[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2580 Reported in House (RH)]

                                                 Union Calendar No. 113
114th CONGRESS
  1st Session
                                H. R. 2580

                          [Report No. 114-156]

   To provide for a technical change to the Medicare long-term care 
         hospital moratorium exception, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 29, 2015

 Mr. Boustany introduced the following bill; which was referred to the 
                      Committee on Ways and Means

                             June 16, 2015

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]
[For text of introduced bill, see copy of bill as introduced on May 29, 
                                 2015]


_______________________________________________________________________

                                 A BILL


 
   To provide for a technical change to the Medicare long-term care 
         hospital moratorium exception, 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 ``LTCH Technical Correction Act of 
2015''.

SEC. 2. TECHNICAL CHANGE TO THE MEDICARE LONG-TERM CARE HOSPITAL 
              MORATORIUM EXCEPTION.

    (a) In General.--Section 114(d) of the Medicare, Medicaid, and 
SCHIP Extension Act of 2007 (42 U.S.C. 1395ww note), as amended by 
sections 3106(b) and 10312(b) of Public Law 111-148, section 1206(b)(2) 
of the Pathway for SGR Reform Act of 2013 (division B of Public Law 
113-67), and section 112 of the Protecting Access to Medicare Act of 
2014, is amended, in paragraph (7), by striking ``The moratorium under 
paragraph (1)(A)'' and inserting ``Any moratorium under paragraph (1)'' 
in the matter preceding subparagraph (A).
    (b) Effective Date.--The amendment made by subsection (a) shall 
take effect as if included in the enactment of section 112 of the 
Protecting Access to Medicare Act of 2014.

SEC. 3. MODIFICATION TO MEDICARE LONG-TERM CARE HOSPITAL HIGH COST 
              OUTLIER PAYMENTS.

    Section 1886(m) of the Social Security Act (42 U.S.C. 1395ww(m)) is 
amended by adding at the end the following new paragraph:
            ``(7) Treatment of high cost outlier payments.--
                    ``(A) Adjustment to the standard federal payment 
                rate for estimated high cost outlier payments.--Under 
                the system described in paragraph (1), for fiscal years 
                beginning on or after October 1, 2016, the Secretary 
                shall reduce the standard Federal payment rate as if 
                the estimated aggregate amount of high cost outlier 
                payments for standard Federal payment rate discharges 
                for each such fiscal year would be equal to 8 percent 
                of estimated aggregate payments for standard Federal 
                payment rate discharges for each such fiscal year.
                    ``(B) Limitation on high cost outlier payment 
                amounts.--Notwithstanding subparagraph (A), the 
                Secretary shall set the fixed loss amount for high cost 
                outlier payments such that the estimated aggregate 
                amount of high cost outlier payments made for standard 
                Federal payment rate discharges for fiscal years 
                beginning on or after October 1, 2016, shall be equal 
                to 99.0625 percent of 8 percent of estimated aggregate 
                payments for standard Federal payment rate discharges 
                for each such fiscal year.
                    ``(C) Waiver of budget neutrality.--Any reduction 
                in payments resulting from the application of 
                subparagraph (B) shall not be taken into account in 
                applying any budget neutrality provision under such 
                system.
                    ``(D) No effect on site neutral high cost outlier 
                payment rate.--This paragraph shall not apply with 
                respect to the computation of the applicable site 
                neutral payment rate under paragraph (6), except for 
                the standard Federal payment rate portion of blended 
                payment rates determined under subparagraph 
                (B)(iii)(II) of such paragraph.''.
                                                 Union Calendar No. 113

114th CONGRESS

  1st Session

                               H. R. 2580

                          [Report No. 114-156]

_______________________________________________________________________

                                 A BILL

   To provide for a technical change to the Medicare long-term care 
         hospital moratorium exception, and for other purposes.

_______________________________________________________________________

                             June 16, 2015

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed