Bill > HR5481

Introduced Session

To amend title XVIII of the Social Security Act to restore State authority to waive for certain facilities the 35-mile rule for designating critical access hospitals under the Medicare program. This bill allows additional hospitals to qualify as critical access hospitals (CAHs) that receive special payment under Medicare. Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (or 15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area. The bill allows a hospital to also qualify if the hospital is a small, rural hospital that (1) serves a health professional shortage area, or a high number of low-income individuals or Medicare or Medicaid beneficiaries; (2) has experienced financial losses for two consecutive years; and (3) attests to having a strategic plan to address financial solvency.

AI Summary

Committee Categories

Adam Kinzinger (R)*,  Robert Aderholt (R),  Cindy Axne (D),  Troy Balderson (R),  Jack Bergman (R),  Sanford Bishop (D),  Cheri Bustos (D),  Matt Cartwright (D),  Tom Cole (R),  James Comer (R),  TJ Cox (D),  Angie Craig (D),  Rodney Davis (R),  Abby Finkenauer (D),  Michael Guest (R),  Vicky Hartzler (R),  Fred Keller (R),  David Loebsack (D),  Frank Lucas (R),  John Moolenaar (R),  Jimmy Panetta (D),  Terri Sewell (D),  Tim Walberg (R),  Bruce Westerman (R), 

Referred to the House Committee on Ways and Means. (on 12/18/2019)

Official Document