Improving Access to Medicare Coverage Act of 2023

Bill: 118-hr-5138
Sponsor: full_name: Rep. Courtney, Joe [D-CT-2]
Introduced: 2023-08-04
Policy area: Health
Subjects: Health care coverage and access

Home and outpatient care

Hospital care

Long-term, rehabilitative, and terminal care

Medicare
Latest action: action_date: 2024-12-17
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2023-08-04
action_desc: Introduced in House
text: <p><b>Improving Access to Medicare Coverage Act of </b><b>2023</b></p> <p>This bill deems an individual receiving outpatient observation services in a hospital as an inpatient for purposes of satisfying the three-day inpatient hospital-stay requirement&nbsp;with respect to&nbsp;Medicare coverage of skilled nursing facility (SNF) services. (Generally, individuals must have been an inpatient at a hospital for at least three days in order to qualify for SNF services. An individual's time spent under observation at a hospital for purposes of determining whether the individual should be admitted does not count towards this requirement.)</p>

tv_txt: I 118th CONGRESS 1st Session H. R. 5138 IN THE HOUSE OF REPRESENTATIVES August 4, 2023 Mr. Courtney (for himself, Mr. Thompson of Pennsylvania , Ms. DelBene , and Mr. Estes ) 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 count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital stay requirement for coverage of skilled nursing facility services under Medicare, and for other purposes.

1. Short title This Act may be cited as the Improving Access to Medicare Coverage Act of 2023 . 2. Counting a period of receipt of outpatient observation services in a hospital toward the 3-day inpatient hospital stay requirement for coverage of skilled nursing facility services under medicare (a) In general Section 1861(i) of the Social Security Act ( 42 U.S.C. 1395x(i) ) is amended by adding at the end the following: For purposes of this subsection, an individual receiving outpatient observation services shall be deemed to be an inpatient during such period, and the date such individual ceases receiving such services shall be deemed the hospital discharge date (unless such individual is admitted as a hospital inpatient at the end of such period). . (b) Effective date The amendment made by subsection (a) shall apply to receipt of outpatient observation services beginning on or after January 1, 2024, but applies to a period of post-hospital extended care services that was completed before the date of the enactment of this Act only if an administrative appeal is or has been made with respect to such services not later than 90 days after the date of the enactment of this Act. Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement such amendment through an interim final regulation, program instruction, or otherwise.