119 HR 1924 IH: Securing Access to Care for Seniors in Critical Condition Act of 2025 U.S. House of Representatives 2025-03-06 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.

I119th CONGRESS1st SessionH. R. 1924IN THE HOUSE OF REPRESENTATIVESMarch 6, 2025Mr. Hern of Oklahoma (for himself, Mr. Boyle of Pennsylvania, Mr. Joyce of Pennsylvania, Mrs. Miller of West Virginia, Mr. Smucker, and Ms. Tenney) introduced the following bill; which was referred to the Committee on Ways and MeansA BILLTo amend title XVIII of the Social Security Act to establish a new criterion for the nonapplication of site-neutral payments to long-term care hospitals under the Medicare program.

1.

Short title

This Act may be cited as the Securing Access to Care for Seniors in Critical Condition Act of 2025.

2.

Establishing a new criterion for the nonapplication of site-neutral payments to long-term care hospitals under the Medicare program

Section 1886(m)(6)(A) of the Social Security Act (42 U.S.C. 1395ww(m)(6)(A)) is amended— (1)in clause (ii)(I), by striking or the ventilator criterion under clause (iv) and inserting , the ventilator criterion under clause (iv), or the high acuity criterion described in clause (v); and (2)by adding at the end the following new clause: (v)

High acuity criterion

The criterion specified in this clause (in this paragraph referred to as the high acuity criterion) for a discharge from a long-term care hospital in a fiscal year is that— (I)the discharge was assigned to a Medicare-Severity-Long-Term-Care-Diagnosis-Related-Group (MS-LTC-DRG) with a relative weight for such fiscal year that was equal to or greater than 0.8; and (II)the discharge occurred on or after October 1, 2026..