H.R.3057 - Medicare Long-Term Care Patient Safety and Improvement Act of 2007

To amend title XVIII of the Social Security Act to ensure and foster continued patient quality of care by establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. view all titles (2)

All Bill Titles

  • Short: Medicare Long-Term Care Patient Safety and Improvement Act of 2007 as introduced.
  • Official: To amend title XVIII of the Social Security Act to ensure and foster continued patient quality of care by establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare Program. as introduced.

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Introduced
 
House
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Senate
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President
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07/17/07
 
 
 
 
 
 
 

Official Summary

Medicare Long-Term Care Patient Safety and Improvement Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to define \"long-term care hospital\" and establish new patient criteria for long-term care hospital prospective payments. Requires the Secretary of Health and

Official Summary

Medicare Long-Term Care Patient Safety and Improvement Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to define \"long-term care hospital\" and establish new patient criteria for long-term care hospital prospective payments. Requires the Secretary of Health and Human Services to approve under Medicare distinct part inpatient rehabilitation hospital units in long-term care hospitals, if rehabilitation services are not included within a major diagnostic category. Directs the Secretary to:
(1) report to the appropriate congressional committees recommendations on the promulgation of national long-term care hospital facility and patient criteria; and
(2), after rulemaking, implement them. Amends SSA title XI to require a peer review organization to review on a hospital-specific basis the medical necessity of admissions to, and continued stay at, long-term care hospitals of Medicare part A (Hospital Insurance) patients. Directs the Secretary, with certain exceptions, to impose a temporary moratorium on the Medicare certification of new long-term care hospitals (and satellite facilities). Directs the Secretary not to apply the 25% patient threshold payment adjustment to freestanding and grandfathered long-term hospitals. States that payments to an applicable long-term care hospital or satellite facility, located in a rural area or co-located with an urban single or MSA dominant hospital, shall not be subject to any payment adjustment if no more than 75% percent of its Medicare discharges are admitted from a co-located hospital. Provides that payment to an applicable long-term care hospital or satellite facility co-located with another hospital shall not be subject to such payment adjustments, if no more than 50% of its Medicare discharges are admitted from a co-located hospital. Prohibits the Secretary from applying certain proposed amendments to the short-stay outlier payment policy for certain long-term care hospitals. Prohibits the Secretary from making a certain one-time prospective adjustment to long-term care hospital prospective payment rates. Directs the Secretary to study and report to the Congress on appropriate quality measures for Medicare patients receiving care in long-term care hospitals.

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