To require the Secretary of Health and Human Services to waive the 3-day prior hospitalization requirement for coverage of skilled nursing facility services in the case of individuals classified within certain diagnosis-related groups.
Sponsor introductory remarks on measure. (CR E1797)
Congressional Research Service
Official summary
Version 00 · Introduced in House · Sep 27, 1996
Directs the Secretary of Health and Human Services to provide for coverage under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act of extended care services for individuals with a condition classifiable within a select diagnosis-related group (DRG). (Waives the three-day prior hospitalization requirement for coverage of skilled nursing facility services for such DRGs.) Requires the Secretary to select at least five DRGs beginning in FY 1998, and additional qualified groups for subsequent fiscal years. Provides for recovery of excessive expenditures by: (1) reductions in payable amounts for post-hospital extended care services in the following fiscal year; and (2) rescission of the selection of any DRG.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Feb 7, 2024. Consult Congress.gov for the current record.
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