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SECTION 1. SHORT TITLE.

This Act may be cited as the ''Department of Veterans Affairs
Mammography Quality Standards Act''.

SEC. 2. MAMMOGRAPHY QUALITY STANDARDS.

(a) In General.--(1) Subchapter II of chapter 73 is amended by
adding at the end the following new section:
''Sec. 7319. Mammography quality standards
''(a) A mammogram may not be performed at a Department facility
unless that facility is accredited for that purpose by a private
nonprofit organization designated by the Secretary. An organization
designated by the Secretary under this subsection shall meet the
standards for accrediting bodies established under section 354(e) of
the Public Health Service Act (42 U.S.C. 263b(e)).
''(b) The Secretary, in consultation with the Secretary of Health
and Human Services, shall prescribe quality assurance and quality
control standards relating to the performance and interpretation of
mammograms and use of mammogram equipment and facilities of the
Department of Veterans Affairs consistent with the requirements of
section 354(f)(1) of the Public Health Service Act. Such standards
shall be no less stringent than the standards prescribed by the
Secretary of Health and Human Services under section 354(f) of the
Public Health Service Act.
''(c)(1) The Secretary, to ensure compliance with the standards
prescribed under subsection (b), shall provide for an annual inspection
of the equipment and facilities used by and in Department health care
facilities for the performance of mammograms. Such inspections shall be
carried out in a manner consistent with the inspection of certified
facilities by the Secretary of Health and Human Services under section
354(g) of the Public Health Service Act.
''(2) The Secretary may not provide for an inspection under
paragraph (1) to be performed by a State agency.
''(d) The Secretary shall ensure that mammograms performed for the
Department under contract with any non-Department facility or provider
conform to the quality standards prescribed by the Secretary of Health
and Human Services under section 354 of the Public Health Service Act.
''(e) For the purposes of this section, the term 'mammogram' has
the meaning given such term in paragraph (5) of section 354(a) of the
Public Health Service Act (42 U.S.C. 263b(a)).''.
(2) The table of sections at the beginning of such chapter is
amended by inserting after the item relating to section 7318 the
following new item:

''7319. Mammography quality standards.''.
(b) Deadline for Prescribing Standards.--The Secretary of Veterans
Affairs shall prescribe standards under subsection (b) of section 7319
of title 38, United States Code, as added by subsection (a), not later
than the end of the 120-day period beginning on the later of--
(1) the date on which the Secretary of Health and Human
Services prescribes quality standards under section 354(f) of
the Public Health Service Act (42 U.S.C. 263b(f)); or
(2) the date of the enactment of this Act.
(c) Transition.--(1) Subsection (a) of section 7319 of title 38,
United States Code, as added by subsection (a), shall take effect on
the date on which standards are prescribed by the Secretary of Veterans
Affairs under subsection (b) of that section.
(2) During the transition period, the Secretary of Veterans Affairs
may waive the requirement of subsection (a) of section 7319 of title
38, United States Code, as added by subsection (a), to any facility of
the Department. The Secretary may provide such a waiver in the case of
any facility only if the Secretary determines, based upon the
recommendation of the Under Secretary for Health of the Department of
Veterans Affairs, that during the period such a waiver is in effect for
such facility (including any extension of the waiver under paragraph
(3)) the facility will be operated in accordance with standards
prescribed by the Secretary under subsection (b) of such section to
assure the safety and accuracy of mammography services provided.
(3) The transition period for purposes of this section is the six-
month period beginning on the date specified in paragraph (1). The
Secretary may extend such period for a period not to exceed 90 days in
the case of any Department facility. Any such extension may be made
only if the Under Secretary for Health determines that--
(A) without the extension access of veterans to mammography
services in the geographic area served by the facility would be
significantly reduced; and
(B) appropriate steps will be taken before the end of the
transition period (as extended) to obtain accreditation of the
facility as required by subsection (a) of section 7319 of title
38, United States Code, as added by subsection (a).
(d) Implementation Report.--The Secretary of Veterans Affairs shall
submit to the Committees on Veterans' Affairs of the Senate and House
of Representatives a report on the Secretary's implementation of
section 7319 of title 38, United States Code, as added by subsection
(a). The report shall be submitted not later than 180 days after the
date on which the Secretary prescribes the quality standards required
under subsection (b) of that section.
Department of Veterans Affairs Mammography Quality Standards Act - Prohibits a mammogram from being performed at a Department of Veterans Affairs facility unless the facility is accredited for such purpose by a private nonprofit organization designated by the Secretary of Veterans Affairs. Requires any such organization to meet the standards for accrediting bodies established under the Public Health Service Act (the Act).
Directs the Secretary to prescribe quality assurance and control standards relating to performance and interpretation of mammograms and the use of Department mammogram equipment and facilities consistent with requirements of the Act. Requires the Secretary to provide for an annual inspection of Department mammogram equipment and facilities. Requires any Department mammograms contracted to a non-Department facility or provider to conform to the standards of the Act. Provides for: (1) a deadline for the prescribing of standards; (2) transition provisions covering mammograms performed prior to the enactment of this Act; and (3) an implementation report from the Secretary to specified congressional committees.

