3.0.0 489 2023-01-11T13:43:28Z 2023-01-11T13:43:28Z House HR 2021-01-25 117 [Congressional Record Volume 167, Number 14 (Monday, January 25, 2021)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Ms. STEFANIK:H.R. 489.Congress has the power to enact this legislation pursuantto the following:Article I, section 8 of the Constitution of the UnitedStates.[Page H233]]]> hswm00 Ways and Means Committee House Standing hswm02 Health Subcommittee Referred to 2021-01-28T15:00:10Z Referred to 2021-01-25T18:35:05Z 2021-01-28 hswm02 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2021-01-25 Referred to the House Committee on Ways and Means. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2021-01-25 Introduced in House IntroReferral Intro-H 9 Library of Congress 2021-01-25 Introduced in House IntroReferral 1000 9 Library of Congress S001196 Rep. Stefanik, Elise M. [R-NY-21] Elise Stefanik R NY M. 21 N D000630 Rep. Delgado, Antonio [D-NY-19] Antonio Delgado D NY 19 2021-01-25 True J000020 Rep. Jacobs, Chris [R-NY-27] Chris Jacobs R NY 27 2021-02-04 False T000478 Rep. Tenney, Claudia [R-NY-22] Claudia Tenney R NY 22 2021-04-08 False Health Administrative law and regulatory procedures Department of Health and Human Services Health care coverage and access Health facilities and institutions Hospital care Medicare Public participation and lobbying Roads and highways Rural conditions and development Health 00 2021-01-25 Introduced in House 2021-03-02T00:21:53Z Protecting Rural Access to Care Act

This bill limits the scope of guidance issued by the Centers for Medicare & Medicaid Services (CMS) regarding the secondary road criteria for Medicare critical access hospitals (CAHs).

Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area.

The CMS issued guidance on July 31, 2015, that provided more detail as to the differences between primary and secondary roads for purposes of CAH certification. The bill specifies that this guidance does not apply to CAHs that were certified prior to July 31, 2015, and that these CAHs are instead subject to the standards that were in place before the guidance was issued. Ongoing CAH certifications are also subject to pre-guidance standards until the CMS issues new guidance after a specified public comment period.

]]> Protecting Rural Access to Care Act Display Title Protecting Rural Access to Care Act Official Title as Introduced To amend title XVIII of the Social Security Act to clarify the application of the 15-mile secondary road distance requirement with respect to previously designated critical access hospitals under the Medicare program. Introduced in House IH Short Title(s) as Introduced Protecting Rural Access to Care Act Introduced in House IH Introduced in House 2021-01-25T05:00:00Z https://www.govinfo.gov/content/pkg/BILLS-117hr489ih/xml/BILLS-117hr489ih.xml 2021-01-28 Referred to the Subcommittee on Health. 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. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.