[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3365 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 3365

   To exempt certain long-term care hospitals operating in a single-
hospital MSA from the Medicare threshold payment adjustment policy for 
           long-term care hospitals, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 29, 2013

 Mr. Walberg (for himself, Mr. Graves of Missouri, Mr. Tiberi, and Mr. 
   Messer) introduced the following bill; which was referred to the 
                      Committee on Ways and Means

_______________________________________________________________________

                                 A BILL


 
   To exempt certain long-term care hospitals operating in a single-
hospital MSA from the Medicare threshold payment adjustment policy for 
           long-term care hospitals, and for other purposes.

    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 ``Defending Rural Access to Long Term 
Acute Care Act of 2013''.

SEC. 2. EXEMPTION FROM THRESHOLD PAYMENT ADJUSTMENT POLICY FOR CERTAIN 
              LONG-TERM CARE HOSPITALS OPERATING IN A SINGLE-HOSPITAL 
              MSA.

    (a) In General.--The Secretary of Health and Human Services shall 
not apply sections 412.534 or 412.536 of title 42, Code of Federal 
Regulations, to any long-term care hospital operating in a single-
hospital MSA (as defined in subsection (b)).
    (b) Long-Term Care Hospital Operating in a Single-Hospital MSA 
Defined.--In this section, the term ``long-term care hospital operating 
in a single-hospital MSA'' means an entity that meets the following 
criteria on the date of the enactment of this Act:
            (1) The entity is a long-term care hospital as defined in 
        section 1861(ccc) of the Social Security Act (42 U.S.C. 
        1395x(ccc)), but is not a long-term care hospital described in 
        section 1886(d)(1)(B)(iv)(II) of the Social Security Act (42 
        U.S.C. 1395ww(d)(1)(B)(iv)(II)).
            (2) The entity is located in a Metropolitan Statistical 
        Area (as defined by the Office of Management and Budget in OMB 
        Bulletin 13-01 published February 28, 2013) that has only one 
        subsection (d) hospital (as defined in section 1886(d)(2)(D) of 
        the Social Security Act (42 U.S.C. 1395ww(d)(2)(D)).
    (c) Effective Date.--Subsection (a) applies to long-term care 
hospitals for cost reporting periods beginning on or after October 1, 
2013.
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