximum number of additional rural 
community hospitals located in any State to 
participate in the demonstration program under 
this section for the second 5 years of the 10-year 
extension period without exceeding the limitation 
under paragraph (3) of this subsection. 
‘‘(B) PRIORITY.—In determining which 
rural community hospitals that submitted an 
application pursuant to the solicitation under 
subparagraph (A) to select for participation in 
the demonstration program, the Secretary— 
‘‘(i) shall give priority to rural com-
munity hospitals located in one of the 20
751 
States with the lowest population densities 
(as determined by the Secretary using the 
2015 Statistical Abstract of the United 
States); and 
‘‘(ii) may consider— 
‘‘(I) closures of hospitals located 
in rural areas in the State in which 
the rural community hospital is lo-
cated during the 5-year period imme-
diately preceding the date of the enact-
ment of this paragraph; and 
‘‘(II) the population density of the 
State in which the rural community 
hospital is located.’’. 
(b) CHANGE IN TIMING FOR REPORT.—Subsection (e) 
of such section 410A is amended— 
(1) by striking ‘‘Not later than 6 months after 
the completion of the demonstration program under 
this section’’ and inserting ‘‘Not later than August 1, 
2018’’; and 
(2) by striking ‘‘such program’’ and inserting 
‘‘the demonstration program under this section’’. 
SEC. 15004. REGULATORY RELIEF FOR LTCHS. 
(a) TECHNICAL CHANGE TO THE MEDICARE LONG- 
TERM CARE HOSPITAL MORATORIUM EXCEPTION.—
752 
(1) IN GENERAL.—Section 114(d)(7) of the Medi-
care, Medicaid, and SCHIP Extension Act of 2007 
(42 U.S.C. 1395ww note), as amended by sections 
3106(b) and 10312(b) of Public Law 111–148, section 
1206(b)(2) of the Pathway for SGR Reform Act of 
2013 (division B of Public Law 113–67), and section 
112 of the Protecting Access to Medicare Act of 2014 
(Public Law 113–93), is amended by striking ‘‘The 
moratorium under paragraph (1)(A)’’ and inserting 
‘‘Any moratorium under paragraph (1)’’. 
(2) EFFECTIVE DATE.—The amendment made by 
paragraph (1) shall take effect as if included in the 
enactment of section 112 of the Protecting Access to 
Medicare Act of 2014. 
(b) 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)) 
is amended by adding at the end the following new para-
graph: 
‘‘(7) TREATMENT OF HIGH COST OUTLIER PAY-
MENTS.— 
‘‘(A) ADJUSTMENT TO THE STANDARD FED-
ERAL
PAYMENT
RATE
FOR
ESTIMATED
HIGH 
COST
OUTLIER
PAYMENTS.—Under the system 
described in paragraph (1), for fiscal years be-
753 
ginning on or after October 1, 2017, the Sec-
retary shall reduce the standard Federal pay-
ment rate as if the estimated aggregate amount 
of high cost outlier payments for standard Fed-
eral payment rate discharges for each such fiscal 
year would be equal to 8 percent of estimated ag-
gregate payments for standard Federal payment 
rate discharges for each such fiscal year. 
‘‘(B) LIMITATION ON HIGH COST OUTLIER 
PAYMENT AMOUNTS.—Notwithstanding subpara-
graph (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 begin-
ning on or after October 1, 2017, shall be equal 
to 99.6875 percent of 8 percent of estimated ag-
gregate 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 neu-
trality provision under such system.
754 
‘‘(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).’’. 
SEC. 15005. SAVINGS FROM IPPS MACRA PAY-FOR THROUGH 
NOT APPLYING DOCUMENTATION AND COD-
ING ADJUSTMENTS. 
Section 7(b)(1)(B) of the TMA, Abstinence Education, 
and QI Programs Extension Act of 2007 (Public Law 110– 
90), as amended by section 631(b) of the American Tax-
payer Relief Act of 2012 (Public Law 112–240) and section 
414(1)(B)(iii) of the Medicare Access and CHIP Reauthor-
ization Act of 2015 (Public Law 114–10), is amended in 
clause (iii) by striking ‘‘an increase of 0.5 percentage points 
for discharges occurring during each of fiscal years 2018 
through 2023’’ and inserting ‘‘an increase of 0.4588 per-
centage points for discharges occurring during fiscal year 
2018 and 0.5 percentage points for discharges occurring 
during each of fiscal years 2019 through 2023’’. 
SEC. 15006. EXTENSION OF CERTAIN LTCH MEDICARE PAY-
MENT RULES. 
(a) 25–PERCENT PATIENT THRESHOLD PAYMENT AD-
JUSTMENT.—Section 114(c)(1)(A) of the Medicare, Med-
icaid, and SCHIP Extension Act of 2007 (42 U.S.C.
755 
1395ww note), as amended by section 4302(a) of division 
B of the American Recovery and Reinvestment Act (Public 
Law 111–5), sections 3106(a) and 10312(a) of Public Law 
111–148, and section 1206(b)(1)(B) of the Pathway for 
SGR Reform Act of 2013 (division B of Public Law 113– 
67), is amended by striking ‘‘for a 9-year period’’ and in-
serting ‘‘through June 30, 2016, and for discharges occur-
ring on or after October 1, 2016, and before October 1, 
2017’’. 
(b) PAYMENT FOR HOSPITALS-WITHIN-HOSPITALS.— 
Section 114(c)(2) of the Medicare, Medicaid, and SCHIP 
Extension Act of 2007 (42 U.S.C. 1395ww note), as amend-
ed by section 4302(a) of division B of the American Recov-
ery and Reinvestment Act (Public Law 111–5), sections 
3106(a) and 10312(a) of Public Law 111–148, and section 
1206(b)(1)(A) of the Pathway for SGR Reform Act of 2013 
(division B of Public Law 113–67), is amended— 
(1) in subparagraph (A), by inserting ‘‘or any 
similar provision,’’ after ‘‘Regulations,’’; 
(2) in subparagraph (B)— 
(A) in clause (i), by inserting ‘‘or any simi-
lar provision,’’ after ‘‘Regulations,’’; and 
(B) in clause (ii), by inserting ‘‘, or any 
similar provision,’’ after ‘‘Regulations’’; and