Sec. 143. Promoting Medicare site-neutral payments
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Section 1833(t)(21)(B) of the Social Security Act ( 42 U.S.C. 1395l(t)(21)(B) ) is amended to read as follows: For purposes of paragraph (1)(B)(v) and this paragraph, the term off-campus outpatient department of a provider means a department of a provider (as defined in section 413.65(a)(2) of title 42 of the Code of Federal Regulations, as in effect as of the date of the enactment of the Bipartisan Budget Act of 2015) that is not located— on the campus (as defined in such section 413.65(a)(2)) of such provider; or within the distance (described in such definition of campus) from a remote location of a hospital facility (as defined in such section 413.65(a)(2)). .
The amendment made by paragraph
(1)shall apply with respect to items and services furnished on or after January 1, 2026. Section 1833(t)(21)(A) of the Social Security Act ( 42 U.S.C. 1395l(t)(21)(A) ) is amended by inserting before January 1, 2026 after furnished . Section 1833(t)(2)(F) of the Social Security Act ( 42 U.S.C. 1395l(t)(2)(F) ) is amended by adding at the end the following new sentence: Such method may include actions determined appropriate by the Secretary to promote site-neutral payment policies to reduce expenditures attributable to items and services furnished under this part, such as actions to prevent hospitals from billing for items and services furnished at an off-campus outpatient department of a provider as if such items and services were furnished at such hospital. . Section 1173(b) of the Social Security Act ( 42 U.S.C. 1320d–2(b) ) is amended by adding at the end the following new paragraph: The standards specified under paragraph
(1)shall ensure that, not later than January 1, 2026, each off-campus outpatient department of a provider (as defined in section 1833(t)(21)(B)) is assigned a separate unique health identifier from such provider. . Not later than January 1, 2026, the Secretary of Health and Human Services shall revise sections 162.408 and 162.410 of title 45, Code of Federal Regulations, to ensure that each off-campus outpatient department of a provider (as defined in section 1833(t)(21)(B) of the Social Security Act ( 42 U.S.C. 1395l(t)(21)(B) )) is treated as a subpart (as described in such sections) of such provider and assigned a unique health identifier pursuant to section 1173(b)(3) of such Act (as added by paragraph (1)).
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- 42 USC 1320d–2(b)
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