SECTION 1. SHORT TITLE.

This Act may be cited as the ''Focus on Family Health Worldwide Act
of 2005''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) Since 1965, the people and Government of the United
States have supported international voluntary family planning
programs, increasing the use of modern contraceptives in the
developing world from fewer than 10 percent of couples in 1965
to more than 40 percent of couples today.
(2) United States funding for international family planning
is today providing services to 20 million couples in the
world's poorest countries, contributing to family well-being by
improving maternal health, reducing maternal and infant deaths,
preventing abortions, and improving the lives of millions of
families.
(3) The United States spends on average three cents per
American per week for international family planning programs.
(4) In the developing world, the use of modern
contraceptives reduces unintended pregnancies and the
probability that a woman will have an abortion by 85 percent.
(5) President George W. Bush has stated that one of the
best ways to prevent abortion is by providing quality voluntary
family planning programs.
(6) In developing countries at least 120 million married
couples who would like to postpone their next pregnancy, or
have no more children, do not have access to or are not using
modern contraception.
(7) In sub-Saharan Africa, 46 percent of women who desire
to delay or end childbearing remain without access to voluntary
family planning and at risk of unintended pregnancy.
(8) Each year more than 525,000 women die from causes
related to pregnancy and childbirth with 99 percent of these
deaths occurring in developing countries. An additional eight
million women each year suffer serious health complications
from pregnancy and childbirth.
(9) A lack of birth spacing resulting in birth intervals of
9 to 14 months increases the risk of maternal death by 250
percent.
(10) Birth spacing of at least 36 months is associated with
the lowest mortality risk for infants and children under five
years of age.
(11) Approximately 10.8 million children under the age of
five die each year, more than 30,000 every day, frequently from
low birth-weight or from causes related to complications in the
mother's pregnancy.
(12) Providing access to modern contraception in less
developed countries could prevent 1.4 million infant deaths and
142,000 maternal deaths annually.
(13) Linking family planning programs with HIV/AIDS
prevention, care, and treatment programs helps to meet the
multiple health needs of couples while effectively using scarce
financial and human resources.
(14) For HIV-positive women, family planning is the most
efficacious and cost-effective intervention to prevent
unintended pregnancies, decrease the risk of maternal death,
and avoid the transmission of HIV from mother-to-child,
premature birth, low birth weight, or infant death.
(15) Rapid population growth over-stresses vital resources,
such as water, agricultural land, forests, and wildlife,
contributing to extreme poverty, infectious disease, limited
access to education, environmental destruction, food
insecurity, and resultant malnutrition.
(16) Malnutrition in children is a contributing factor to
more than one-half of all child mortality, and malnutrition in
mothers account for a substantial proportion of neonatal
mortality.
(17) United States-funded family planning programs have
been successfully linked with the conservation of natural
resources to ease growing population pressures, improve food
security, and keep families healthy and communities
economically viable.
(18) Between 2005 and 2050, if family planning needs remain
unmet, the population is expected to grow by more than 300
percent in the developing countries of Afghanistan, Burkina
Faso, Burundi, Chad, the Democratic Republic of the Congo, the
Republic of the Congo, Guinea-Bissau, Liberia, Mali, Niger, the
Democratic Republic of Timor-Leste, and Uganda.

