[Congressional Bills 112th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1273 Introduced in House (IH)]

112th CONGRESS
  1st Session
                                H. R. 1273

To amend title XVIII of the Social Security Act to apply the additional 
    Medicare HITECH payment provisions to hospitals in Puerto Rico.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 30, 2011

 Mr. Pierluisi (for himself, Mr. Andrews, Mr. Rangel, Mr. Serrano, Mr. 
   Conyers, Mrs. Christensen, Mr. Grijalva, Ms. Roybal-Allard, Mrs. 
Napolitano, Mr. Faleomavaega, and Mr. Sablan) 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 the additional 
    Medicare HITECH payment provisions to hospitals in Puerto Rico.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Puerto Rico Hospital HITECH 
Amendments of 2011''.

SEC. 2. APPLICATION OF MEDICARE HITECH PAYMENTS TO HOSPITALS IN PUERTO 
              RICO.

    (a) In General.--Subsection (n)(6)(B) of section 1886 of the Social 
Security Act (42 U.S.C. 1395ww) is amended by striking ``subsection (d) 
hospital'' and inserting ``hospital that is a subsection (d) hospital 
or a subsection (d) Puerto Rico hospital''.
    (b) Offsetting Reduction.--Subsection (n)(2) of such section is 
amended by adding at the end the following new subparagraph:
                    ``(H) Budget neutrality adjustment.--The Secretary 
                shall reduce the applicable amounts that would 
                otherwise be determined under this subsection with 
                respect to--
                            ``(i) fiscal year 2012 by an amount that 
                        the Secretary estimates would ensure that 
                        estimated aggregate payments under this 
                        subsection for fiscal years 2011 and 2012 are 
                        not increased as a result of the amendment made 
                        by subsection (a) of section 2 of the Puerto 
                        Rico Hospital HITECH Amendments of 2011; or
                            ``(ii) a succeeding fiscal year by an 
                        amount that the Secretary estimates would 
                        ensure that estimated aggregate payments under 
                        this subsection for such fiscal year are not 
                        increased as a result of the amendments made by 
                        subsections (a) and (c) of such section.''.
    (c) Conforming Amendments.--(1) Subsection (b)(3)(B)(ix) of such 
section is amended--
            (A) in subclause (I), by striking ``(n)(6)(A)'' and 
        inserting ``(n)(6)(B)''; and
            (B) in subclause (II), by striking ``subsection (d) 
        hospital'' and inserting ``an eligible hospital''.
    (2) Paragraphs (2) and (4)(A) of section 1853(m) of the Social 
Security Act (42 U.S.C. 1395w-23(m)) are each amended by striking 
``1886(n)(6)(A)'' and inserting ``1886(n)(6)(B)''.
    (d) Implementation.--Notwithstanding any other provision of law, 
the Secretary of Health and Human Services may implement the amendments 
made by subsections (a), (b) and (c) by program instruction or 
otherwise.
    (e) Effective Date.--The amendments made by this section shall 
apply as if included in the enactment of the American Recovery and 
Reinvestment Act of 2009 (Public Law 111-3).
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