[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 3693 Introduced in Senate (IS)]

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115th CONGRESS
  2d Session
                                S. 3693

  To amend title XVIII of the Social Security Act to provide for the 
                 treatment of certain cancer hospitals.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           November 29, 2018

   Mr. Hatch introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII of the Social Security Act to provide for the 
                 treatment of certain cancer hospitals.

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

SECTION 1. TREATMENT OF CERTAIN CANCER HOSPITALS.

    (a) In General.--Section 1886(d)(1)(B)(v) of the Social Security 
Act (42 U.S.C. 1395ww(d)(1)(B)(v)) is amended--
            (1) in subclause (II), by striking ``or'' at the end; and
            (2) by adding at the end the following new subclause:
            ``(IV) a hospital that was designated as a comprehensive 
        cancer center by the National Cancer Institute of the National 
        Institutes of Health before the date of the enactment of this 
        subclause, and that is located in a State with less than 35 
        people per square mile based on 2010 data published by the 
        Bureau of the Census, or''.
    (b) Special Rule for Eligible Hospitals.--In the case of a hospital 
described in section 1886(d)(1)(B)(v)(IV) of the Social Security Act, 
as added by subsection (a), that elects not to be treated as a 
subsection (d) hospital pursuant to such section (in this section 
referred to as an ``eligible hospital''), for purposes of the 
provisions of section 412.22(e) of title 42, Code of Federal 
Regulations (or any successor regulations), the eligible hospital shall 
not be denied an exemption from the prospective payment system under 
section 1886(d) of the Social Security Act (42 U.S.C. 1395ww) solely 
because the eligible hospital and another hospital are both under the 
control of any third entity (including with respect to the governing 
body, the chief medical officer, or the chief executive officer of the 
eligible hospital).
    (c) Effective Date.--The amendments made by subsection (a) shall 
apply to eligible hospitals in cost reporting periods beginning on or 
after the date of the enactment of this Act.
    (d) Budget Neutrality.--The Secretary shall make a proportional 
adjustment in the standardized amounts otherwise determined under 
subsection (d)(3) of section 1886 of the Social Security Act (42 U.S.C. 
1395ww), for cost reporting periods beginning on or after the date of 
enactment of this Act, to assure that the provisions of subclause (IV) 
of subsection (d)(1)(B)(v) of such section, as added by subsection (a), 
do not result in aggregate payments under such section that are greater 
or less than those that would otherwise be made if such subclause had 
not been enacted.
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