US Congress House Bill 5273 (Prior Session Legislation)

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Spectrum: Bipartisan Bill
Status: Engrossed on June 8 2016 - 50% progression, died in committee
Action: 2016-06-08 - Received in the Senate and Read twice and referred to the Committee on Finance.
Pending: Senate Finance Committee
Text: Latest bill text (Engrossed) [PDF]

Helping Hospitals Improve Patient Care Act of 2016 TITLE I--PROVISIONS RELATING TO MEDICARE PART A (Sec. 101) The bill amends title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare & Medicaid Services (CMS) to develop, with respect to claims for hospital services, codes under the Healthcare Common Procedure Coding System (HCPCS) for similar inpatient and outpatient hospital services. (Sec. 102) The bill establishes processes for adjusting a hospital's Medicare payments based on the hospital's overall proportion of inpatients who are dually eligible for Medicare and Medicaid. (Sec. 103) The bill extends for five years the Rural Community Hospital Demonstration Program, through which Medicare pays certain rural hospitals on the basis of reasonable incurred costs rather than under the standard prospective payment system. (Sec. 104) With respect to long-term care hospitals, the bill lifts a moratorium on bed increases. The bill reduces rates for high-cost outlier payments, which are additional Medicare payments made in extraordinarily high-cost cases. (Sec. 105) The bill reduces the amount by which hospital payment rates for inpatient services increase in FY2018. TITLE II--PROVISIONS RELATING TO MEDICARE PART B (Sec. 201) The bill excludes certain off-campus outpatient departments (OPDs) from specified rules that mandate lower Medicare payments. Specifically, the exclusion applies to: (1) cancer hospitals in off-campus OPDs, and (2) mid-build OPDs. A "mid-build" OPD is one for which the provider had, before a certain date, a binding written agreement with an outside party for construction. (Sec. 203) With respect to payment reductions for failing to meet requirements for the meaningful use of electronic health records (EHRs), the bill exempts eligible professionals who are based in ambulatory surgical centers. TITLE III--OTHER MEDICARE PROVISIONS (Sec. 301) Until plan year 2019, CMS may not terminate an MA plan solely because the plan failed to achieve a specified minimum quality rating. (Sec. 302) CMS must annually report on Medicare enrollment data, as specified by the bill. (Sec. 303) CMS shall: (1) request information and recommendations from stakeholders on information included in the Welcome to Medicare package, and (2) update the information included in the package accordingly.

Helping Hospitals Improve Patient Care Act of 2016

Rep. Patrick Tiberi [R-OH]

Rep. Jim McDermott [D-WA]

Date	Chamber	Action
2016-06-08	Senate	Received in the Senate and Read twice and referred to the Committee on Finance.
2016-06-07	House	Motion to reconsider laid on the table Agreed to without objection.
2016-06-07	House	On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H3470-3473)
2016-06-07	House	DEBATE - The House proceeded with forty minutes of debate on H.R. 5273.
2016-06-07	House	Considered under suspension of the rules. (consideration: CR H3470-3475)
2016-06-07	House	Mr. Tiberi moved to suspend the rules and pass the bill, as amended.
2016-06-07	House	Placed on the Union Calendar, Calendar No. 470.
2016-06-07	House	Committee on Energy and Commerce discharged.
2016-06-07	House	Reported (Amended) by the Committee on Ways and Means. H. Rept. 114-604, Part I.
2016-05-24	House	Ordered to be Reported (Amended) by Voice Vote.
2016-05-24	House	Committee Consideration and Mark-up Session Held.
2016-05-19	House	Referred to the Subcommittee on Health.
2016-05-18	House	Referred to House Energy and Commerce
2016-05-18	House	Referred to House Ways and Means
2016-05-18	House	Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
2016-05-18	House	Introduced in House

HB5268 (Related) 2016-05-20 - Referred to the Subcommittee on Health.
HB441 (Related) 2015-02-27 - Referred to the Subcommittee on Health.
HB672 (Related) 2015-02-12 - Referred to the Subcommittee on Health.
HB2506 (Related) 2015-06-16 - Placed on the Union Calendar, Calendar No. 114.
HB2580 (Related) 2015-06-16 - Placed on the Union Calendar, Calendar No. 113.
HB3291 (Related) 2015-08-12 - Referred to the Subcommittee on Health.
SB202 (Related) 2015-01-21 - Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S349)
SB607 (Related) 2016-02-05 - Referred to the Subcommittee on Health.

Type	Source
Summary	https://www.congress.gov/bill/114th-congress/house-bill/5273/all-info
Text	https://www.congress.gov/114/bills/hr5273/BILLS-114hr5273ih.pdf
Text	https://www.congress.gov/114/bills/hr5273/BILLS-114hr5273rh.pdf
Text	https://www.congress.gov/114/bills/hr5273/BILLS-114hr5273eh.pdf