To amend title XVIII of the Social Security Act to establish a definition of essential health system in statute.

Bill: 118-hr-7397
Sponsor: full_name: Rep. Trahan, Lori [D-MA-3]
Introduced: 2024-02-15
Policy area: Health
Latest action: action_date: 2024-12-17
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2024-02-15
action_desc: Introduced in House
text: <p>This bill establishes a statutory definition for <em>essential health system</em> under Medicare.</p><p>Under the bill, an <em>essential health system</em> is one that (1) is an acute care hospital that is paid under Medicare's inpatient prospective payment system (excluding children’s, inpatient psychiatric, long-term care, rehabilitation hospitals, and certain cancer hospitals); (2) is a non-federal governmental or private nonprofit hospital; and (3) is a Medicaid disproportionate share hospital, has a Medicare disproportionate patient percentage of at least 35%, or has a Medicare disproportionate share hospital uncompensated care payment factor of 0.0005 or more.</p><!--tinycomments|2.1|data:application/json;base64,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-->

tv_txt: I 118th CONGRESS 2d Session H. R. 7397 IN THE HOUSE OF REPRESENTATIVES February 15, 2024 Mrs. Trahan (for herself and Mr. Valadao ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy and Commerce , 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 establish a definition of essential health system in statute.

1. Establishing a definition of essential health system in statute Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ) is amended by adding at the end the following new subsection: (nnn) Essential health system The term essential health system means a hospital— (1) that is a subsection (d) hospital (as defined in section 1886(d)(1)(B)); (2) that is a non-Federal governmental or private nonprofit hospital; and (3) that— (A) meets the requirements of a Medicaid deemed disproportionate share hospital (as described in section 1923(b)(1)); (B) has a Medicare disproportionate patient percentage of at least 35 percent (as defined in section 1886(d)(5)(F)(vi)); or (C) has a Medicare disproportionate share hospital uncompensated care payment factor of 0.0005 or more, (as defined in section 1886(r)(2)(C)). .