Helping Hospitals Improve Patient Care Act of 2016
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HR 5273 — Helping Hospitals Improve Patient Care Act of 2016
Last action — Received in the Senate and Read twice and referred to the Committee on Finance.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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Died in session
This bill died with 114th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
Helping Hospitals Improve Patient Care Act of 2016 TITLE I--PROVISIONS RELATING TO MEDICARE PART A (Sec. 101) The bill amends title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare & Medicaid Services (CMS) to develop, with respect to claims for hospital services, codes under the Healthcare Common Procedure Coding System (HCPCS) for similar inpatient and outpatient hospital services. (Sec. 102) The bill establishes processes for adjusting a hospital's Medicare payments based on the hospital's overall proportion of inpatients who are dually eligible for Medicare and Medicaid. (Sec. 103) The bill extends for five years the Rural Community Hospital Demonstration Program, through which Medicare pays certain rural hospitals on the basis of reasonable incurred costs rather than under the standard prospective payment system. (Sec. 104) With respect to long-term care hospitals, the bill lifts a moratorium on bed increases. The bill reduces rates for high-cost outlier payments, which are additional Medicare payments made in extraordinarily high-cost cases. (Sec. 105) The bill reduces the amount by which hospital payment rates for inpatient services increase in FY2018. TITLE II--PROVISIONS RELATING TO MEDICARE PART B (Sec. 201) The bill excludes certain off-campus outpatient departments (OPDs) from specified rules that mandate lower Medicare payments. Specifically, the exclusion applies to: (1) cancer hospitals in off-campus OPDs, and (2) mid-build OPDs. A "mid-build" OPD is one for which the provider had, before a certain date, a binding written agreement with an outside party for construction. (Sec. 203) With respect to payment reductions for failing to meet requirements for the meaningful use of electronic health records (EHRs), the bill exempts eligible professionals who are based in ambulatory surgical centers. TITLE III--OTHER MEDICARE PROVISIONS (Sec. 301) Until plan year 2019, CMS may not terminate an MA plan solely because the plan failed to achieve a specified minimum quality rating. (Sec. 302) CMS must annually report on Medicare enrollment data, as specified by the bill. (Sec. 303) CMS shall: (1) request information and recommendations from stakeholders on information included in the Welcome to Medicare package, and (2) update the information included in the package accordingly.
Bill Text
We don't have the full text on file for this bill yet.
Read HR 5273 on the official United States source →Action History
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Received in the Senate and Read twice and referred to the Committee on Finance.
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Motion to reconsider laid on the table Agreed to without objection.
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On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H3470-3473)
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DEBATE - The House proceeded with forty minutes of debate on H.R. 5273.
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Considered under suspension of the rules. (consideration: CR H3470-3475)
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Mr. Tiberi moved to suspend the rules and pass the bill, as amended.
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Placed on the Union Calendar, Calendar No. 470.
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Committee on Energy and Commerce discharged.
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Reported (Amended) by the Committee on Ways and Means. H. Rept. 114-604, Part I.
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Ordered to be Reported (Amended) by Voice Vote.
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Committee Consideration and Mark-up Session Held.
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Referred to the Subcommittee on Health.
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Referred to House Energy and Commerce
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Referred to House Ways and Means
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Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
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Introduced in House
Sponsors
- Patrick Tiberi · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 546 not signed on
Sponsors (1)
Co-sponsors (0)
None.
Not signed on (546)
546 members have not signed on to this bill.
Show all 546 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- What does HR 5273 do?
- Helping Hospitals Improve Patient Care Act of 2016 TITLE I--PROVISIONS RELATING TO MEDICARE PART A (Sec. 101) The bill amends title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare & Medicaid Services (CMS) to develop, with respect to claims for hospital services, codes under the Healthcare Common Procedure Coding System (HCPCS) for similar inpatient and outpatient hospital services. (Sec. 102) The bill establishes processes for adjusting a hospital's Medicare payments based on the hospital's overall proportion of inpatients who are dually eligible for Medicare and Medicaid. (Sec. 103) The bill extends for five years the Rural Community Hospital Demonstration Program, through which Medicare pays certain rural hospitals on the basis of reasonable incurred costs rather than under the standard prospective payment system. (Sec. 104) With respect to long-term care hospitals, the bill lifts a moratorium on bed increases. The bill reduces rates for high-cost outlier payments, which are additional Medicare payments made in extraordinarily high-cost cases. (Sec. 105) The bill reduces the amount by which hospital payment rates for inpatient services increase in FY2018. TITLE II--PROVISIONS RELATING TO MEDICARE PART B (Sec. 201) The bill excludes certain off-campus outpatient departments (OPDs) from specified rules that mandate lower Medicare payments. Specifically, the exclusion applies to: (1) cancer hospitals in off-campus OPDs, and (2) mid-build OPDs. A "mid-build" OPD is one for which the provider had, before a certain date, a binding written agreement with an outside party for construction. (Sec. 203) With respect to payment reductions for failing to meet requirements for the meaningful use of electronic health records (EHRs), the bill exempts eligible professionals who are based in ambulatory surgical centers. TITLE III--OTHER MEDICARE PROVISIONS (Sec. 301) Until plan year 2019, CMS may not terminate an MA plan solely because the plan failed to achieve a specified minimum quality rating. (Sec. 302) CMS must annually report on Medicare enrollment data, as specified by the bill. (Sec. 303) CMS shall: (1) request information and recommendations from stakeholders on information included in the Welcome to Medicare package, and (2) update the information included in the package accordingly.
- Who sponsors HR 5273?
- HR 5273 is sponsored by Patrick Tiberi (R).
- What is the current status of HR 5273?
- This bill died with 114th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track HR 5273?
- Track HR 5273 free on One Click Politics — get push/email alerts when it moves.
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