Sec. 301. Maintain an economically stable dialysis infrastructure
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Section 1881(b)(14) of the Social Security Act ( 42 U.S.C. 1395rr(b)(14) ) is amended— in subparagraph (D), in the matter preceding clause (i), by striking Such system and inserting Subject to subparagraph (J), such system ; and by adding at the end the following new subparagraph: For payment for renal dialysis services furnished on or after January 1, 2018, under the system under this paragraph— the payment adjustment described in clause
(i)of subparagraph (D)— shall not take into account comorbidities; and shall only take into account age for purposes of distinguishing between individuals who are under 18 years of age and those who are 18 years of age and older but shall not include any other adjustment for age; the Secretary shall reassess any adjustments related to patient weight under such clause; the payment adjustment described in clause
(ii)of such subparagraph shall not be included; the standardization factor described in the final rule published in the Federal Register on November 8, 2012 (77 Fed. Reg. 67470), shall be established using the most currently available data (and not historical data) and adjusted on an annual basis, based on such available data, to account for any change in utilization of drugs and any modification in adjustors applied under this paragraph; and take into account reasonable costs for determining the payment rate consistent with paragraph (2)(B). . Section 1881(b)(14) of the Social Security Act ( 42 U.S.C. 1395rr(b)(14) ), as amended by subsection (a), is amended by adding at the end the following new subparagraph: Not later than January 1, 2018, the Secretary shall amend the ESRD facility cost report to include the per treatment network fee (as described in paragraph (7)) as an allowable cost or offset to revenue. .
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- 77 FR 67470
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