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Stabilizing Medicare Access to Rehabilitation and Therapy Act

H.R. 5536 · 117th Congress · Oct 8, 2021 · Lineage

A BILL

To amend title XVIII of the Social Security Act to revise certain payment rules for outpatient physical therapy and outpatient occupational therapy furnished in rural areas and medically underserved areas, and for other purposes.

Section 1 Short title

This Act may be cited as the “Stabilizing Medicare Access to Rehabilitation and Therapy Act” or the “SMART Act”.

Sec. 2 Revisions to outpatient physical therapy and outpatient occupational therapy

(a)
Preclusion of application to services furnished in rural areas and medically underserved areas— Section 1834(v)(1) of the Social Security Act (42 U.S.C. 1395m(v)(1)) is amended—
(1)
by striking “January 1, 2022” and inserting “January 1, 2023”; and
(2)
by inserting “apply to services furnished in a rural area (as defined in section 1886(d)(2)(D) or a medically underserved area (as designated pursuant to section 330(b)(3)(A) of the Public Health Service Act) or” before “change applicable requirements”.
(b)
Limitation of supervision requirements— Section 1861(p) of the Social Security Act, in the first sentence of the flush left matter at the end, is amended by inserting “, but in no case may those conditions impose a supervision requirement that exceed any such requirement under State law” after “as the Secretary may find necessary”.