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To amend title XVIII of the Social Security Act to clarify reasonable costs for critical access hospital payments under the Medicare program, and for other purposes.

USA115th CongressHR-3224| House 
| Updated: 7/25/2017
Gregg Harper

Gregg Harper

Republican Representative

Mississippi

Cosponsors (11)
David Loebsack (Democratic)Trent Kelly (Republican)Steven M. Palazzo (Republican)Bruce Poliquin (Republican)Collin C. Peterson (Democratic)David B. McKinley (Republican)Kevin Cramer (Republican)Ron Kind (Democratic)Yvette D. Clarke (Democratic)Bennie G. Thompson (Democratic)Evan H. Jenkins (Republican)

Ways and Means Committee, Health Subcommittee, Health Subcommittee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Critical Access and Rural Equity Act of 2017 or the CARE Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to specify that, for purposes of determining Medicare payment and reasonable costs for both inpatient and outpatient critical access hospital (CAH) services, the Centers for Medicare & Medicaid Services (CMS) shall recognize as allowable costs those related to specified emergency, diagnostic, anesthetist, community health, and off-campus clinical services. Furthermore, in determining payment and reasonable costs for both inpatient and outpatient CAH services, CMS shall not disallow payment to a CAH on the basis that such payment offsets the cost of a current permissible health care-related tax imposed on and paid by the CAH. CMS must make specified payment adjustments to account for such a tax. Generally, under current law, a facility must be located beyond a specified driving distance from another hospital or facility in order to be designated as a CAH. The bill specifies that this requirement does not apply with respect to a CAH's off-campus provider-based clinic. Current law further requires a facility to provide certain 24-hour emergency care services as a condition of designation as a CAH. The bill allows CMS to waive this requirement with respect to a facility that coordinates with a nearby facility or hospital that provides such services.
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Timeline
Jul 13, 2017
Introduced in House
Jul 13, 2017
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.
Jul 14, 2017
Referred to the Subcommittee on Health.
Jul 25, 2017
Referred to the Subcommittee on Health.
  • July 13, 2017
    Introduced in House


  • July 13, 2017
    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.


  • July 14, 2017
    Referred to the Subcommittee on Health.


  • July 25, 2017
    Referred to the Subcommittee on Health.

Health

Emergency medical services and trauma careHealth care coverage and accessHealth facilities and institutionsHome and outpatient careHospital careMedicaidMedicare

To amend title XVIII of the Social Security Act to clarify reasonable costs for critical access hospital payments under the Medicare program, and for other purposes.

USA115th CongressHR-3224| House 
| Updated: 7/25/2017
Critical Access and Rural Equity Act of 2017 or the CARE Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to specify that, for purposes of determining Medicare payment and reasonable costs for both inpatient and outpatient critical access hospital (CAH) services, the Centers for Medicare & Medicaid Services (CMS) shall recognize as allowable costs those related to specified emergency, diagnostic, anesthetist, community health, and off-campus clinical services. Furthermore, in determining payment and reasonable costs for both inpatient and outpatient CAH services, CMS shall not disallow payment to a CAH on the basis that such payment offsets the cost of a current permissible health care-related tax imposed on and paid by the CAH. CMS must make specified payment adjustments to account for such a tax. Generally, under current law, a facility must be located beyond a specified driving distance from another hospital or facility in order to be designated as a CAH. The bill specifies that this requirement does not apply with respect to a CAH's off-campus provider-based clinic. Current law further requires a facility to provide certain 24-hour emergency care services as a condition of designation as a CAH. The bill allows CMS to waive this requirement with respect to a facility that coordinates with a nearby facility or hospital that provides such services.
View Full Text

Suggested Questions

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Timeline
Jul 13, 2017
Introduced in House
Jul 13, 2017
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.
Jul 14, 2017
Referred to the Subcommittee on Health.
Jul 25, 2017
Referred to the Subcommittee on Health.
  • July 13, 2017
    Introduced in House


  • July 13, 2017
    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.


  • July 14, 2017
    Referred to the Subcommittee on Health.


  • July 25, 2017
    Referred to the Subcommittee on Health.
Gregg Harper

Gregg Harper

Republican Representative

Mississippi

Cosponsors (11)
David Loebsack (Democratic)Trent Kelly (Republican)Steven M. Palazzo (Republican)Bruce Poliquin (Republican)Collin C. Peterson (Democratic)David B. McKinley (Republican)Kevin Cramer (Republican)Ron Kind (Democratic)Yvette D. Clarke (Democratic)Bennie G. Thompson (Democratic)Evan H. Jenkins (Republican)

Ways and Means Committee, Health Subcommittee, Health Subcommittee, Energy and Commerce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Emergency medical services and trauma careHealth care coverage and accessHealth facilities and institutionsHome and outpatient careHospital careMedicaidMedicare