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HR 3698 113th Congress House Health Administrative law and regulatory procedures Department of Health and Human Services Hospital care Medicare

Two-Midnight Rule Delay Act of 2013

Introduced: December 11, 2013 See on congress.gov
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Dec 11, 2013
Referred to the House Committee on Ways and Means.
Dec 11, 2013
Introduced in House
 Plain-English summary Congressional Research Service

Two-Midnight Rule Delay Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from enforcing the two-midnight rule to a hospital for which payment is made under title XVIII (Medicare) of the Social Security Act for admissions occurring before October 1, 2014.

(The two-midnight rule allows Medicare coverage of only hospital stays for which a physician admits to a hospital a beneficiary expected to require care that crosses two midnights, but generally denies coverage of care expected to require less than a two-midnight stay.)

Applies such prohibition to Medicare review contracts.

Prohibits Medicare review contractors from denying a claim for inpartient hospital services furnished by a hospital, or inpatient critical access hospital services furnished by a critical access hospital, for discharges occurring before October 1, 2014: (1) for medical necessity due to the length of an inpatient stay in such hospital or due to a determination that the services could have been provided on an outpatient basis; or (2) for requirements for orders, certifications, or recertifications, and associated documentation relating to such matters.

Prohibits the Secretary from increasing the sample of claims selected for prepayment review under the Medicare Probe and Educate program above the number and type established by the Secretary as of November 4, 2013.

Directs the Secretary to develop: (1) a Medicare hospital payment methodology for short inpatient hospital stays; (2) general equivalency maps to link the relevant International Statistical Classification of Diseases and Related Health Problems (ICD)-10 codes (used to report medical diagnoses and inpatient procedures) to relevant Current Procedural Terminology (CPT) codes, and the relevant CPT codes to relevant ICD-10 codes, in order to permit comparison of inpatient hospital services and hospital outpatient department servives; and (3) a second crosswalk between Diagnosis-Related Group (DRG) codes for inpatient hospital services and Ambulatory Payment Class codes for outpatient hospital services.

What's happening now December 11, 2013

Referred to the House Committee on Ways and Means.

 Committees of jurisdiction 1
 Cosponsors 45
D
Smith, Adam
Washington · Nov 12, 2014
R
Perry, Scott
Pennsylvania · Jul 24, 2014
R
McCaul, Michael T.
Texas · Jul 17, 2014
R
Scalise, Steve
Louisiana · Jun 17, 2014
D
Duckworth, Tammy
Illinois · Jun 11, 2014
D
Thompson, Mike
California · May 20, 2014
D
DelBene, Suzan K.
Washington · May 13, 2014
D
Matsui, Doris O.
California · May 6, 2014
D
McCollum, Betty
Minnesota · Apr 28, 2014
D
Beatty, Joyce
Ohio · Apr 8, 2014
D
Thompson, Bennie G.
Mississippi · Mar 24, 2014
R
Thompson, Glenn
Pennsylvania · Mar 21, 2014
R
Kelly, Mike
Pennsylvania · Mar 12, 2014
R
Sessions, Pete
Texas · Mar 6, 2014
D
Clark, Katherine M.
Massachusetts · Feb 25, 2014
D
Foster, Bill
Illinois · Feb 21, 2014
R
Latta, Robert E.
Ohio · Feb 21, 2014
D
Pocan, Mark
Wisconsin · Feb 21, 2014
D
Schneider, Bradley Scott
Illinois · Feb 21, 2014
R
Young, Todd
Indiana · Feb 10, 2014
D
Kelly, Robin L.
Illinois · Feb 5, 2014
R
Aderholt, Robert B.
Alabama · Jan 31, 2014
R
Capito, Shelley Moore
West Virginia · Jan 31, 2014
D
Cuellar, Henry
Texas · Jan 31, 2014
R
Guthrie, Brett
Kentucky · Jan 31, 2014
D
Johnson, Henry C. "Hank"
Georgia · Jan 31, 2014
D
Keating, William R.
Massachusetts · Jan 31, 2014
D
Larsen, Rick
Washington · Jan 31, 2014
D
Neal, Richard E.
Massachusetts · Jan 31, 2014
D
Quigley, Mike
Illinois · Jan 31, 2014
D
Vargas, Juan
California · Jan 31, 2014
D
Welch, Peter
Vermont · Jan 31, 2014
R
Wittman, Robert J.
Virginia · Jan 31, 2014
D
Jeffries, Hakeem S.
New York · Jan 21, 2014
D
Lynch, Stephen F.
Massachusetts · Jan 21, 2014
D
McGovern, James P.
Massachusetts · Jan 21, 2014
R
Scott, Austin
Georgia · Jan 21, 2014
D
Meng, Grace
New York · Jan 13, 2014
D
Bishop, Sanford D.
Georgia · Jan 8, 2014
D
Meeks, Gregory W.
New York · Jan 8, 2014
D
Clarke, Yvette D.
New York · Dec 23, 2013
R
Cramer, Kevin
North Dakota · Dec 23, 2013
R
Joyce, David P.
Ohio · Dec 23, 2013
D
Nadler, Jerrold
New York · Dec 23, 2013
D
Tonko, Paul
New York · Dec 23, 2013