I 
117TH CONGRESS 
1ST SESSION H. R. 2455 
To amend the IMPACT Act of 2014 to reset data collection and the develop-
ment of a payment system technical prototype for post-acute care pro-
viders under the Medicare program to take into account the effects 
of COVID–19. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 12, 2021 
Ms. SEWELL (for herself and Mr. BUCHANAN) 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 
A BILL 
To amend the IMPACT Act of 2014 to reset data collection 
and the development of a payment system technical pro-
totype for post-acute care providers under the Medicare 
program to take into account the effects of COVID– 
19. 
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 ‘‘Resetting the Impact 
Act of 2021’’ or the ‘‘TRIA Act of 2021’’. 
VerDate Sep 11 2014 
00:19 May 28, 2021
Jkt 019200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H2455.IH
H2455
kjohnson on DSK79L0C42PROD with BILLS
SEC. 2. RESETTING DATA COLLECTION AND THE DEVELOP-
MENT OF A PAYMENT SYSTEM TECHNICAL 
PROTOTYPE FOR POST-ACUTE CARE PRO-
VIDERS UNDER THE MEDICARE PROGRAM TO 
TAKE 
INTO 
ACCOUNT 
THE 
EFFECTS 
OF 
COVID–19. 
(a) IN GENERAL.—Section 2(b)(2) of the IMPACT 
Act of 2014 (Public Law 113–185) is amended— 
(1) in subparagraph (A)— 
(A) in the matter preceding clause (i), by 
striking ‘‘Not later than’’ and all that follows 
through ‘‘subsection (a),’’ and inserting ‘‘Not 
earlier than the date that is 2 years after the 
later of January 1, 2022, and the date by which 
the Secretary of Health and Human Services 
has collected at least 8 specified calendar quar-
ters (as defined in subparagraph (C)) of stand-
ardized patient assessment data under sub-
section (b) of section 1899B of the Social Secu-
rity Act, of data on quality measures under 
subsection (c) of such section, and of resource 
use and claims data under subsection (d) of 
such section from each of the PAC payment 
systems (as defined in subsection (a)(2)(D) of 
such section),’’; and 
(B) in clause (i)— 
VerDate Sep 11 2014 
00:19 May 28, 2021
Jkt 019200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H2455.IH
H2455
kjohnson on DSK79L0C42PROD with BILLS
(i) in subclause (III), by striking 
‘‘and’’ at the end; 
(ii) in subclause (IV), by striking the 
period and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing new subclause: 
‘‘(V) account for the role that 
each type of PAC provider may play 
during public health emergencies, tak-
ing into account the value of each 
such type of provider during the 
COVID–19 public health emergency, 
such as the percent of patient popu-
lations served by each such type of 
provider with or recovering from 
COVID–19, as well as the acuity lev-
els of such populations.’’; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(C) SPECIFIED CALENDAR QUARTER DE-
FINED.—For purposes of subparagraph (A), the 
term ‘specified calendar quarter’ means a cal-
endar quarter— 
‘‘(i) beginning after the prospective 
payment system for home health agencies 
VerDate Sep 11 2014 
00:19 May 28, 2021
Jkt 019200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H2455.IH
H2455
kjohnson on DSK79L0C42PROD with BILLS
under section 1895 of the Social Security 
Act has incorporated the Patient-Driven 
Groupings Model (as described at 83 Fed. 
Reg. 56446 et seq.); 
‘‘(ii) beginning after the prospective 
payment system for skilled nursing facili-
ties under section 1888(e) of such Act has 
incorporated the Patient-Driven Payment 
Model (as described in 83 Fed. Reg. 39162 
et seq.); and 
‘‘(iii) no portion of which occurs dur-
ing a nationwide public health emergency 
declared by the Secretary pursuant to sec-
tion 319 of the Public Health Service Act 
with respect to which any waiver has been 
effectuated by the Secretary pursuant to 
section 1135 of the Social Security Act.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall take effect as if included in the enact-
ment of the IMPACT Act of 2014 (Public Law 113–185). 
Æ 
VerDate Sep 11 2014 
00:19 May 28, 2021
Jkt 019200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6301
E:\BILLS\H2455.IH
H2455
kjohnson on DSK79L0C42PROD with BILLS