SEC. 3. SENSE OF CONGRESS.

It is the sense of Congress that it should be a United States
policy objective to--
(1) partner with developing countries to expand access to
voluntary family planning programs and the supply of modern
contraceptives in order to--
(A) meet growing demand to allow couples to achieve
their desired family size;
(B) reduce maternal and child mortality;
(C) reduce unintended pregnancies and resulting
abortions;
(D) reduce the incidence of HIV transmission from
mother-to-child and extend the lives of HIV-positive
women thus reducing the number of orphaned children;
(E) conserve vital natural resources, including
water, agricultural land, and forested lands;
(F) improve food security; and
(G) enhance opportunities for lasting social and
economic development; and
(2) strengthen public heath initiatives worldwide by
provide training, research, and services for a wide variety of
modern contraceptives and family planning methods that are
designed and implemented based on--
(A) community participation;
(B) the needs and values of beneficiaries; and
(C) adherence to the principles of voluntary
participation and informed consent.

SEC. 4. ASSISTANCE TO IMPROVE VOLUNTARY FAMILY PLANNING PROGRAMS IN
DEVELOPING COUNTRIES.

(a) Amendments.--Section 104(b) of the Foreign Assistance Act of
1961 (22 U.S.C. 2151b(b)) is amended--
(1) in the first sentence, by striking ''In order to'' and
inserting the following:
''(1) In general.--In order to''; and
(2) by adding at the end the following new paragraph:
''(2) Assistance to improve voluntary family planning
programs.--
''(A) In general.--The President, acting through
the Administrator of the United States Agency for
International Development, is authorized to provide
assistance, on such terms and conditions as the
President may determine, to improve voluntary family
planning programs in developing countries.
''(B) Activities supported.--Assistance provided
under subparagraph (A) shall, to the maximum extent
practicable, be used to--
''(i) improve public knowledge of voluntary
family planning programs, including the
availability of modern contraceptives and the
health, economic, and natural resource benefits
of voluntary family planning for individuals,
families, and communities;
''(ii) support a wide range of public and
private voluntary family planning programs,
including networks for community-based and
subsidized commercial distribution of modern
contraceptives;
''(iii) expand formal and informal training
for health care providers, health educators,
including peer educators and outreach workers,
managers, traditional birth attendants,
counselors, and community-based distribution
agents;
''(iv) provide improved coordination
between voluntary family planning programs and
programs that receive United States Government
assistance for the prevention of HIV/AIDS and
other sexually transmitted infections, the
prevention of mother-to-child HIV transmission,
and the testing, treatment, and care of persons
infected with HIV/AIDS and affected by HIV/AIDS
to strengthen activities under such programs
and enhance the cost-effectiveness of such
programs; and
''(v) strengthen supply chain logistics for
the procurement and reliable distribution of
safe and effective modern contraceptives,
including coordination with the supply chain
for HIV/AIDS prevention, care, and treatment,
to allow for maximum efficiency and cost-
savings.
''(C) Priority.--In providing assistance under this
paragraph, priority shall be given to developing
countries with acute family planning and maternal
health needs based on criteria such as--
''(i) the level of unmet need for voluntary
family planning and modern contraceptives;
''(ii) fertility rates;
''(iii) high-risk birth rates;
''(iv) the number of births unattended by
skilled attendants;
''(v) maternal mortality rates;
''(vi) rates of mortality for infants and
children under the age of five;
''(vii) abortion rates;
''(viii) the level of HIV/AIDS in women of
reproductive age; and
''(ix) additional criteria or country
conditions, such as conflict, humanitarian
crisis, large populations of refugees or
internally displaced persons, or areas in which
population growth threatens food security,
vital natural resources, biodiversity, or
endangered species.
''(D) Definitions.--In this paragraph:
''(i) AIDS.--The term 'AIDS' has the
meaning given the term in section 104A(g)(1) of
this Act.
''(ii) HIV.--The term 'HIV' has the meaning
given the term in section 104A(g)(2) of this
Act.
''(iii) HIV/AIDS.--The term 'HIV/AIDS' has
the meaning given the term in section
104A(g)(3) of this Act.''.
(b) Effective Date.--The authority to provide assistance under
section 104(b)(2) of the Foreign Assistance Act of 1961, as added by
subsection (a), applies with respect to fiscal year 2007 and subsequent
fiscal years.

