Sec. 2701. Payment for early discharges to hospice care
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Section 1886(d)(5)(J) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(J) ) is amended— in clause (ii)— in subclause (III), by striking or at the end; by redesignating subclause
(IV)as subclause (V); and by inserting after subclause
(III)the following new subclause: for discharges occurring on or after October 1, 2022, is provided hospice care by a hospice program; or ; and in clause (iv)— by inserting after the first sentence the following new sentence: The Secretary shall include in the proposed rule published for fiscal year 2023, a description of the effect of clause (ii)(IV). ; and in subclause (I), by striking and
(III)and inserting (III), and, in the case of proposed and final rules for fiscal year 2023 and subsequent fiscal years,
(IV). The Medicare Payment Advisory Commission (in this subsection referred to as the Commission ) shall conduct an evaluation of the effects of the amendments made by subsection (a), including the effects on— the numbers of discharges of patients from an inpatient hospital setting to a hospice program; the lengths of stays of patients in an inpatient hospital setting who are discharged to a hospice program; spending under the Medicare program under title XVIII of the Social Security Act; and other areas determined appropriate by the Commission. In conducting the evaluation under paragraph (1), the Commission shall consider factors such as whether the timely access to hospice care by patients admitted to a hospital has been affected through changes to hospital policies or behaviors made as a result of such amendments. Not later than March 15, 2024, the Commission shall provide Congress with preliminary results on the evaluation being conducted under paragraph (1). Not later than March 15, 2025, the Commission shall submit to Congress a report on the evaluation conducted under paragraph (1).
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Sec. 2701
Payment for early discharges to hospice care
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