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US Laws | Affordable Health Care Act (HR3950F)
TITLE X--STRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS
Subtitle C--Provisions Relating to Title III

"(A) population density and relative patient access to care; (13001)

"(B) variations in service costs for providing care to individuals who are dually eligible under the Medicare and Medicaid programs; (13002)

"(C) the presence of severe or chronic diseases, which might be measured by multiple, discontinuous home health episodes; (13003)

"(D) poverty status, such as evidenced by the receipt of Supplemental Security Income under title XVI of the Social Security Act; and (13004)

"(E) other factors determined appropriate by the Secretary. (13005)

"(3) REPORT- Not later than March 1, 2014, the Secretary shall submit to Congress a report on the study conducted under paragraph (1), together with recommendations for such legislation and administrative action as the Secretary determines appropriate. (13006)

"(4) CONSULTATIONS- In conducting the study under paragraph (1), the Secretary shall consult with appropriate stakeholders, such as groups representing home health agencies and groups representing Medicare beneficiaries. (13007)

"(5) MEDICARE DEMONSTRATION PROJECT BASED ON THE RESULTS OF THE STUDY- (13008)

"(A) IN GENERAL- Subject to subparagraph (D), taking into account the results of the study conducted under paragraph (1), the Secretary may, as determined appropriate, provide for a demonstration project to test whether making payment adjustments for home health services under the Medicare program would substantially improve access to care for patients with high severity levels of illness or for low-income or underserved Medicare beneficiaries. (13009)

"(B) WAIVING BUDGET NEUTRALITY- The Secretary shall not reduce the standard prospective payment amount (or amounts) under section 1895 of the Social Security Act (42 U.S.C. 1395fff) applicable to home health services furnished during a period to offset any increase in payments during such period resulting from the application of the payment adjustments under subparagraph (A). (13010)

"(C) NO EFFECT ON SUBSEQUENT PERIODS- A payment adjustment resulting from the application of subparagraph (A) for a period-- (13011)

"(i) shall not apply to payments for home health services under title XVIII after such period; and (13012)

"(ii) shall not be taken into account in calculating the payment amounts applicable for such services after such period. (13013)

"(D) DURATION- If the Secretary determines it appropriate to conduct the demonstration project under this subsection, the Secretary shall conduct the project for a four year period beginning not later than January 1, 2015. (13014)

"(E) FUNDING- The Secretary shall provide for the transfer from the Federal Hospital Insurance Trust Fund under section 1817 of the Social Security Act (42 U.S.C. 1395i) and the Federal Supplementary Medical Insurance Trust Fund established under section 1841 of such Act (42 U.S.C. 1395t), in such proportion as the Secretary determines appropriate, of $500,000,000 for the period of fiscal years 2015 through 2018. Such funds shall be made available for the study described in paragraph (1) and the design, implementation and evaluation of the demonstration described in this paragraph. Amounts available under this subparagraph shall be available until expended. (13015)

"(F) EVALUATION AND REPORT- If the Secretary determines it appropriate to conduct the demonstration project under this subsection, the Secretary shall-- (13016)

"(i) provide for an evaluation of the project; and (13017)

"(ii) submit to Congress, by a date specified by the Secretary, a report on the project. (13018)

"(G) ADMINISTRATION- Chapter 35 of title 44, United States Code, shall not apply with respect to this subsection.". (13019)

SEC. 10316. MEDICARE DSH. (13020)(Text)

Section 1886(r)(2)(B) of the Social Security Act, as added by section 3133, is amended-- (13021)

(1) in clause (i)-- (13022)

(A) in the matter preceding subclause (I), by striking "(divided by 100)"; (13023)

(B) in subclause (I), by striking "2012" and inserting "2013"; (13024)

(C) in subclause (II), by striking the period at the end and inserting a comma; and (13025)

(D) by adding at the end the following flush matter: (13026)

"minus 1.5 percentage points.". (13027)

(2) in clause (ii)-- (13028)

(A) in the matter preceding subclause (I), by striking "(divided by 100)"; (13029)

(B) in subclause (I), by striking "2012" and inserting "2013"; (13030)

(C) in subclause (II), by striking the period at the end and inserting a comma; and (13031)

(D) by adding at the end the following flush matter: (13032)

"and, for each of 2018 and 2019, minus 1.5 percentage points.". (13033)

SEC. 10317. REVISIONS TO EXTENSION OF SECTION 508 HOSPITAL PROVISIONS. (13034)(Text)

Section 3137(a) is amended to read as follows: (13035)

"(a) Extension- (13036)

"(1) IN GENERAL- Subsection (a) of section 106 of division B of the Tax Relief and Health Care Act of 2006 (42 U.S.C. 1395 note), as amended by section 117 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Public Law 110-173) and section 124 of the Medicare Improvements for Patients and Providers Act of 2008 (Public Law 110-275), is amended by striking "September 30, 2009" and inserting "September 30, 2010". (13037)

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