Rural Community Hospital Demonstration Extension Act of 2015

Bill: 114-s-607
Sponsor: full_name: Sen. Grassley, Chuck [R-IA]
Introduced: 2015-02-27
Policy area: Health
Subjects: Congressional oversight

Health care coverage and access

Hospital care

Medicare

Rural conditions and development
Latest action: action_date: 2016-02-05
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2015-02-27
action_desc: Introduced in Senate
text: <p><b>Rural Community Hospital Demonstration Extension Act of 2015</b></p> <p>Amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as amended by the Patient Protection and Affordable Care Act, to extend the period of the rural community hospital demonstration program from 5 to 10 years.</p>

action_date: 2015-07-30
action_desc: Reported to Senate with amendment(s)
text: <p><b>Rural Community Hospital Demonstration Extension Act of 2015</b></p> <p>This bill amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as amended by the Patient Protection and Affordable Care Act, to extend the period of the Medicare rural community hospital demonstration program from 5 to 10 years.</p> <p>Requires the Department of Health and Human Services to allow rural community hospitals participating in the demonstration program as of December 30, 2014, to continue during the second five years of the 10-year extension period.</p>

action_date: 2016-01-20
action_desc: Passed Senate amended
text: <p><b>Rural Community Hospital Demonstration Extension Act of 2015</b></p> <p>This bill amends the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as amended by the Patient Protection and Affordable Care Act, to extend the period of the Medicare rural community hospital demonstration program from 5 to 10 years.</p> <p>The Department of Health and Human Services (HHS) shall allow certain rural community hospitals participating in the demonstration program as of December 30, 2014, to continue during the second five years of the 10-year extension period.</p> <p>HHS shall solicit applications to select up to the maximum number of additional rural community hospitals located in any state to participate in this demonstration program for the second five years of the ten-year extension period without exceeding the applicable limitation (30).</p> <p> In determining which applicant rural community hospitals to select for participation in the demonstration program, HHS:</p> <ul> <li>shall give priority to hospitals located in one of the 20 states with the lowest population densities; and</li> <li>may consider closures of hospitals located in rural areas in the state in which the hospital is located during the 5-year period immediately preceding the enactment of this Act, as well as the population density of the state.</li> </ul>

tv_txt: II 114th CONGRESS 1st Session S. 607 IN THE SENATE OF THE UNITED STATES February 27, 2015 Mr. Grassley (for himself, Mr. Bennet , Ms. Murkowski , and Mr. Moran ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to provide for a five-year extension of the rural community hospital demonstration program, and for other purposes.

1. Short title This Act may be cited as the Rural Community Hospital Demonstration Extension Act of 2015 . 2. Five-year extension of the rural community hospital demonstration program (a) Extension Section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ( Public Law 108–173 ; 42 U.S.C. 1395ww note), as amended by sections 3123 and 10313 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), is amended— (1) in subsection (a)(5), by striking 5-year extension period and inserting 10-year extension period ; and (2) in subsection (g)— (A) in the subsection heading, by striking Five-Year and inserting Ten-Year ; (B) in paragraph (1), by striking additional 5-year and inserting additional 10-year ; and (C) by striking 5-year extension period and inserting 10-year extension period each place it appears . (b) Change in timing for report Subsection (e) of such section 410A is amended by striking Not later than 6 months after the completion and inserting Not later than 2 years prior to the completion .

tv_txt: II Calendar No. 181 114th CONGRESS 1st Session S. 607 [Report No. 114–102] IN THE SENATE OF THE UNITED STATES February 27, 2015 Mr. Grassley (for himself, Mr. Bennet , Ms. Murkowski , Mr. Moran , Mr. Udall , Mr. Sullivan , Mr. Thune , Mr. Wicker , Mr. Roberts , Mrs. Ernst , Mr. Franken , Mr. Cochran , Mr. Gardner , Mrs. Fischer , and Mr. Rounds ) introduced the following bill; which was read twice and referred to the Committee on Finance July 30, 2015 Reported by Mr. Hatch , with an amendment and an amendment to the title Strike out all after the enacting clause and insert the part printed in italic A BILL To amend title XVIII of the Social Security Act to provide for a five-year extension of the rural community hospital demonstration program, and for other purposes.

