[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1936 Introduced in House (IH)]







106th CONGRESS
  1st Session
                                H. R. 1936

To amend title XVIII of the Social Security Act to prevent overpayment 
for hospital discharges to post-acute care services by eliminating the 
limitation on the number of diagnosis-related groups (DRGs) subject to 
                      the special transfer policy.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 25, 1999

  Mr. Stark introduced the following bill; which was referred to the 
   Committee on Ways and Means, and in addition to the Committee on 
Commerce, for a period to be subsequently determined by the Speaker, in 
   each case for consideration of such provisions as fall within the 
                jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to prevent overpayment 
for hospital discharges to post-acute care services by eliminating the 
limitation on the number of diagnosis-related groups (DRGs) subject to 
                      the special transfer policy.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. PREVENTION OF OVERPAYMENT FOR HOSPITAL DISCHARGES TO POST-
              ACUTE CARE SERVICES BY ELIMINATING THE LIMITATION ON THE 
              NUMBER OF DIAGNOSIS-RELATED GROUPS (DRGS) SUBJECT TO THE 
              SPECIAL TRANSFER POLICY.

    (a) In General.--Section 1886(d)(5)(J) of the Social Security Act 
(42 U.S.C. 1395ww(d)(5)(J)) is amended--
            (1) in clause (i), in the matter before subclause (I)--
                    (A) by striking ``, which is classified within a 
                diagnosis-related group described in clause (iii), 
                and'', and
                    (B) by inserting ``and adjusting for differences in 
                length of stay among regions and States to the extent 
                the Secretary determines such adjustment to be feasible 
                and appropriate'' after ``(as defined by the 
                Secretary'';
            (2) in clause (ii)--
                    (A) in the matter before subclause (I), by striking 
                ``classified with a diagnosis-related group (described 
                in clause (iii))'', and
                    (B) in subclause (IV), by striking ``clause 
                (iv)(I)'' and inserting ``clause (iii)'';
            (3) by striking clause (iii); and
            (4) in clause (iv)--
                    (A) by striking the dash after ``description of'' 
                and all that follows up to ``post-discharge'',
                    (B) by striking ``; and'' and all that follows and 
                inserting a period, and
                    (C) by redesignating such clause as clause (iii).
    (b) Effective Date.--The amendments made by subsection (a) apply to 
discharges occurring on or after October 1, 2000.
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