Sec. 50204. EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS
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## SEC. 50204 EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS ###
(a)In General Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended— ####
(1)in subparagraph (B), in the matter preceding clause (i), by striking “fiscal year 2018” and inserting “fiscal year 2023”; ####
(2)in subparagraph (C)— #####
(A)in clause (i)— ######
(i)by striking “through 2017” the first place it appears and inserting “through 2022”; and ######
(ii)by striking “ and has less than 800 discharges ” and all that follows through the period at the end and inserting the following > “and has— > > > ###### “(I) > > with respect to each of fiscal years 2005 through 2010, less than 800 discharges during the fiscal year; > > > ###### “(II) > > with respect to each of fiscal years 2011 through 2018, less than 1,600 discharges of individuals entitled to, or enrolled for, benefits under part A during the fiscal year or portion of fiscal year; > > > ###### “(III) > > with respect to each of fiscal years 2019 through 2022, less than 3,800 discharges during the fiscal year; and > > > ###### “(IV) > > with respect to fiscal year 2023 and each subsequent fiscal year, less than 800 discharges during the fiscal year.” > ; and #####
(B)in clause (ii)— ######
(i)by striking “subparagraph (B)” and inserting “subparagraphs
(B)and (D)”; and ######
(ii)by inserting “(except as provided in clause (i)(II) and subparagraph (D)(i))” after “regardless”; and ####
(3)in subparagraph (D)— #####
(A)by striking “through 2017” and inserting “through 2022”; #####
(B)by striking “ hospitals with 200 or fewer ” and inserting the following: > “hospitals— > > > ###### “(i) > > with respect to each of fiscal years 2011 through 2018, with 200 or fewer” > ; #####
(C)by striking the period at the end and inserting “or portion of fiscal year; and”; and #####
(D)by adding at the end the following new clause: > > ###### “(ii) > > with respect to each of fiscal years 2019 through 2022, with 500 or fewer discharges in the fiscal year to 0 percent for low-volume hospitals with greater than 3,800 discharges in the fiscal year.” > . ###
(b)MedPAC Report on Extension of Increased Inpatient Hospital Payment Adjustment for Certain Low-volume Hospitals ####
(1)In general Not later than March 15, 2022, the Medicare Payment Advisory Commission shall submit to Congress a report on the extension of the increased inpatient hospital payment adjustment for certain low-volume hospitals under section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) under the provisions of, and amendments made by, this section. ####
(2)Contents The report under paragraph
(1)shall include an evaluation of the effects of such extension on the following: #####
(A)Beneficiary utilization of inpatient hospital services under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.). #####
(B)The financial status of hospitals with a low volume of Medicare or total inpatient admissions. #####
(C)Program spending under such title XVIII. #####
(D)Other matters relevant to evaluating the effects of such extension.
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Sec. 50204
EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS
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