Bill > S1954

This bill directs the Secretary of Health and Human Services to continue through calendar year 2014 an enforcement instruction that delays the enforcement of physician supervision requirements for outpatient therapeutic services provided in critical access hospitals and small rural hospitals. This instruction, originally extended by the Centers for Medicare & Medicaid Services (CMS) in November 2012 for calendar year 2013, essentially tells Medicare contractors not to enforce these supervision rules until the policy itself can be re-examined. The context for this is a previous rulemaking change in 2008 that clarified physician supervision requirements for these services.