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Assistance for Rural Community Hospitals Act of 2022

H.R. 8747 · 117th Congress · Aug 26, 2022 · Lineage

A BILL

To amend title XVIII of the Social Security Act to extend Medicare-dependent hospital and Medicare low-volume hospital payments.

Section 1 Short title

This Act may be cited as the “Assistance for Rural Community Hospitals Act of 2022” or the “ARCH Act of 2022”.

Sec. 2 Extending Medicare-dependent hospital and Medicare low-volume hospital payments

(a)
MDH extension—
(1)
Extension of payment methodology— Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended—
(A)
in clause (i), by striking “October 1, 2022” and inserting “October 1, 2027”; and
(B)
in clause (ii)(II), by striking “October 1, 2022” and inserting “October 1, 2027”.
(2)
Conforming amendments—
(A)
Extension of target amount— Section 1886(b)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended—
(i)
in the matter preceding clause (i), by striking “October 1, 2022” and inserting “October 1, 2027”; and
(ii)
in clause (iv), by striking “2022” and inserting “2027”.
(B)
Permitting hospitals to decline reclassification— Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42 U.S.C. 1395ww note) is amended by striking “2022” and inserting “2027”.
(b)
LVH extension— Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended—
(1)
in subparagraph (B), in the matter preceding clause (i), by striking “2023” and inserting “2028”;
(2)
in subparagraph (C)(i)—
(A)
in the matter preceding subclause (I), by striking “2022” and inserting “2027”;
(B)
in subclause (III), by striking “2022” and inserting “2027”; and
(C)
in subclause (IV), by striking “2023” and inserting “2028”; and
(3)
in subparagraph (D), by striking “2022” each place it appears and inserting “2027” in each such place.