Section 1 Short title
This Act may be cited as the “LTCH Technical Correction Act of 2015”.
LTCH Technical Correction Act of 2015
A BILL
To provide for a technical change to the Medicare long-term care hospital moratorium exception, and for other purposes.
Sec. 2 Technical change to the Medicare long-term care hospital moratorium exception
In general— Section 114(d) of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (42 U.S.C. 1395ww note), as amended by sections 3106(b) and 10312(b) of Public Law 111–148, section 1206(b)(2) of the Pathway for SGR Reform Act of 2013 (division B of Public Law 113–67), and section 112 of the Protecting Access to Medicare Act of 2014, is amended, in paragraph (7), by striking “The moratorium under paragraph (1)(A)” and inserting “Any moratorium under paragraph (1)” in the matter preceding subparagraph (A).
Effective date— The amendment made by subsection (a) shall take effect as if included in the enactment of section 112 of the Protecting Access to Medicare Act of 2014.
Sec. 3 Modification to Medicare long-term care hospital high cost outlier payments
Section 1886(m) of the Social Security Act (42 U.S.C. 1395ww(m)) is amended by adding at the end the following new paragraph:
“(7) Treatment of high cost outlier payments
“(A) Adjustment to the standard Federal payment rate for estimated high cost outlier payments—Under the system described in paragraph (1), for fiscal years beginning on or after October 1, 2016, the Secretary shall reduce the standard Federal payment rate as if the estimated aggregate amount of high cost outlier payments for standard Federal payment rate discharges for each such fiscal year would be equal to 8 percent of estimated aggregate payments for standard Federal payment rate discharges for each such fiscal year.
“(B) Limitation on high cost outlier payment amounts—Notwithstanding subparagraph (A), the Secretary shall set the fixed loss amount for high cost outlier payments such that the estimated aggregate amount of high cost outlier payments made for standard Federal payment rate discharges for fiscal years beginning on or after October 1, 2016, shall be equal to 99.0625 percent of 8 percent of estimated aggregate payments for standard Federal payment rate discharges for each such fiscal year.
“(C) Waiver of budget neutrality—Any reduction in payments resulting from the application of subparagraph (B) shall not be taken into account in applying any budget neutrality provision under such system.
“(D) No effect on site neutral high cost outlier payment rate—This paragraph shall not apply with respect to the computation of the applicable site neutral payment rate under paragraph (6), except for the standard Federal payment rate portion of blended payment rates determined under subparagraph (B)(iii)(II) of such paragraph.”