1. Short title This Act may be cited as the Rural Community Hospital Demonstration Extension Act of 2015 . 2. Five-year extension of the rural community hospital demonstration program (a) Extension Section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ( Public Law 108–173 ; 42 U.S.C. 1395ww note), as amended by sections 3123 and 10313 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), is amended— (1) in subsection (a)(5), by striking 5-year extension period and inserting 10-year extension period ; and (2) in subsection (g)— (A) in the subsection heading, by striking Five-Year and inserting Ten-Year ; (B) in paragraph (1), by striking additional 5-year and inserting additional 10-year ; and (C) by striking 5-year extension period and inserting 10-year extension period each place it appears . (b) Change in timing for report Subsection (e) of such section 410A is amended by striking Not later than 6 months after the completion and inserting Not later than 2 years prior to the completion .

1. Short title This Act may be cited as the Rural Community Hospital Demonstration Extension Act of 2015 . 2. Five-year extension of the Medicare rural community hospital demonstration program (a) Extension Section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ( Public Law 108–173 ; 42 U.S.C. 1395ww note), as amended by sections 3123 and 10313 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), is amended— (1) in subsection (a)(5), by striking 5-year extension period and inserting 10-year extension period ; and (2) in subsection (g)— (A) in the subsection heading, by striking Five-Year and inserting Ten-Year ; (B) in paragraph (1), by striking additional 5-year and inserting additional 10-year ; (C) by striking 5-year extension period and inserting 10-year extension period each place it appears; (D) in paragraph (3), by adding at the end the following new sentence: Notwithstanding the preceding sentence, after the date of the enactment of this sentence, only hospitals described in paragraph (4) or (5) may participate in demonstration program under this section. (E) in paragraph (4)(B)— (i) in the matter preceding clause (i), by inserting each 5-year period in after hospital during ; and (ii) in clause (i), by inserting each applicable 5-year period in after the first day of ; and (F) by adding at the end the following new paragraph: (5) Other hospitals in demonstration program During the second 5 years of the 10-year extension period, the Secretary shall apply the provisions of paragraph (4) to rural community hospitals that are not described in paragraph (4) but are participating in the demonstration program under this section as of December 30, 2014, in a similar manner as such provisions apply to rural community hospitals described in paragraph (4). . (b) Change in timing for report Subsection (e) of such section 410A is amended by striking Not later than 6 months after the completion and inserting Not later than August 1, 2018 .

Amend the title so as to read: A bill to provide for a five-year extension of the Medicare rural community hospital demonstration program. .

July 30, 2015 Reported with an amendment and an amendment to the title

tv_txt: 114th CONGRESS 2d Session S. 607 IN THE SENATE OF THE UNITED STATES AN ACT To provide for a five-year extension of the Medicare rural community hospital demonstration program.

