Bill > HR4067

This bill requires the Secretary of Health and Human Services (HHS) to continue a specific enforcement instruction through the end of 2014, which means that Medicare contractors will not be required to enforce rules about direct physician supervision for outpatient therapeutic services provided in critical access and small rural hospitals. This instruction is an exception to broader changes made to how Medicare pays for outpatient hospital services, specifically addressing the requirement that a physician directly supervise certain therapeutic services offered to patients in these smaller, often rural, healthcare facilities.