SEC. 5. REPORT.

(a) Report.--Not later than one year after the date of the
enactment of this Act, and biennially thereafter, the President, acting
through the Administrator of the United States Agency for International
Development, shall transmit to the Committee on International Relations
of the House of Representatives and the Committee on Foreign Relations
of the Senate a report on the implementation of section 104(b)(2) of
the Foreign Assistance Act of 1961 (as added by section 4(a)).
(b) Contents.--The report shall include--
(1) a description of efforts to implement the policies set
forth in section 104(b)(2) of the Foreign Assistance Act of
1961;
(2) a description of the programs established pursuant to
such section; and
(3) a detailed assessment of the impact of programs
established pursuant to such section, including--
(A) an estimate of annual expenditures on modern
contraceptive commodities and activities in support of
voluntary family planning programs on a country-by-
country basis, to be based on information supplied by
national governments, donor agencies, and private
sector entities, to the maximum extent practicable;
(B) an assessment by country of the current unmet
need for, availability, and use of modern
contraception;
(C) an assessment of prior year and proposed
allocations of modern contraceptives in voluntary
family planning assistance by country, which describes
how each country's allocation meets the country's
needs; and
(D) a description of the quality of funded
voluntary family planning programs, as measured by
survey data or best available estimates, including--
(i) types of modern contraceptive methods
offered to significant subgroups (defined by
age, gender, income, and health profile, among
others) on a reliable basis;
(ii) information provided to beneficiaries
to enable decision making regarding benefits,
risks, and efficacy of modern contraceptives;
(iii) mechanisms to encourage
sustainability of voluntary family planning
programs; and
(iv) voluntary family planning programs
that are effective in responding to individual
health needs of beneficiaries.

SEC. 6. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated to the President to carry
out section 104(b)(2) of the Foreign Assistance Act of 1961, as added
by section 4(a) of this Act--
(1) $600,000,000 for fiscal year 2007;
(2) $700,000,000 for fiscal year 2008;
(3) $800,000,000 for fiscal year 2009;
(4) $900,000,000 for fiscal year 2010; and
(5) $1,000,000,000 for fiscal year 2011.
Focus on Family Health Worldwide Act of 2005 - Amends the Foreign Assistance Act of 1961 to authorize the President, through the United States Agency for International Development (USAID), to provide assistance for voluntary family planning programs in developing countries, including activities to: (1) improve public knowledge of voluntary family planning programs; (2) support public and private voluntary family planning programs, including networks for community-based and subsidized commercial distribution of contraceptives; (3) expand training for health care providers and educators; (4) provide improved coordination between voluntary family planning programs and programs that receive U.S. assistance for the prevention of HIV/AIDS and other sexually transmitted infections; and (5) strengthen supply chain logistics for the procurement and distribution of safe contraceptives, including coordination with the supply chain for HIV/AIDS prevention, care, and treatment. Gives priority to developing countries with acute family planning and maternal health needs.

Authorizes appropriations.

SECTION 1. SHORT TITLE.