1. Short title This Act may be cited as the Rural Community Hospital Demonstration Extension Act of 2015 . 2. Five-year extension of the rural community hospital demonstration program (a) Extension Section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ( Public Law 108–173 ; 42 U.S.C. 1395ww note), as amended by sections 3123 and 10313 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), is amended— (1) in subsection (a)(5), by striking 5-year extension period and inserting 10-year extension period ; and (2) in subsection (g)— (A) in the subsection heading, by striking Five-Year and inserting Ten-Year ; (B) in paragraph (1), by striking additional 5-year and inserting additional 10-year ; (C) by striking 5-year extension period and inserting 10-year extension period each place it appears; (D) in paragraph (4)(B)— (i) in the matter preceding clause (i), by inserting each 5-year period in after hospital during ; and (ii) in clause (i), by inserting each applicable 5-year period in after the first day of ; and (E) by adding at the end the following new paragraphs: (5) Other hospitals in demonstration program During the second 5 years of the 10-year extension period, the Secretary shall apply the provisions of paragraph (4) to rural community hospitals that are not described in paragraph (4) but are participating in the demonstration program under this section as of December 30, 2014, in a similar manner as such provisions apply to rural community hospitals described in paragraph (4). (6) Expansion of demonstration program to rural areas in any State (A) In general The Secretary shall, notwithstanding subsection (a)(2) or paragraph (2) of this subsection, not later than 120 days after the date of the enactment of this paragraph, issue a solicitation for applications to select up to the maximum number of additional rural community hospitals located in any State to participate in the demonstration program under this section for the second 5 years of the 10-year extension period without exceeding the limitation under paragraph (3) of this subsection. (B) Priority In determining which rural community hospitals that submitted an application pursuant to the solicitation under subparagraph (A) to select for participation in the demonstration program, the Secretary— (i) shall give priority to rural community hospitals located in one of the 20 States with the lowest population densities (as determined by the Secretary using the 2015 Statistical Abstract of the United States); and (ii) may consider— (I) closures of hospitals located in rural areas in the State in which the rural community hospital is located during the 5-year period immediately preceding the date of the enactment of this paragraph; and (II) the population density of the State in which the rural community hospital is located. . (b) Change in timing for report Subsection (e) of such section 410A is amended— (1) by striking Not later than 6 months after the completion of the demonstration program under this section and inserting Not later than August 1, 2018 ; and (2) by striking such program and inserting the demonstration program under this section .

Passed the Senate January 20, 2016. Secretary

tv_txt: IC 114th CONGRESS 2d Session S. 607 IN THE HOUSE OF REPRESENTATIVES January 25, 2016 Referred to the Committee on Ways and Means AN ACT To provide for a five-year extension of the Medicare rural community hospital demonstration program.

1. Short title This Act may be cited as the Rural Community Hospital Demonstration Extension Act of 2015 . 2. Five-year extension of the rural community hospital demonstration program (a) Extension Section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ( Public Law 108–173 ; 42 U.S.C. 1395ww note), as amended by sections 3123 and 10313 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), is amended— (1) in subsection (a)(5), by striking 5-year extension period and inserting 10-year extension period ; and (2) in subsection (g)— (A) in the subsection heading, by striking Five-Year and inserting Ten-Year ; (B) in paragraph (1), by striking additional 5-year and inserting additional 10-year ; (C) by striking 5-year extension period and inserting 10-year extension period each place it appears; (D) in paragraph (4)(B)— (i) in the matter preceding clause (i), by inserting each 5-year period in after hospital during ; and (ii) in clause (i), by inserting each applicable 5-year period in after the first day of ; and (E) by adding at the end the following new paragraphs: (5) Other hospitals in demonstration program During the second 5 years of the 10-year extension period, the Secretary shall apply the provisions of paragraph (4) to rural community hospitals that are not described in paragraph (4) but are participating in the demonstration program under this section as of December 30, 2014, in a similar manner as such provisions apply to rural community hospitals described in paragraph (4). (6) Expansion of demonstration program to rural areas in any State (A) In general The Secretary shall, notwithstanding subsection (a)(2) or paragraph (2) of this subsection, not later than 120 days after the date of the enactment of this paragraph, issue a solicitation for applications to select up to the maximum number of additional rural community hospitals located in any State to participate in the demonstration program under this section for the second 5 years of the 10-year extension period without exceeding the limitation under paragraph (3) of this subsection. (B) Priority In determining which rural community hospitals that submitted an application pursuant to the solicitation under subparagraph (A) to select for participation in the demonstration program, the Secretary— (i) shall give priority to rural community hospitals located in one of the 20 States with the lowest population densities (as determined by the Secretary using the 2015 Statistical Abstract of the United States); and (ii) may consider— (I) closures of hospitals located in rural areas in the State in which the rural community hospital is located during the 5-year period immediately preceding the date of the enactment of this paragraph; and (II) the population density of the State in which the rural community hospital is located. . (b) Change in timing for report Subsection (e) of such section 410A is amended— (1) by striking Not later than 6 months after the completion of the demonstration program under this section and inserting Not later than August 1, 2018 ; and (2) by striking such program and inserting the demonstration program under this section .

Passed the Senate January 20, 2016. Julie E. Adams, Secretary