[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4067 Received in Senate (RDS)]

113th CONGRESS
  2d Session
                                H. R. 4067


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           September 10, 2014

                                Received

_______________________________________________________________________

                                 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).

            Passed the House of Representatives September 9, 2014.

            Attest:

                                                 KAREN L. HAAS,

                                                                 Clerk.