This Act may be cited as the ''Medicare Long-Term Care Hospital
Improvement Act of 2007''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) Long-term care hospitals (in this Act referred to as
''LTCHs'') serve a valuable role in the post-acute care
continuum by providing care to medically complex patients
needing long hospital stays.
(2) The Medicare program should ensure that patients
receive post-acute care in the most appropriate setting. The
use of additional certification criteria for LTCHs, including
facility and patient criteria, will promote the appropriate
placement of severely ill patients into LTCHs. Further, patient
admission, continued stay, and discharge screening tools can
guide appropriate patient placement.
(3) Measuring and reporting on quality of care is an
important function of any Medicare provider and a national
quality initiative for LTCHs should be similar to short-term
general acute care hospitals in the Medicare program.
(4) To conform the prospective payment system for LTCHs
with certain aspects of the prospective payment system for
short-term general acute care hospitals and promote payment
stability, the Secretary of Health and Human Services (in this
Act referred to as the ''Secretary'') should--
(A) perform an annual market basket update;
(B) conduct the long term care diagnosis related
groups (in this Act referred to as ''LTCDRGs'')
reweighting and wage level adjustments in a budget
neutral manner each year;
(C) not perform a proposed one-time budget
neutrality adjustment; and
(D) not extend the 25-percent limitation on
reimbursement of co-located hospital patient admissions
to freestanding LTCHs.
(5) LTCHs co-located with another hospital in underserved
areas, including rural areas and areas with an urban single or
MSA dominant hospital, should be afforded greater relief from
the 50 percent limitation on reimbursement of co-located
hospital patient admissions.

SEC. 3. NEW DEFINITION OF A LONG-TERM CARE HOSPITAL WITH FACILITY AND
PATIENT CRITERIA.

(a) Definition.--Section 1861 of the Social Security Act (42 U.S.C.
1395x) is amended by adding at the end the following new subsection:

''Long-Term Care Hospital

''(ccc) The term 'long-term care hospital' means an institution
which--''
''(1) is primarily engaged in providing, by or under the
supervision of physicians, to medically complex inpatients
needing long hospital stays--
''(A) diagnostic services and therapeutic services
for medical diagnosis, treatment, and care of injured,
disabled, or sick persons; or
''(B) rehabilitation services for the
rehabilitation of injured, disabled, or sick persons;
''(2) has an average inpatient length of stay (as
determined by the Secretary) for beneficiaries under this title
of greater than 25 days, or as otherwise defined in section
1886(d)(1)(B)(iv);
''(3) satisfies the requirements of paragraphs (2) through
(9) of subsection (e);
''(4) meets the following additional facility criteria:
''(A) the institution has a patient review process,
documented in the patient medical record, that screens
patients prior to admission, validates within 48 hours
of admission that patients meet admission criteria,
regularly evaluates patients throughout their stay, and
assesses the available discharge options when patients
no longer meet the continued stay criteria;
''(B) the institution applies a standard patient
screening tool, as determined by the Secretary, that is
a valid clinical tool appropriate for this level of
care, uniformly used by all long-term care hospitals,
to measure the severity of illness and intensity of
service requirements for patients for the purposes of
making admission, continuing stay, and discharge
medical necessity determinations taking into account
the medical judgment of the patient's physician, as
provided for under sections 1814(a)(3) and
1835(a)(2)(B);
''(C) the institution has active physician
involvement with patients during their treatment
through an organized medical staff, physician review of
patient progress on a daily basis, and consulting
physicians on call and capable of being at the
patient's side within a moderate period of time, as
determined by the Secretary;
''(D) the institution has interdisciplinary team
treatment for patients, requiring interdisciplinary
teams of health care professionals, including
physicians, to prepare and carry out an individualized
treatment plan for each patient; and
''(E) the institution maintains adequate staffing
levels of licensed health care professionals, as
determined by the Secretary, to ensure that long-term
care hospitals provide the intensive level of care that
is sufficient to meet the needs of medically complex
patients needing long hospital stays; and
''(5) meets patient criteria relating to patient mix and
severity appropriate to the medically complex cases that long-
term care hospitals are uniquely designed to treat, as measured
under section 1886(m).''.
(b) New Patient Criteria for Long-Term Care Hospital Prospective
Payment.--Section 1886 of such Act (42 U.S.C. 1395ww) is amended by
adding at the end the following new subsection:
''(m) Patient Criteria for Prospective Payment to Long-Term Care
Hospitals.--
''(1) In general.--To be eligible for prospective payment
as a long-term care hospital, a majority of the total number of
patients entitled to benefits under part A who are discharged
from a long-term care hospital must be medically complex
patients admitted with a high severity of illness, as that term
is defined by the Secretary for payment purposes, with 1 or
more enumerated medical conditions specified in paragraph (2).
''(2) Medically complex medical conditions.--The Secretary
shall determine a list of medical conditions associated with a
high severity of illness of patients who are appropriate for
treatment in long-term care hospitals, as indicated by the
presence of clinical comorbidities in accordance with a
methodology specified by the Secretary. Such list shall include
the following medical conditions:
''(A) Circulatory conditions.
''(B) Digestive, endocrine, and metabolic
conditions.
''(C) Infectious disease.
''(D) Neurological conditions.
''(E) Renal conditions.
''(F) Respiratory conditions.
''(G) Skin conditions.
''(H) Other medically complex conditions as defined
by the Secretary.''.
(c) Negotiated Rulemaking to Develop LTCH Facility and Patient
Criteria.--The Secretary shall promulgate regulations to carry out the
amendments made by this section on an expedited basis and using a
negotiated rulemaking process under subchapter III of chapter 5 of
title 5, United States Code.
(d) Effective Date.--The amendments made by this section shall
apply to discharges occurring on or after October 1, 2007.

