[Congressional Record Volume 162, Number 178 (Friday, December 9, 2016)]
[Senate]
[Pages S7074-S7075]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 5181. Mr. PORTMAN (for Mr. Kirk) proposed an amendment to the bill
S. 1168, to amend title XVIII of the Social Security Act to preserve
access to rehabilitation innovation centers under the Medicare program;
as follows:
Strike all after the enacting clause and insert the
following:
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Preserving Rehabilitation
Innovation Centers Act of 2016''.
SEC. 2. FINDINGS.
Congress makes the following findings:
(1) In the United States, there are an estimated 1,181
inpatient rehabilitation facilities. Among these facilities
is a small group of inpatient rehabilitation institutions
that are contributing to the future of rehabilitation care
medicine, as well as to patient recovery, scientific
innovation, and quality of life.
(2) This unique category of inpatient rehabilitation
institutions treats the most complex patient conditions, such
as traumatic brain injury, stroke, spinal cord injury,
childhood disease, burns, and wartime injuries.
(3) These leading inpatient rehabilitation institutions are
all not-for-profit or Government-owned institutions and serve
a high volume of Medicare or Medicaid beneficiaries.
(4) These leading inpatient rehabilitation institutions
have been recognized by the Federal Government for their
contributions to cutting-edge research to develop solutions
that enhance quality of care, improve patient outcomes, and
reduce health care costs.
(5) These leading inpatient rehabilitation institutions
help to improve the practice and standard of rehabilitation
medicine across the Nation in urban, suburban, and rural
communities by training physicians, medical students, and
other clinicians, and providing care to patients from all 50
States.
(6) It is vital that these leading inpatient rehabilitation
institutions are supported so they can continue to lead the
Nation's efforts to--
(A) advance integrated, multidisciplinary rehabilitation
research;
(B) provide cutting-edge medical care to the most complex
rehabilitation patients;
(C) serve as education and training facilities for the
physicians, nurses, and other health professionals who serve
rehabilitation patients;
(D) ensure Medicare and Medicaid beneficiaries receive
state-of-the-art, high-quality rehabilitation care by
developing and disseminating best practices and advancing the
quality of care utilized by post-acute providers in all 50
States; and
(E) support other inpatient rehabilitation institutions in
rural areas to help ensure access to quality post-acute care
for patients living in these communities.
SEC. 3. STUDY AND REPORT RELATING TO THE COSTS INCURRED BY,
AND THE MEDICARE PAYMENTS MADE TO,
REHABILITATION INNOVATION CENTERS.
(a) In General.--Section 1886(j) of the Social Security Act
(42 U.S.C. 1395ww(j)) is amended--
(1) by redesignating paragraph (8) as paragraph (9); and
(2) by inserting after paragraph (7) the following new
paragraph:
``(8) Study and report relating to the costs incurred by,
and the medicare payments made to, rehabilitation innovation
centers.--
``(A) Study.--The Secretary shall conduct a study to assess
the costs incurred by rehabilitation innovation centers (as
defined in subparagraph (C)) that are beyond the prospective
rate for each of the following activities:
``(i) Furnishing items and services to individuals under
this title.
``(ii) Conducting research.
``(iii) Providing medical training.
``(B) Report.--Not later than July 1, 2019, the Secretary
shall submit to Congress a report containing the results of
the study under subparagraph (A), together with
recommendations for such legislation and administrative
action as the Secretary determines appropriate.
``(C) Rehabilitation innovation center defined.--
``(i) In general.--In this paragraph, the term
`rehabilitation innovation center'
[[Page S7075]]
means a rehabilitation facility that, determined as of the
date of the enactment of this paragraph, is described in
clause (ii) or clause (iii).
``(ii) Not-for-profit.--A rehabilitation facility described
in this clause is a facility that--
``(I) is classified as a not-for-profit entity under the
IRF Rate Setting File for the Correction Notice for the
Inpatient Rehabilitation Facility Prospective Payment System
for Federal Fiscal Year 2012 (78 Fed. Reg. 59256);
``(II) holds at least one Federal rehabilitation research
and training designation for research projects on traumatic
brain injury, spinal cord injury, or stroke rehabilitation
research from the Rehabilitation Research and Training
Centers or the Rehabilitation Engineering Research Center at
the National Institute on Disability and Rehabilitation
Research at the Department of Education, based on such data
submitted to the Secretary by a facility, in a form, manner,
and time frame specified by the Secretary;
``(III) has a minimum Medicare case mix index of 1.1144 for
fiscal year 2012 according to the IRF Rate Setting File
described in subclause (I); and
``(IV) had at least 300 Medicare discharges or at least 200
Medicaid discharges in a prior year as determined by the
Secretary.
``(iii) Government-owned.--A rehabilitation facility
described in this clause is a facility that--
``(I) is classified as a Government-owned institution under
the IRF Rate Setting File described in clause (ii)(I);
``(II) holds at least one Federal rehabilitation research
and training designation for research projects on traumatic
brain injury, spinal cord injury, or stroke rehabilitation
research from the Rehabilitation Research and Training
Centers, the Rehabilitation Engineering Research Center, or
the Model Spinal Cord Injury Systems at the National
Institute on Disability and Rehabilitation Research at the
Department of Education, based on such data submitted to the
Secretary by a facility, in a form, manner, and time frame
specified by the Secretary;
``(III) has a minimum Medicare case mix index of 1.1144 for
2012 according to the IRF Rate Setting File described in
clause (ii)(I); and
``(IV) has a Medicare disproportionate share hospital (DSH)
percentage of at least 0.6300 according to the IRF Rate
Setting File described in clause (ii)(I)).''.
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