114 HR 3288 IH: Strengthening DSH and Medicare Through Subsidy Recapture and Payment Reform Act of 2015 U.S. House of Representatives 2015-07-29 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 114th CONGRESS 1st Session H. R. 3288 IN THE HOUSE OF REPRESENTATIVES July 29, 2015 Mr. Marchant (for himself and Mr. Boustany) 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 change the method of determining disproportionate share hospital (DSH) payments under the Medicare program, and for other purposes.

1.

Short title

This Act may be cited as the Strengthening DSH and Medicare Through Subsidy Recapture and Payment Reform Act of 2015.

2.

Change in determination of Medicare DSH payments

Paragraph (1) of section 1886(r) of the Social Security Act (42 U.S.C. 1395ww(r)) is amended— (1)by striking so much of such paragraph as precedes fiscal year 2014 and inserting the following: (1)

DSH payments

(A)

In general

Subject to subparagraph (B), for; (2)by striking (which represents and all that follows through Report to the Congress); and (3)by adding at the end the following new subparagraph: (B)

Aggregate limitation beginning with fiscal year 2017

As part of the rulemaking to carry out subsection (d) for fiscal year 2017 and each subsequent fiscal year, the Secretary shall estimate the aggregate amount of payments to be made for such fiscal year under subparagraph (A) (determined without regard to this subparagraph) and, if the amount so estimated exceeds $3,300,000,000, then each amount paid under subparagraph (A) for that fiscal year shall be multiplied by the ratio of $3,300,000,000 to the amount so estimated. .

3.

Additional DSH payment for certain qualifying hospitals

Section 1886(r) of the Social Security Act (42 U.S.C. 1395ww(r)) is amended— (1)by redesignating paragraph (3) as paragraph (4); and (2)by inserting after paragraph (2) the following new paragraph: (3)

Additional payment for certain qualifying hospitals

(A)

In general

For fiscal year 2017 and each subsequent fiscal year, in addition to the payments made to a qualifying hospital under paragraphs (1) and (2), the Secretary shall pay to each qualifying hospital an amount equal to $1,000,000,000 multiplied by the factor that would be calculated under paragraph (2)(C) for such qualifying hospital if each reference in such paragraph to a subsection (d) hospital were treated as a reference to a qualifying hospital. (B)

Qualifying hospital defined

In this paragraph, qualifying hospital means a subsection (d) hospital that is located in Alabama, Florida, Georgia, Idaho, Kansas, Louisiana, Maine, Mississippi, Missouri, Nebraska, North Carolina, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, or Wyoming. .

4.

Recapture of overpayments resulting from certain federally subsidized health insurance

(a)

In general

Paragraph (2) of section 36B(f) of the Internal Revenue Code of 1986 is amended by striking subparagraph (B). (b)

Conforming amendment

So much of paragraph (2) of section 36B(f) of such Code, as amended by subsection (a), as precedes advance payments is amended to read as follows: (2)

Excess advance payments

If the. (c)

Effective date

The amendments made by this section shall apply to taxable years ending after December 31, 2015.