SEC. 4. LTCH QUALITY IMPROVEMENT INITIATIVE.

(a) Study To Establish Quality Measures.--The Secretary shall
conduct a study (in this section referred to as the ''study'') to
determine appropriate quality measures for Medicare beneficiaries
receiving care in LTCHs.
(b) Report.--Not later than October 1, 2007, the Secretary shall
submit to Congress a report on the results of the study.
(c) Selection of Quality Measures.--Subject to subsection (e), the
Secretary shall choose 3 quality measures from the study to be reported
by LTCHs.
(d) Requirement for Submission of Data.--
(1) In general.--LTCHs shall--
(A) collect data on the 3 quality measures chosen
under subsection (c); and
(B) submit all required quality data to the
Secretary.
(2) Failure to submit data.--Any LTCH which does not submit
the required quality data to the Secretary in any fiscal year
shall have the applicable LTCH market basket under section 1886
reduced by not more than 0.4 percent for such year.
(e) Expansion of Quality Measures.--The Secretary may expand the
number of quality indicators required to be reported by LTCHs under the
study. If the Secretary adds other measures, the measures shall reflect
consensus among the affected parties. The Secretary may replace any
measures in appropriate cases, such as where all hospitals are
effectively in compliance or where measures have been shown not to
represent the best clinical practice.
(f) Availability of Data to Public.--The Secretary shall establish
procedures for making the quality data submitted under this section
available to the public.

SEC. 5. CONFORMING LTCH PPS UPDATES TO THE INPATIENT PPS.

