Sec. 53109. HOSPITAL TRANSFER POLICY FOR EARLY DISCHARGES TO HOSPICE CARE
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## SEC. 53109 HOSPITAL TRANSFER POLICY FOR EARLY DISCHARGES TO HOSPICE CARE ###
(a)In General Section 1886(d)(5)(J) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(J)) is amended— ####
(1)in clause (ii)— #####
(A)in subclause (III), by striking “or” at the end; #####
(B)by redesignating subclause
(IV)as subclause (V); and #####
(C)by inserting after subclause
(III)the following new subclause: > > ###### “(IV) > > for discharges occurring on or after October 1, 2018, is provided hospice care by a hospice program; or” > ; and ####
(2)in clause (iv)— #####
(A)by inserting after the first sentence the following new sentence: “The Secretary shall include in the proposed rule published for fiscal year 2019, a description of the effect of clause (ii)(IV).”; and #####
(B)in subclause (I), by striking “and (III)” and inserting “(III), and, in the case of proposed and final rules for fiscal year 2019 and subsequent fiscal years, (IV)”. ###
(b)MedPAC Evaluation and Report ####
(1)Evaluation 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— #####
(A)the numbers of discharges of patients from an inpatient hospital setting to a hospice program; #####
(B)the lengths of stays of patients in an inpatient hospital setting who are discharged to a hospice program; #####
(C)spending under the Medicare program under title XVIII of the Social Security Act; and #####
(D)other areas determined appropriate by the Commission. ####
(2)Consideration 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. ####
(3)Preliminary results Not later than March 15, 2020, the Commission shall provide Congress with preliminary results on the evaluation being conducted under paragraph (1). ####
(4)Report Not later than March 15, 2021, the Commission shall submit to Congress a report on the evaluation conducted under paragraph (1).
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Sec. 53109
HOSPITAL TRANSFER POLICY FOR EARLY DISCHARGES TO HOSPICE CARE
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