Sec. 115. CMI testing of new rural hospital delivery and payment model
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/bill/118/hr/833/ih/section-115·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1115A of the Social Security Act ( 42 U.S.C. 1315a ) is amended— in subsection (b)(2)(A), by adding at the end the following new sentence: The models selected under this subparagraph shall include the testing of a new rural hospital delivery and payment model (or models), as described in subsection (h). ; and by adding at the end the following new subsection: The Secretary shall test the implementation of a new rural hospital delivery and payment model (or models) that the Secretary determines would promote financially sustainable ways to ensure patient access to care in rural communities, which may include models under which such hospitals furnish outpatient emergency care services 24 hours a day, 7 days a week for which payment is made under title XVIII based on the amount determined under the prospective payment system for hospital outpatient department services under section 1833(t), plus a fixed rate for the cost of furnishing the emergency services.
Not later than 3 years after the date of the enactment of this subsection, the Secretary shall promulgate regulations to test a new rural hospital delivery and payment model (or models) described in subparagraph (A), unless Congress enacts legislation that establishes such a payment model (or models) prior to the promulgation of regulations pursuant to this subparagraph. Effective beginning on the date on which the testing of a new rural hospital delivery and payment model (or models) described in paragraph (1)(A) is implemented under this subsection or such a payment model (or models) is established through the enactment of legislation described in paragraph (1)(B), the Secretary shall provide a process under which— all critical access hospitals may transition to such new model or models under this subsection; and any facility that was designated as a critical access hospital pursuant to a certification by a State under section 1820(c)(2)(B)(i)(III) may revert to the prospective payment model (or models) under which the facility received payment under title XVIII prior to being so designated. .
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Sec. 115
CMI testing of new rural hospital delivery and payment model
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