(a) Requiring Annual Updates of Base Rates and Wage Indices and
Annual Updates and Reweighting of LTCDRGs.--
(1) In general.--The second sentence of section 307(b)(1)
of the Medicare, Medicaid, and SCHIP Benefits Improvement and
Protection Act of 2000 (114 Stat. 2763A-496), as enacted into
law by section 1(a)(6) of Public Law 106-554, is amended by
inserting before the period at the end the following: '', and
shall provide (consistent with updating and reweighting
provided for subsection (d) hospitals under paragraphs
(2)(B)(ii), (3)(D)(iii), and (3)(E) of section 1886 of the
Social Security Act) for an annual update under such system in
payment rates, in the wage indices (in a budget neutral
manner), and in the classification and reweighting (in a budget
neutral manner) of the diagnosis-related groups applied under
such system''.
(2) Application.--Pursuant to the amendment made by
paragraph (1), the Secretary shall provide annual updates to
the LTCH base rate, as is specified for the inpatient hospital
prospective payment system under section 1886(d)(2)(B)(ii) of
the Social Security Act (42 U.S.C. 1395ww(d)(2)(B)(ii)). The
Secretary shall annually update and reweight the LTCDRGs under
section 307(b) of the Medicare, Medicaid, and SCHIP Benefits
Improvement and Protection Act of 2000 or an alternative
patient classification system in a budget neutral manner,
consistent with such updating and reweighting applied under
section 1886(d)(3)(D)(iii) of the Social Security Act (42
U.S.C. 1395ww(d)(3)(D)(iii)). The Secretary shall annually
update wage levels for LTCHs in a budget neutral manner,
consistent with such annual updating applied under section
1886(d)(3)(E) of the Social Security Act (42 U.S.C.
1395ww(d)(3)(E)).
(b) Elimination of One-Time Budget Neutrality Adjustment.--The
Secretary shall not make a one-time prospective adjustment to the LTCH
prospective payment system rates under section 412.523(d)(3) of title
42, Code of Federal Regulations, or otherwise conduct any budget
neutrality adjustment to address such rates, during the transition
period specified in section 412.533 of such title from cost-based
payment to the prospective payment system for LTCHs.
(c) No Application of 25 Percent Patient Threshold Payment
Adjustment to Freestanding LTCHs.--The Secretary shall not extend the
25 percent (or applicable percentage) patient threshold payment
adjustment under section 412.534 of title 42, Code of Federal
Regulations, or any similar provision, to freestanding LTCHs.

SEC. 6. RELIEF FOR CERTAIN LONG-TERM CARE HOSPITALS AND SATELLITE
FACILITIES THAT ARE CO-LOCATED WITH OTHER HOSPITALS.

(a) Urban Single and MSA Dominant Hospitals.--The Secretary shall
permit up to 75 percent of the discharged Medicare impatient population
of an applicable hospital to be admitted from a co-located urban single
or co-located MSA dominant hospital (as defined in section
412.534(e)(4) of title 42, Code of Federal Regulations) without
adjustment to the hospital's LTCH prospective payment system payment in
the manner described in section 412.534(e) of such title.
(b) Rural Hospitals.--The Secretary shall permit up to 75 percent
of the discharged Medicare impatient population of an applicable
hospital which is located in a rural area (as defined in section
412.64(b)(1)(ii)(C) of title 42, Code of Federal Regulations) to be
admitted from a co-located hospital without adjustment to the
hospital's LTCH prospective payment system payment in the manner
described in section 412.534(d) of such title.
(c) Applicable Long-Term Care Hospital Defined.--In this section,
the term ''applicable long-term care hospital'' means--
(1) a long-term care hospital that meets the criteria in
section 412.22(e) of title 42, Code of Federal Regulations; and
(2) a satellite facility of a long-term care hospital that
meet the criteria in section 412.22(h) of such title.
Medicare Long-Term Care Hospital Improvement Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act to prescribe requirements for a long-term care hospital (LTCH) and patient criteria for prospective payment to an LTCH.

Directs the Secretary of Health and Human Services to: (1) determine a list of medical conditions associated with a high severity of illness of patients who are appropriate for treatment in long-term care hospitals, as indicated by the presence of clinical comorbidities in accordance with a methodology specified by the Secretary; and (2) study and report to Congress on appropriate quality measures for Medicare beneficiaries receiving care in LTCHs.

Directs the Secretary to choose three quality measures from the study for LTCHs to report.

Amends the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 to require annual updates of LTCH base rates and wage indices and the reweighting of LTCH-DRGs.

Prohibits the Secretary from extending application of the 25% (or applicable percentage) patient threshold payment adjustment to freestanding LTCHs.

Directs the Secretary to permit up to 75% of the discharged Medicare inpatient population: (1) of an applicable hospital to be admitted from a co-located urban single or co-located MSA dominant hospital without adjustment to the hospital's LTCH prospective payment system payment in a specified manner; and (2) of an applicable hospital located in a rural area to be admitted from a co-located hospital without such an adjustment, either.