113 HR 2053 IH: To amend title XVIII of the Social Security Act to apply budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas. U.S. House of Representatives 2013-05-20 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I 113th CONGRESS 1st Session H. R. 2053 IN THE HOUSE OF REPRESENTATIVES May 20, 2013 Mr. Brady of Texas (for himself, Mr. Reed, Mr. Tiberi, Mr. Roskam, Mr. Buchanan, Mr. Schock, Mr. Kelly of Pennsylvania, Mr. Renacci, and Mr. Griffith of Virginia) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to apply budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas.

1.

Applying budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas

(a)

In general

Section 1886(d)(3)(E) of the Social Security Act (42 U.S.C. 1395ww(d)(3)(E)) is amended by adding at the end the following new clause: (iv)

Application of budget neutrality relating to floor on wage area index in non-rural areas

(I)

Application on a State-specific basis beginning in fiscal year 2014

Subject to subclause (II), in the case of discharges occurring on or after October 1, 2013, for purposes of applying section 4410(b) of the Balanced Budget Act of 1997, the Secretary shall administer such section 4410(b) and paragraph (e) of section 412.64 of title 42, Code of Federal Regulations, as if paragraph (e)(4)(ii) of such section 412.64 had never applied and by using the methodology promulgated in the Federal Register on August 19, 2008 (73 Fed. Reg. 48570) (applied as if such methodology had been fully implemented for fiscal year 2011 using a 100 percent State-specific adjustment to the area wage index). (II)

Construction

Nothing in subclause (I) shall be construed as preventing the Secretary, for discharges occurring on or after October 1, 2014, from modifying the regulations under such section 412.64 in carrying out the budget neutrality requirements of such section 4410(b). . (b)

Conforming amendment terminating application of budget neutrality on a nationwide basis

Section 3141 of the Patient Protection and Affordable Care Act (42 U.S.C. 1395ww note) is amended by inserting and before October 1, 2013, after 2010,.