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HR 4244 104th Congress House Health Case mix (Medical care) Extended care facilities Long-term care Medical economics Medicare Nursing homes Prospective payment systems (Medical care)

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…

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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.

Introduced: September 27, 1996 Introduced by: Durbin, Richard J. Democratic · Illinois See on congress.gov
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This bill died when the 104th Congress ended
It never became law before the 104th Congress (1995–1996) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Sep 28, 1996
Sponsor introductory remarks on measure. (CR E1797)
Sep 27, 1996
Referred to the House Committee on Ways and Means.
Sep 27, 1996
Introduced in House
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 Plain-English summary Congressional Research Service

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.

What's happening now September 28, 1996

Sponsor introductory remarks on measure. (CR E1797)

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
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APA
U.S. Congress. (2026). H.R. 4244: 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.. 104th Congress. Open America. https://openamerica.io/bill/104-HR-4244/
MLA
"H.R. 4244: 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.." 104th Congress, 2026, Open America, https://openamerica.io/bill/104-HR-4244/.
Bluebook (legal)
H.R. 4244, 104th Cong. (2026), https://openamerica.io/bill/104-HR-4244/.
Markdown link
[H.R. 4244: 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.](https://openamerica.io/bill/104-HR-4244/)
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