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Union Calendar No. 113 
114TH CONGRESS 
1ST SESSION H. R. 2580 
[Report No. 114–156] 
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 
JUNE 16, 2015 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on May 29, 2015] 
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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. 
This Act may be cited as the ‘‘LTCH Technical Correc-
tion 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. 
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 sub-
section (a) shall take effect as if included in the enactment 
of section 112 of the Protecting Access to Medicare Act of 
2014. 
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SEC. 3. MODIFICATION TO MEDICARE LONG-TERM CARE 
HOSPITAL HIGH COST 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 HIGH COST OUTLIER PAY-
MENTS.— 
‘‘(A) ADJUSTMENT TO THE STANDARD FED-
ERAL
PAYMENT
RATE
FOR
ESTIMATED
HIGH 
COST
OUTLIER
PAYMENTS.—Under the system 
described in paragraph (1), for fiscal years be-
ginning on or after October 1, 2016, the Sec-
retary shall reduce the standard Federal pay-
ment rate as if the estimated aggregate amount 
of high cost outlier payments for standard Fed-
eral payment rate discharges for each such fiscal 
year would be equal to 8 percent of estimated ag-
gregate payments for standard Federal payment 
rate discharges for each such fiscal year. 
‘‘(B) LIMITATION ON HIGH COST OUTLIER 
PAYMENT AMOUNTS.—Notwithstanding subpara-
graph (A), the Secretary shall set the fixed loss 
amount for high cost outlier payments such that 
the estimated aggregate amount of high cost 
outlier payments made for standard Federal 
payment rate discharges for fiscal years begin-
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ning on or after October 1, 2016, shall be equal 
to 99.0625 percent of 8 percent of estimated ag-
gregate payments for standard Federal payment 
rate discharges for each such fiscal year. 
‘‘(C) WAIVER OF BUDGET NEUTRALITY.— 
Any reduction in payments resulting from the 
application of subparagraph (B) shall not be 
taken into account in applying any budget neu-
trality provision under such system. 
‘‘(D) NO EFFECT ON SITE NEUTRAL HIGH 
COST OUTLIER PAYMENT RATE.—This paragraph 
shall not apply with respect to the computation 
of the applicable site neutral payment rate under 
paragraph (6), except for the standard Federal 
payment rate portion of blended payment rates 
determined under subparagraph (B)(iii)(II) of 
such paragraph.’’. 
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Union Calendar No. 113 
114TH CONGRESS 
1ST SESSION 
H. R. 2580 
[Report No. 114–156] 
A BILL 
To provide for a technical change to the Medicare 
long-term care hospital moratorium exception, 
and for other purposes. 
JUNE 16, 2015 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
VerDate Sep 11 2014 
22:40 Jun 16, 2015
Jkt 049200
PO 00000
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