Legis Daily

Securing Access to Care for Seniors in Critical Condition Act of 2025

USA119th CongressHR-1924| House 
| Updated: 3/6/2025
Kevin Hern

Kevin Hern

Republican Representative

Oklahoma

Cosponsors (7)
Mike Carey (Republican)Claudia Tenney (Republican)Donald G. Davis (Democratic)Lloyd Smucker (Republican)Brendan F. Boyle (Democratic)Carol D. Miller (Republican)John Joyce (Republican)

Ways and Means Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill proposes an amendment to Title XVIII of the Social Security Act, aiming to establish a new criterion that would prevent the application of site-neutral payments to certain discharges from long-term care hospitals (LTCHs) under the Medicare program. The legislation introduces a "high acuity criterion" to address concerns about reimbursement for complex patient care. Under this new criterion, a discharge from an LTCH would qualify for exemption if it is assigned to a Medicare-Severity-Long-Term-Care-Diagnosis-Related-Group (MS-LTC-DRG) with a relative weight of 0.8 or greater. This change is intended to ensure that LTCHs receive appropriate reimbursement for treating medically complex patients. If enacted, these provisions would apply to discharges occurring on or after October 1, 2026 , allowing these specific high-acuity cases to be paid at higher, facility-specific rates rather than the lower site-neutral rates.
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Timeline

Bill from Previous Congress

HR 117-9658
Securing Access to Care for Seniors in Critical Condition Act of 2022

Bill from Previous Congress

HR 118-8576
Securing Access to Care for Seniors in Critical Condition Act of 2024
Mar 6, 2025
Introduced in House
Mar 6, 2025
Referred to the House Committee on Ways and Means.
  • Bill from Previous Congress

    HR 117-9658
    Securing Access to Care for Seniors in Critical Condition Act of 2022


  • Bill from Previous Congress

    HR 118-8576
    Securing Access to Care for Seniors in Critical Condition Act of 2024


  • March 6, 2025
    Introduced in House


  • March 6, 2025
    Referred to the House Committee on Ways and Means.

Health

Securing Access to Care for Seniors in Critical Condition Act of 2025

USA119th CongressHR-1924| House 
| Updated: 3/6/2025
This bill proposes an amendment to Title XVIII of the Social Security Act, aiming to establish a new criterion that would prevent the application of site-neutral payments to certain discharges from long-term care hospitals (LTCHs) under the Medicare program. The legislation introduces a "high acuity criterion" to address concerns about reimbursement for complex patient care. Under this new criterion, a discharge from an LTCH would qualify for exemption if it is assigned to a Medicare-Severity-Long-Term-Care-Diagnosis-Related-Group (MS-LTC-DRG) with a relative weight of 0.8 or greater. This change is intended to ensure that LTCHs receive appropriate reimbursement for treating medically complex patients. If enacted, these provisions would apply to discharges occurring on or after October 1, 2026 , allowing these specific high-acuity cases to be paid at higher, facility-specific rates rather than the lower site-neutral rates.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

HR 117-9658
Securing Access to Care for Seniors in Critical Condition Act of 2022

Bill from Previous Congress

HR 118-8576
Securing Access to Care for Seniors in Critical Condition Act of 2024
Mar 6, 2025
Introduced in House
Mar 6, 2025
Referred to the House Committee on Ways and Means.
  • Bill from Previous Congress

    HR 117-9658
    Securing Access to Care for Seniors in Critical Condition Act of 2022


  • Bill from Previous Congress

    HR 118-8576
    Securing Access to Care for Seniors in Critical Condition Act of 2024


  • March 6, 2025
    Introduced in House


  • March 6, 2025
    Referred to the House Committee on Ways and Means.
Kevin Hern

Kevin Hern

Republican Representative

Oklahoma

Cosponsors (7)
Mike Carey (Republican)Claudia Tenney (Republican)Donald G. Davis (Democratic)Lloyd Smucker (Republican)Brendan F. Boyle (Democratic)Carol D. Miller (Republican)John Joyce (Republican)

Ways and Means Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted