Bill
Bill > HR1924
summary
Introduced
03/06/2025
03/06/2025
In Committee
03/06/2025
03/06/2025
Crossed Over
Passed
Dead
Introduced Session
119th Congress
Bill Summary
A BILL To amend title XVIII of the Social Security Act to establish a new criterion for the nonapplication of site-neutral payments to long-term care hospitals under the Medicare program.
AI Summary
This bill amends the Social Security Act to create a new exception to site-neutral payment rules for long-term care hospitals (LTCHs) under Medicare. Specifically, the bill establishes a "high acuity criterion" that would allow certain hospital discharges to be exempt from site-neutral payment restrictions. Under this new criterion, a discharge would be exempt if it is assigned to a Medicare-Severity-Long-Term-Care-Diagnosis-Related-Group (MS-LTC-DRG) with a relative weight of 0.8 or higher, and the discharge occurs on or after October 1, 2026. Site-neutral payments are a Medicare policy designed to reduce payment differences between similar types of healthcare facilities, but this bill creates a pathway for LTCHs to receive higher payments for more complex, resource-intensive patient cases. The bill is titled the "Securing Access to Care for Seniors in Critical Condition Act of 2025" and aims to ensure that highly specialized long-term care hospitals can continue to provide care for patients with serious medical conditions.
Committee Categories
Budget and Finance
Sponsors (8)
Kevin Hern (R)*,
Brendan Boyle (D),
Mike Carey (R),
Don Davis (D),
John Joyce (R),
Carol Miller (R),
Lloyd Smucker (R),
Claudia Tenney (R),
Last Action
Referred to the House Committee on Ways and Means. (on 03/06/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/119th-congress/house-bill/1924/all-info |
| BillText | https://www.congress.gov/119/bills/hr1924/BILLS-119hr1924ih.pdf |
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