To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014.

Bill: 113-hr-4067
Sponsor: full_name: Rep. Jenkins, Lynn [R-KS-2]
Introduced: 2014-02-18
Policy area: Health
Subjects: Administrative law and regulatory procedures

Department of Health and Human Services

Health personnel

Home and outpatient care

Hospital care

Medicare

Rural conditions and development
Latest action: action_date: 2014-12-04
text: Became Public Law No: 113-198.

Summaries:
action_date: 2014-02-18
action_desc: Introduced in House
text: <p>Requires the Secretary of Health and Human Services (HHS) to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2014.</p>

action_date: 2014-09-09
action_desc: Passed House without amendment
text: <p><b>(This measure has not been amended since it was introduced. <strong>The summary of that version is repeated here.</strong>)</b></p> <p>Requires the Secretary of Health and Human Services (HHS) to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2014.</p>

action_date: 2014-11-20
action_desc: Passed Senate without amendment
text: <p><b>(This measure has not been amended since it was introduced. <strong>The summary of that version is repeated here.</strong>)</b></p> <p>Requires the Secretary of Health and Human Services (HHS) to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2014.</p>

action_date: 2014-12-04
action_desc: Public Law
text: <p><b>(This measure has not been amended since it was introduced. <strong>The summary of that version is repeated here.</strong>)</b></p> <p>Requires the Secretary of Health and Human Services (HHS) to continue to instruct Medicare contractors not to enforce requirements for direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2014.</p>

tv_txt: I 113th CONGRESS 2d Session H. R. 4067 IN THE HOUSE OF REPRESENTATIVES February 18, 2014 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 provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014.

1. Extension of enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014 The Secretary of Health and Human Services shall continue to apply through calendar year 2014 the enforcement instruction described in the notice of the Centers for Medicare & Medicaid Services entitled Enforcement Instruction on Supervision Requirements for Outpatient Therapeutic Services in Critical Access and Small Rural Hospitals for CY 2013 , dated November 1, 2012 (providing for an exception to the restatement and clarification under the final rulemaking changes to the Medicare hospital outpatient prospective payment system and calendar year 2009 payment rates (published in the Federal Register on November 18, 2008, 73 Fed. Reg. 68702 through 68704) with respect to requirements for direct supervision by physicians for therapeutic hospital outpatient services).

tv_txt: I 113th CONGRESS 2d Session H. R. 4067 IN THE HOUSE OF REPRESENTATIVES AN ACT To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014.

1. Extension of enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014 The Secretary of Health and Human Services shall continue to apply through calendar year 2014 the enforcement instruction described in the notice of the Centers for Medicare & Medicaid Services entitled Enforcement Instruction on Supervision Requirements for Outpatient Therapeutic Services in Critical Access and Small Rural Hospitals for CY 2013 , dated November 1, 2012 (providing for an exception to the restatement and clarification under the final rulemaking changes to the Medicare hospital outpatient prospective payment system and calendar year 2009 payment rates (published in the Federal Register on November 18, 2008, 73 Fed. Reg. 68702 through 68704) with respect to requirements for direct supervision by physicians for therapeutic hospital outpatient services).

Passed the House of Representatives September 9, 2014. Karen L. Haas, Clerk.

tv_txt: IB Union Calendar No. 431 113th CONGRESS 2d Session H. R. 4067 [Report No. 113–582, Part I] IN THE HOUSE OF REPRESENTATIVES February 18, 2014 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 September 9, 2014 Additional sponsors: Mr. Huelskamp , Mr. Daines , Mr. Loebsack , Mrs. Noem , and Mr. Schock September 9, 2014 Reported from the Committee on Energy and Commerce September 9, 2014 The Committee on Ways and Means discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed A BILL To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014.

1. Extension of enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014 The Secretary of Health and Human Services shall continue to apply through calendar year 2014 the enforcement instruction described in the notice of the Centers for Medicare & Medicaid Services entitled Enforcement Instruction on Supervision Requirements for Outpatient Therapeutic Services in Critical Access and Small Rural Hospitals for CY 2013 , dated November 1, 2012 (providing for an exception to the restatement and clarification under the final rulemaking changes to the Medicare hospital outpatient prospective payment system and calendar year 2009 payment rates (published in the Federal Register on November 18, 2008, 73 Fed. Reg. 68702 through 68704) with respect to requirements for direct supervision by physicians for therapeutic hospital outpatient services).

September 9, 2014 Reported from the Committee on Energy and Commerce September 9, 2014 The Committee on Ways and Means discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed

tv_txt: II 113th CONGRESS 2d Session H. R. 4067 IN THE SENATE OF THE UNITED STATES September 10, 2014 Received AN ACT To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014.

1. Extension of enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014 The Secretary of Health and Human Services shall continue to apply through calendar year 2014 the enforcement instruction described in the notice of the Centers for Medicare & Medicaid Services entitled Enforcement Instruction on Supervision Requirements for Outpatient Therapeutic Services in Critical Access and Small Rural Hospitals for CY 2013 , dated November 1, 2012 (providing for an exception to the restatement and clarification under the final rulemaking changes to the Medicare hospital outpatient prospective payment system and calendar year 2009 payment rates (published in the Federal Register on November 18, 2008, 73 Fed. Reg. 68702 through 68704) with respect to requirements for direct supervision by physicians for therapeutic hospital outpatient services).

Passed the House of Representatives September 9, 2014. Karen L. Haas, Clerk

tv_txt: I One Hundred Thirteenth Congress of the United States of America At the Second Session Begun and held at the City of Washington on Friday, the third day of January, two thousand and fourteen H. R. 4067 AN ACT To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014.

1. Extension of enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014 The Secretary of Health and Human Services shall continue to apply through calendar year 2014 the enforcement instruction described in the notice of the Centers for Medicare & Medicaid Services entitled Enforcement Instruction on Supervision Requirements for Outpatient Therapeutic Services in Critical Access and Small Rural Hospitals for CY 2013 , dated November 1, 2012 (providing for an exception to the restatement and clarification under the final rulemaking changes to the Medicare hospital outpatient prospective payment system and calendar year 2009 payment rates (published in the Federal Register on November 18, 2008, 73 Fed. Reg. 68702 through 68704) with respect to requirements for direct supervision by physicians for therapeutic hospital outpatient services).

Speaker of the House of Representatives. Vice President of the United States and President of the Senate.