IB 
Union Calendar No. 594 
114TH CONGRESS 
2D SESSION 
H. R. 5713 
[Report No. 114–761, Part I] 
To provide for the extension of certain long-term care hospital Medicare 
payment rules, clarify the application of rules on the calculation of 
hospital length of stay to certain moratorium-excepted long-term care 
hospitals, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 11, 2016 
Mr. TIBERI (for himself and Mr. PASCRELL) introduced the following bill; 
which was referred to the Committee on Ways and Means, and in addi-
tion to the Committee on Energy and Commerce, for a period to be sub-
sequently determined by the Speaker, in each case for consideration of 
such provisions as fall within the jurisdiction of the committee concerned 
SEPTEMBER 20, 2016 
Reported from the Committee on Ways and Means with an amendment 
[Strike out all after the enacting clause and insert the part printed in italic] 
SEPTEMBER 20, 2016 
The Committee on Energy and Commerce discharged; committed to the Com-
mittee of the Whole House on the State of the Union and ordered to be 
printed 
[For text of introduced bill, see copy of bill as introduced on July 11, 2016] 
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A BILL 
To provide for the extension of certain long-term care hos-
pital Medicare payment rules, clarify the application of 
rules on the calculation of hospital length of stay to 
certain moratorium-excepted long-term care hospitals, 
and for other purposes. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the ‘‘Sus-
taining Healthcare Integrity and Fair Treatment Act of 
2016’’. 
(b) TABLE OF CONTENTS.—This table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—MEDICARE PART A PROVISIONS 
Sec. 101. Extension of certain LTCH Medicare payment rules. 
Sec. 102. Application of rules on the calculation of hospital length of stay to all 
LTCHs. 
Sec. 103. Change in Medicare classification for certain hospitals. 
Sec. 104. Temporary exception to the application of the Medicare LTCH site neu-
tral provisions for certain spinal cord specialty hospitals. 
Sec. 105. Temporary extension to the application of the Medicare LTCH site neu-
tral provisions for certain discharges with severe wounds. 
TITLE II—OTHER PROVISIONS 
Sec. 201. No payment for items and services furnished by newly enrolled pro-
viders or suppliers within a temporary moratorium area. 
TITLE I—MEDICARE PART A 
PROVISIONS 
SEC. 101. 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. 
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 
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