I 
114TH CONGRESS 
1ST SESSION H. R. 2580 
To provide for a technical change to the Medicare long-term care hospital 
moratorium exception, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 29, 2015 
Mr. BOUSTANY introduced the following bill; which was referred to the 
Committee on Ways and Means 
A BILL 
To provide for a technical change to the Medicare long- 
term care hospital moratorium exception, and for other 
purposes. 
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 ‘‘LTCH Technical Cor-
rection Act of 2015’’. 
SEC. 2. TECHNICAL CHANGE TO THE MEDICARE LONG- 
TERM CARE HOSPITAL MORATORIUM EXCEP-
TION. 
(a) IN GENERAL.—Section 114(d) of the Medicare, 
Medicaid, and SCHIP Extension Act of 2007 (42 U.S.C. 
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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, is amended, in paragraph 
(7), by striking ‘‘The moratorium under paragraph 
(1)(A)’’ and inserting ‘‘Any moratorium under paragraph 
(1)’’ in the matter preceding subparagraph (A). 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect as if included in the enact-
ment of section 112 of the Protecting Access to Medicare 
Act of 2014. 
SEC. 3. MODIFICATION TO MEDICARE LONG-TERM CARE 
HOSPITAL 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 paragraph: 
‘‘(7) TREATMENT OF OUTLIER PAYMENTS.— 
‘‘(A) REDUCTION
FACTOR
IN
ESTAB-
LISHING OUTLIER POOL.—Under the system de-
scribed in paragraph (1), for rate years begin-
ning on or after October 1, 2016, in adjusting 
the standard Federal rate for outlier payments, 
the Secretary shall apply a reduction factor of 
8 percent to establish an outlier pool. 
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‘‘(B) 
LIMITATION
ON
PAYMENT 
AMOUNTS.—In reimbursing outlier payments 
under such system for such rate years, the Sec-
retary shall structure pool payments such that 
the amounts paid in a rate year for outlier pay-
ments do not exceed an amount equivalent to 
99.0625 percent of the outlier pool established 
under subparagraph (A) for such rate year. 
‘‘(C) WAIVER OF BUDGET NEUTRALITY.— 
Any reduction in payments resulting from the 
application of subparagraphs (A) and (B) shall 
not be taken into account in applying any budg-
et neutrality provision under such system. 
‘‘(D) NO EFFECT ON SITE NEUTRAL PAY-
MENT RATE.—This paragraph shall not apply 
with respect to the computation of the applica-
ble site neutral payment rate under paragraph 
(6).’’. 
Æ 
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