Placed on Senate Legislative Calendar under General Orders. Calendar No. 186.
Congressional Research Service
Official summary
Version 80 · Reported to Senate without amendment · Jul 30, 2015
(This measure has not been amended since it was introduced. The summary has been expanded because action occurred on the measure.)
Notice of Observation Treatment and Implication for Care Eligibility Act or the NOTICE Act
(Sec. 2) This bill amends title XVIII (Medicare) of the Social Security Act to require a hospital or critical access hospital with an agreement with the Secretary of Health and Human Services to give each individual who receives observation services as an outpatient for more than 24 hours an adequate oral and written notification within 36 hours after beginning to receive them which:
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explains the individual's status as an outpatient and not as an inpatient and the reasons why; explains the implications of that status on services furnished (including those furnished as an inpatient), in particular the implications for cost-sharing requirements and subsequent coverage eligibility for services furnished by a skilled nursing facility; includes appropriate additional information; is written and formatted using plain language and made available in appropriate languages; and is signed by the individual or a person acting on the individual's behalf (representative) to acknowledge receipt of the notification, or if the individual or representative refuses to sign, the written notification is signed by the hospital staff who presented it.
Source last updated: Dec 5, 2025. Consult Congress.gov for the current record.
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