I 
115TH CONGRESS 
1ST SESSION H. R. 4582 
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 
DECEMBER 7, 2017 
Mr. OLSON (for himself, Mr. GENE GREEN of Texas, Mr. MICHAEL F. DOYLE 
of Pennsylvania, Ms. ROYBAL-ALLARD, Mr. LOWENTHAL, Mr. FOSTER, 
and Mr. DANNY K. DAVIS of Illinois) 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 provi-
sions as fall within the jurisdiction 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 ‘‘Preserving Rehabilita-
tion Innovation Centers Act of 2017’’. 
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SEC. 2. PRESERVING ACCESS TO REHABILITATION INNOVA-
TION CENTERS UNDER MEDICARE. 
Section 1886(j)(7)(E) of the Social Security Act (42 
U.S.C. 1395ww(j)(7)(E)) is amended— 
(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.—Not 
later than one year after the date of the 
enactment of this clause, the Secretary 
shall make publicly available on such Inter-
net website, in addition to the information 
required to be reported on such website 
under clause (i), a list of all rehabilitation 
innovation centers. 
‘‘(iii) REHABILITATION
INNOVATION 
CENTERS
DEFINED.—For 
purposes 
of 
clause (ii), the term ‘rehabilitation innova-
tion centers’ means a rehabilitation facility 
that, as of the date of the enactment of 
this clause, is a rehabilitation facility de-
scribed in either clause (iv) or (v). 
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‘‘(iv) NOT-FOR-PROFIT.—A rehabilita-
tion facility described in this clause is a re-
habilitation facility that— 
‘‘(I) is classified as a not-for- 
profit entity under the IRF Rate Set-
ting File for the Inpatient Rehabilita-
tion Facility Prospective Payment 
System for Federal Fiscal Year 2016 
(80 Fed. Reg. 47142); 
‘‘(II) holds at least one Federal 
rehabilitation research and training 
designation for research projects on 
traumatic brain injury, spinal cord in-
jury, or stroke rehabilitation research 
from the National Institute on Dis-
ability, Independent Living, and Re-
habilitation Research at the Depart-
ment 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; 
‘‘(III) has a minimum Medicare 
estimated weight per discharge of 
1.1144 for fiscal year 2016 according 
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to the IRF Rate Setting File de-
scribed in subclause (I); and 
‘‘(IV) is determined by the Sec-
retary, based upon such data sub-
mitted by the facility to the Secretary 
as the Secretary may require, to have 
had at least 300 Medicare discharges 
in a year. 
‘‘(v) GOVERNMENT-OWNED.—A reha-
bilitation facility described in this clause is 
a rehabilitation facility that— 
‘‘(I) is classified as a Govern-
ment-owned institution under the IRF 
Rate Setting File described in clause 
(iv)(I); 
‘‘(II) holds at least one Federal 
rehabilitation research and training 
designation for research projects on 
traumatic brain injury, spinal cord in-
jury, or stroke rehabilitation research 
from the National Institute on Dis-
ability, Independent Living, and Re-
habilitation Research at the Depart-
ment of Health and Human Services, 
as determined based on such data 
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submitted to the Secretary by the fa-
cility as the Secretary may require 
(and in a form, manner, and time 
frame specified by the Secretary); 
‘‘(III) has a minimum Medicare 
estimated weight per discharge of 
1.1144 according to the IRF Rate 
Setting 
File 
described 
in 
clause 
(iv)(I); and 
‘‘(IV) has a Medicare dispropor-
tionate share hospital (DSH) percent-
age of at least 0.6300 according to 
the IRF Rate Setting File described 
in clause (iv)(I). 
‘‘(vi) 
IMPLEMENTATION.—Notwith-
standing any other provision of law the 
Secretary may implement clauses (ii) 
through (v) by program instructions or 
otherwise. 
‘‘(vii) NONAPPLICATION
OF
PAPER-
WORK
REDUCTION
ACT.—Chapter 35 of 
title 44, United States Code, shall not 
apply to data collected under this clause. 
‘‘(viii) STUDY.—Not later than 18 
months after the date of the enactment of 
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this clause, the Medicare Payment Advi-
sory Commission established under section 
1805 shall submit to Congress a report 
analyzing the most recent three years of 
cost report data available for all rehabilita-
tion innovation centers (as defined in 
clause (ii)) and assess the payment ade-
quacy for such innovation centers under 
the Medicare program.’’. 
Æ 
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