[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4067 Enrolled Bill (ENR)]

        H.R.4067

                     One Hundred Thirteenth Congress

                                 of the

                        United States of America


                          AT THE SECOND SESSION

           Begun and held at the City of Washington on Friday,
           the third day of January, two thousand and fourteen


                                 An Act


 
     To provide for the extension of the enforcement instruction on 
supervision requirements for outpatient therapeutic services in critical 
             access and small rural hospitals through 2014.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 1. EXTENSION OF ENFORCEMENT INSTRUCTION ON SUPERVISION 
REQUIREMENTS FOR OUTPATIENT THERAPEUTIC SERVICES IN CRITICAL ACCESS AND 
SMALL RURAL HOSPITALS THROUGH 2014.
    The Secretary of Health and Human Services shall continue to apply 
through calendar year 2014 the enforcement instruction described in the 
notice of the Centers for Medicare & Medicaid Services entitled 
``Enforcement Instruction on Supervision Requirements for Outpatient 
Therapeutic Services in Critical Access and Small Rural Hospitals for 
CY 2013'', dated November 1, 2012 (providing for an exception to the 
restatement and clarification under the final rulemaking changes to the 
Medicare hospital outpatient prospective payment system and calendar 
year 2009 payment rates (published in the Federal Register on November 
18, 2008, 73 Fed. Reg. 68702 through 68704) with respect to 
requirements for direct supervision by physicians for therapeutic 
hospital outpatient services).

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.