Sec. 221. Adoption of MedPAC hospice payment methodology recommendations
333 words·~2 min read·
/bill/113/s/3009/is/section-221A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1814(i) of the Social Security Act ( 42 U.S.C. 1395f(i) ) is amended by adding at the end the following new paragraph: The Secretary shall conduct an evaluation of the recommendations of the Medicare Payment Commission for reforming the hospice care benefit under this title that are contained in chapter 6 of the Commission's report entitled Report to Congress: Medicare Payment Policy (March 2009) , including the impact that such recommendations if implemented would have on access to care and the quality of care.
In conducting such evaluation, the Secretary shall take into account data collected in accordance with section 263(b) of the Advance Planning and Compassionate Care Act of 2014 . Based on the results of the examination conducted under subparagraph (A), the Secretary shall make appropriate refinements to the recommendations described in subparagraph (A). Such refinements shall take into account— the impact on patient populations with longer that average lengths of stay; the impact on populations with shorter that average lengths of stay; and the utilization patterns of hospice providers in underserved areas, including rural hospices.
Not later than January 1, 2018, the Secretary shall submit to Congress a report that contains a detailed description of— the refinements determined appropriate by the Secretary under subparagraph (B); the revisions that the Secretary will implement through regulation under this title pursuant to subparagraph (D); and the revisions that the Secretary determines require additional legislative action by Congress. The Secretary shall implement the recommendations described in subparagraph (A), as refined under subparagraph (B).
Subject to clause (iii), the implementation of such recommendations shall apply to hospice care furnished on or after January 1, 2019. The Secretary shall establish an appropriate transition to the implementation of such recommendations. For purposes of carrying out the provisions of this paragraph, the Secretary shall provide for the transfer, from the Federal Hospital Insurance Trust Fund under section 1817, of such sums as may be necessary to the Centers for Medicare & Medicaid Services Program Management Account. .
Connectionstraces to 1
Traces to 1 document
Citation graph
cites case law
Sec. 221
Adoption of MedPAC hospice payment methodology recommendations
Cites 1Cited by 0 across 0 sources