To extend the nonenforcement instruction for the Medicare direct supervision requirement for therapeutic hospital outpatient services insofar as it applies to critical access hospitals and rural hospitals, to require a study of the impact on critical access hospitals and rural hospitals of a failure to extend such instruction, and for other purposes.

Bill: 113-hr-3769
Sponsor: full_name: Rep. Smith, Adrian [R-NE-3]
Introduced: 2013-12-12
Policy area: Health
Subjects: Administrative law and regulatory procedures

Congressional oversight

Department of Health and Human Services

Government studies and investigations

Health facilities and institutions

Home and outpatient care

Hospital care

Medicare

Rural conditions and development
Latest action: action_date: 2013-12-13
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2013-12-12
action_desc: Introduced in House
text: <p>Directs the Secretary of Health and Human Services (HHS), during a specified extension period, to extend the therapy supervision nonenforcement instruction (the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals, as extended for calendar year 2013 by the Centers for Medicare &amp; Medicaid Services).</p> <p>Directs the Secretary to study the impact (including the economic impact and the impact upon hospital staffing needs, if any) on critical access hospitals and small rural hospitals of not extending the therapy supervision nonenforcement instruction.</p>

tv_txt: I 113th CONGRESS 1st Session H. R. 3769 IN THE HOUSE OF REPRESENTATIVES December 12, 2013 Mr. Smith of Nebraska (for himself and Ms. Jenkins ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , 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 committee concerned A BILL To extend the nonenforcement instruction for the Medicare direct supervision requirement for therapeutic hospital outpatient services insofar as it applies to critical access hospitals and rural hospitals, to require a study of the impact on critical access hospitals and rural hospitals of a failure to extend such instruction, and for other purposes.

1. Extension of nonenforcement instruction for the Medicare direct supervision requirement for therapeutic hospital outpatient services for critical access hospitals and rural hospitals; study of impact of failure to extend such instruction (a) Extension of therapy supervision nonenforcement instruction The Secretary of Health and Human Services shall, during the extension period, extend the therapy supervision nonenforcement instruction. (b) Definitions In this section: (1) Therapy supervision nonenforcement instruction The term therapy supervision nonenforcement instruction means the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals, as extended for calendar year 2013 by the Centers for Medicare & Medicaid Services (released as of November 1, 2012). (2) Critical access hospital; small rural hospital The terms critical access hospital and small rural hospital have the meanings given such terms for purposes of the therapy supervision nonenforcement instruction. (3) Extension period The term extension period means calendar year 2014, and includes a subsequent calendar year unless the report under subsection (c)(2) has been submitted at least 90 days before the end of the previous calendar year. (c) Study and report on impact of failure To extend therapy supervision nonenforcement instruction (1) Study The Secretary of Health and Human Services shall conduct a study on the impact (including the economic impact and the impact upon hospital staffing needs, if any) on critical access hospitals and small rural hospitals of not extending the therapy supervision nonenforcement instruction. (2) Report The Secretary of Health and Human Services shall submit to Congress a report on the findings of the study conducted under paragraph (1), including recommendations regarding on whether the therapy supervision nonenforcement instruction should be extended or made permanent.