I 
115TH CONGRESS 
1ST SESSION H. R. 3166 
To amend title XVIII of the Social Security Act to provide under the Medicare 
program for independent accreditation for dialysis facilities and assurance 
of high quality surveys with respect to such facilities. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 6, 2017 
Ms. JENKINS of Kansas (for herself and Mr. LEWIS of Georgia) 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 jurisdiction of the com-
mittee concerned 
A BILL 
To amend title XVIII of the Social Security Act to provide 
under the Medicare program for independent accredita-
tion for dialysis facilities and assurance of high quality 
surveys with respect to such facilities. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. INDEPENDENT ACCREDITATION FOR DIALYSIS 
FACILITIES AND ASSURANCE OF HIGH QUAL-
ITY SURVEYS. 
(a) ACCREDITATION AND SURVEYS.— 
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(1) IN GENERAL.—Section 1865 of the Social 
Security Act (42 U.S.C. 1395bb) is amended— 
(A) in subsection (a)— 
(i) in paragraph (1), in the matter 
preceding subparagraph (A), by striking 
‘‘or the conditions and requirements under 
section 1881(b)’’; and 
(ii) in paragraph (4), by inserting 
‘‘(including a renal dialysis facility)’’ after 
‘‘facility’’; and 
(B) by adding at the end the following new 
subsection: 
‘‘(e) With respect to an accreditation body that has 
received approval from the Secretary under subsection 
(a)(3)(A) for accreditation of provider entities that are re-
quired to meet the conditions and requirements under sec-
tion 1881(b), in addition to review and oversight authori-
ties otherwise applicable under this title, the Secretary 
shall (as the Secretary determines appropriate) conduct, 
with respect to such accreditation body and provider enti-
ties, any or all of the following more frequently than is 
otherwise required to be conducted under this title with 
respect to other accreditation bodies or other provider en-
tities: 
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‘‘(1) Validation surveys referred to in sub-
section (d). 
‘‘(2) Accreditation program reviews (as defined 
in section 488.8(c) of title 42 of the Code of Federal 
Regulations, or a successor regulation). 
‘‘(3) Performance reviews (as defined in section 
488.8(a) of title 42 of the Code of Federal Regula-
tions, or a successor regulation).’’. 
(2) TIMING
FOR
ACCEPTANCE
OF
REQUESTS 
FROM ACCREDITATION ORGANIZATIONS.—Not later 
than 90 days after the date of enactment of this 
Act, the Secretary of Health and Human Services 
shall begin accepting requests from national accredi-
tation bodies for a finding described in section 
1865(a)(3)(A) of the Social Security Act (42 U.S.C. 
1395bb(a)(3)(A)) for purposes of accrediting pro-
vider entities that are required to meet the condi-
tions and requirements under section 1881(b) of 
such Act (42 U.S.C. 1395rr(b)). 
(b) REQUIREMENT
FOR TIMING
OF SURVEYS
OF 
NEW DIALYSIS FACILITIES.—Section 1881(b)(1) of the 
Social Security Act (42 U.S.C. 1395rr(b)(1)) is amended 
by adding at the end the following new sentence: ‘‘Begin-
ning 180 days after the date of the enactment of this sen-
tence, an initial survey of a provider of services or a renal 
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