Section 1 Short title
This Act may be cited as the “Strengthening DSH and Medicare Through Subsidy Recapture and Payment Reform Act of 2015”.
Strengthening DSH and Medicare Through Subsidy Recapture and Payment Reform Act of 2015
A BILL
To amend title XVIII of the Social Security Act to change the method of determining disproportionate share hospital (DSH) payments under the Medicare program, and for other purposes.
Sec. 2 Change in determination of Medicare DSH payments
Paragraph (1) of section 1886(r) of the Social Security Act (42 U.S.C. 1395ww(r)) is amended—
by striking so much of such paragraph as precedes “fiscal year 2014” and inserting the following:
“(1) DSH payments
“(A) In general—Subject to subparagraph (B), for”
by striking “(which represents” and all that follows through “Report to the Congress)”; and
by adding at the end the following new subparagraph:
“(B) Aggregate limitation beginning with fiscal year 2017—As part of the rulemaking to carry out subsection (d) for fiscal year 2017 and each subsequent fiscal year, the Secretary shall estimate the aggregate amount of payments to be made for such fiscal year under subparagraph (A) (determined without regard to this subparagraph) and, if the amount so estimated exceeds $3,300,000,000, then each amount paid under subparagraph (A) for that fiscal year shall be multiplied by the ratio of $3,300,000,000 to the amount so estimated.”
Sec. 3 Additional DSH payment for certain qualifying hospitals
Section 1886(r) of the Social Security Act (42 U.S.C. 1395ww(r)) is amended—
by redesignating paragraph (3) as paragraph (4); and
by inserting after paragraph (2) the following new paragraph:
“(3) Additional payment for certain qualifying hospitals
“(A) In general—For fiscal year 2017 and each subsequent fiscal year, in addition to the payments made to a qualifying hospital under paragraphs (1) and (2), the Secretary shall pay to each qualifying hospital an amount equal to $1,000,000,000 multiplied by the factor that would be calculated under paragraph (2)(C) for such qualifying hospital if each reference in such paragraph to a subsection (d) hospital were treated as a reference to a qualifying hospital.
“(B) Qualifying hospital defined—In this paragraph, “qualifying hospital” means a subsection (d) hospital that is located in Alabama, Florida, Georgia, Idaho, Kansas, Louisiana, Maine, Mississippi, Missouri, Nebraska, North Carolina, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, or Wyoming.”
Sec. 4 Recapture of overpayments resulting from certain federally subsidized health insurance
In general— Paragraph (2) of section 36B(f) of the Internal Revenue Code of 1986 is amended by striking subparagraph (B).
Conforming amendment— So much of paragraph (2) of section 36B(f) of such Code, as amended by subsection (a), as precedes “advance payments” is amended to read as follows:
“(2) Excess advance payments—If the”
Effective date— The amendments made by this section shall apply to taxable years ending after December 31, 2015.