S. 1168 — what changed

changed This Act may be cited as the “Preserving Rehabilitation Innovation Centers Act of 2015”.2016”.

changed “(8) Indirect Study and report relating to the costs payment for incurred by, and the Medicare payments made to, rehabilitation innovation centers

changed “(A) Study relating to additional payments Study—The Secretary shall conduct a study to assess the costs incurred by rehabilitation innovation centers to account (as defined in subparagraph (C)) that are beyond the prospective rate for higher costs; authority to increase paymentseach of the following activities:

changed “(i) Study—Not later than July 1, 2017, the Secretary shall conduct a study to determine whether there should be an increase in the prospective payment rate that would otherwise be made to a rehabilitation innovation center under this subsection for purposes of covering the additional costs that are incurred by such centers in furnishing Furnishing items and services to individuals under this title, conducting research, and providing medical training, and if the Secretary determines that such an increase is recommended, the amount of such increase that is needed to cover such additional costs.title.

changed “(ii) Authority to increase payments—Insofar as the Secretary determines under clause (i) that there should be an increase in the prospective payment rate to rehabilitation innovation centers, the Secretary may provide on a prospective basis for an appropriate percentage increase in such rate.Conducting research.

changed “(B) Rehabilitation innovation center defined“(iii) Providing medical training.

changed “(i) In general—Subject to clause (iv), in this paragraph, “(B) Report—Not later than July 1, 2019, the term rehabilitation innovation center means Secretary shall submit to Congress a rehabilitation facility that, determined as of report containing the date results of the enactment of this paragraph, is described in clause (ii) or clause (iii).study under subparagraph (A), together with recommendations for such legislation and administrative action as the Secretary determines appropriate.

added “(C) Rehabilitation innovation center defined

added “(i) In general—In this paragraph, the term rehabilitation innovation center means a rehabilitation facility that, determined as of the date of the enactment of this paragraph, is described in clause (ii) or clause (iii).

“(ii) Not-for-profit—A rehabilitation facility described in this clause is a facility that—

removed “(I) is classified as a not-for-profit entity under the Centers for Medicare & Medicaid Services 2010 Provider of Services file;

removed “(II) holds at least one Federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Rehabilitation Research and Training Centers or the Rehabilitation Engineering Research Center at the National Institute on Disability and Rehabilitation Research at the Department of Education;

changed “(III) has “(I) is classified as a minimum Medicare case mix index of 1.1144 according to not-for-profit entity under the IRF Rate Setting File for the Correction Notice for the Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2012 (78 Fed. Reg. 59256); and59256);

changed “(IV) has “(II) holds at least 300 Medicare discharges per year one Federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Rehabilitation Research and Training Centers or the Rehabilitation Engineering Research Center at least 200 Medicaid discharges per year.the National Institute on Disability and Rehabilitation Research at the Department of Education, based on such data submitted to the Secretary by a facility, in a form, manner, and time frame specified by the Secretary;

added “(III) has a minimum Medicare case mix index of 1.1144 for fiscal year 2012 according to the IRF Rate Setting File described in subclause (I); and

added “(IV) had at least 300 Medicare discharges or at least 200 Medicaid discharges in a prior year as determined by the Secretary.

“(iii) Government-owned—A rehabilitation facility described in this clause is a facility that—

removed “(I) is classified as a Government-owned institution under the Centers for Medicare & Medicaid Services 2010 Provider of Services file;

removed “(II) holds at least one Federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Rehabilitation Research and Training Centers, the Rehabilitation Engineering Research Center, or the Model Spinal Cord Injury Systems at the National Institute on Disability and Rehabilitation Research at the Department of Education;

changed “(III) has “(I) is classified as a minimum Medicare case mix index of 1.1144 according to Government-owned institution under the IRF Rate Setting File for the Correction Notice for the Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2012 (78 Fed. Reg. 59256); anddescribed in clause (ii)(I);

changed “(IV) has a disproportionate share hospital (DSH) percentage of “(II) holds at least 0.6300 according to the IRF Rate Setting File one Federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Correction Notice for Rehabilitation Research and Training Centers, the Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2012 (78 Fed. Reg. 59256).Engineering Research Center, or the Model Spinal Cord Injury Systems at the National Institute on Disability and Rehabilitation Research at the Department of Education, based on such data submitted to the Secretary by a facility, in a form, manner, and time frame specified by the Secretary;

changed “(iv) Authority—The Secretary may consider applications from inpatient rehabilitation facilities that are not “(III) has a minimum Medicare case mix index of 1.1144 for 2012 according to the IRF Rate Setting File described in clause (ii) or (iii) as of the date of the enactment of this paragraph but who are subsequently so described.”(ii)(I); and

added “(IV) has a Medicare disproportionate share hospital (DSH) percentage of at least 0.6300 according to the IRF Rate Setting File described in clause (ii)(I)).”