Sec. 3. Hospice care
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Section 1861(dd)(4) of the Social Security Act ( 42 U.S.C. 1395x(dd)(4) ) is amended by adding at the end the following new subparagraph: Any entity that is certified as a hospice program shall be subject to a standard survey by an appropriate State or local survey agency, or an approved accreditation agency, as determined by the Secretary, not less frequently than once every 36 months beginning 6 months after the date of the enactment of this subparagraph and ending September 30, 2025. . For purposes of carrying out subparagraph
(C)of section 1861(dd)(4) of the Social Security Act ( 42 U.S.C. 1395x(dd)(4) ), as added by paragraph (1), there shall be transferred from the Federal Hospital Insurance Trust Fund under section 1817 of such Act ( 42 U.S.C. 1395i ) to the Centers for Medicare & Medicaid Services Program Management Account— $25,000,000 for fiscal years 2015 through 2017, to be made available for such purposes in equal parts for each such fiscal year; and $45,000,000 for fiscal years 2018 through 2025, to be made available for such purposes in equal parts for each such fiscal year. Section 1879 of the Social Security Act ( 42 U.S.C. 1395pp ) is amended by adding at the end the following new subsection: The provisions of this section shall apply with respect to a denial of a payment under this title by reason of section 1814(a)(7)(E) in the same manner as such provisions apply with respect to a denial of a payment under this title by reason of section 1862(a)(1). . Section 1814(a)(7) of the Social Security Act ( 42 U.S.C. 1395f(a)(7) ) is amended— in subparagraph (C), by striking and at the end; in subparagraph (D), in the matter preceding clause (i), by inserting (and, in the case of clause (ii), before the date of enactment of subparagraph (E)) after 2011 ; and by adding at the end the following new subparagraph: on and after the date of enactment of this subparagraph, in the case of hospice care provided an individual for more than 180 days by a hospice program for which the number of such cases for such program comprises more than a percent (specified by the Secretary) of the total number of all cases of individuals provided hospice care by the program under this title, the hospice care provided to such individual is medically reviewed (in accordance with procedures established by the Secretary); and . Section 1814(i)(2)(B) of the Social Security Act ( 42 U.S.C. 1395f(i)(2)(B) ) is amended— by striking
(B)For purposes and inserting (B)(i) Except as provided in clause (ii), for purposes ; and by adding at the end the following: For purposes of subparagraph
(A)for accounting years that end after September 30, 2016, and before October 1, 2025, the cap amount is the cap amount under this subparagraph for the preceding accounting year updated by the percentage update to payment rates for hospice care under paragraph (1)(C) for services furnished during the fiscal year beginning on the October 1 preceding the beginning of the accounting year (including the application of any productivity or other adjustment under clause
(iv)of that paragraph). For accounting years that end after September 30, 2025, the cap amount shall be computed under clause
(i)as if clause
(ii)had never applied. . Section 1898 of the Social Security Act ( 42 U.S.C. 1395iii ) is amended— by amending the heading to read as follows: ; Medicare Improvement Fund by amending subsection
(a)to read as follows: The Secretary shall establish under this title a Medicare Improvement Fund (in this section referred to as the ‘Fund’) which shall be available to the Secretary to make improvements under the original Medicare fee-for-service program under parts A and B for individuals entitled to, or enrolled for, benefits under part or enrolled under part B including adjustments to payments for items and services furnished by providers of services and suppliers under such original Medicare fee-for-service program. ; in subsection (b)(1), by striking during and all that follows and inserting during and after fiscal year 2020, $195,000,000. ; and in subsection (b)(2), by striking from the Federal and all that follows and inserting from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund in such proportion as the Secretary determines appropriate. .
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