Fairness for Rural Medicare Beneficiaries Act of 2021

Bill: 117-hr-5660
Sponsor: full_name: Rep. Cole, Tom [R-OK-4]
Introduced: 2021-10-21
Policy area: Health
Latest action: action_date: 2021-10-22
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2021-10-21
action_desc: Introduced in House
text: <p><b>Fairness for Rural Medicare Beneficiaries Act of 2021</b></p> <p>This bill modifies the payment methodology and coinsurance amount for outpatient critical access hospital services under Medicare. </p> <p>Currently, the payment rate for such services is 101% of reasonable costs; the coinsurance amount for such services is 20% of the applicable charges. The bill modifies this methodology so as to base the 20% coinsurance amount on the fee schedule under the Medicare outpatient prospective payment system.</p>

tv_txt: I 117th CONGRESS 1st Session H. R. 5660 IN THE HOUSE OF REPRESENTATIVES October 21, 2021 Mr. Cole (for himself and Mr. Kind ) 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 amend title XVIII of the Social Security Act to adjust coinsurance requirements for outpatient critical access hospital services furnished under the Medicare program.

1. Short title This Act may be cited as the Fairness for Rural Medicare Beneficiaries Act of 2021 . 2. Adjusting coinsurance requirements for outpatient critical access hospital services furnished under the Medicare program Section 1834(g) of the Social Security Act ( 42 U.S.C. 1395m(g) ) is amended— (1) in paragraph (1), by inserting less 20 percent of the amount specified under paragraph (6), after such services, ; (2) in paragraph (2)(A), by inserting , less 20 percent of the amount specified under paragraph (6) before the period; and (3) by adding at the end the following new paragraph: (6) Specified amount For purposes of paragraphs (1) and (2)(A), the amount specified in this paragraph is, with respect to services furnished by a critical access hospital, the amount that would have been payable for such services under section 1833(t) had such services been covered OPD services. .