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HR 3698 113th Congress House

Two-Midnight Rule Delay Act of 2013

Official title: To delay the enforcement of the Medicare two-midnight rule for short inpatient hospital stays until the implementation of a new Medicare payment methodology fo… Show full official titleShow less

Official title: To delay the enforcement of the Medicare two-midnight rule for short inpatient hospital stays until the implementation of a new Medicare payment methodology for short inpatient hospital stays, and for other purposes.

Introduced: February 21, 2014 See on congress.gov
Health Administrative law and regulatory proceduresDepartment of Health and Human ServicesHospital careMedicare
This bill died when the 113th Congress ended
It never became law before the 113th Congress (2013–2014) 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 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
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 Latest action December 11, 2013

Referred to the House Committee on Ways and Means.

 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.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Cosponsors 158
DOYLE, MIKE
· Nov 12, 2014
D
Smith, Adam
Washington · Nov 12, 2014
Cárdenas, Tony
· Sep 19, 2014
Heck, Denny
· Sep 16, 2014
HONDA, MICHAEL
· Sep 8, 2014
Sinema, Kyrsten
· Sep 8, 2014
R
Perry, Scott
Pennsylvania · Jul 24, 2014
R
McCaul, Michael T.
Texas · Jul 17, 2014
Farenthold, Blake
· Jul 14, 2014
Schrader, Kurt
· Jun 26, 2014
R
Scalise, Steve
Louisiana · Jun 17, 2014
D
Duckworth, Tammy
Illinois · Jun 11, 2014
Kilmer, Derek
· Jun 5, 2014
McAllister, Vance
· Jun 5, 2014
Walz, Timothy
· Jun 2, 2014
Ellison, Keith
· May 20, 2014
King, Steve
· May 20, 2014
Rothfus, Keith
· May 20, 2014
D
Thompson, Mike
California · May 20, 2014
Paulsen, Erik
· May 19, 2014
Shea-Porter, Carol
· May 19, 2014
Blumenauer, Earl
· May 13, 2014
D
DelBene, Suzan K.
Washington · May 13, 2014
Rice, Tom
· May 8, 2014
FRELINGHUYSEN, RODNEY
· May 6, 2014
Granger, Kay
· May 6, 2014
Lee, Barbara
· May 6, 2014
D
Matsui, Doris O.
California · May 6, 2014
D
McCollum, Betty
Minnesota · Apr 28, 2014
D
Beatty, Joyce
Ohio · Apr 8, 2014
Stivers, Steve
· Apr 3, 2014
Westmoreland, Lynn
· Apr 3, 2014
Reichert, David
· Mar 27, 2014
Cartwright, Matt
· Mar 25, 2014
D
Thompson, Bennie G.
Mississippi · Mar 24, 2014
Esty, Elizabeth
· Mar 21, 2014
Kuster, Ann
· Mar 21, 2014
R
Thompson, Glenn
Pennsylvania · Mar 21, 2014
Conaway, K.
· Mar 13, 2014
R
Kelly, Mike
Pennsylvania · Mar 12, 2014
SLAUGHTER, LOUISE
· Mar 12, 2014
Ribble, Reid
· Mar 11, 2014
VISCLOSKY, PETER
· Mar 11, 2014
CAPUANO, MICHAEL
· Mar 6, 2014
R
Sessions, Pete
Texas · Mar 6, 2014
Griffin, Tim
· Mar 5, 2014
Rodgers, Cathy
· Feb 28, 2014
DEFAZIO, PETER
· Feb 27, 2014
SALMON, MATT
· Feb 27, 2014
Coffman, Mike
· Feb 26, 2014
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APA
U.S. Congress. (2026). H.R. 3698: Two-Midnight Rule Delay Act of 2013. 113th Congress. Open America. https://openamerica.io/bill/113-HR-3698/
MLA
"H.R. 3698: Two-Midnight Rule Delay Act of 2013." 113th Congress, 2026, Open America, https://openamerica.io/bill/113-HR-3698/.
Bluebook (legal)
H.R. 3698, 113th Cong. (2026), https://openamerica.io/bill/113-HR-3698/.
Markdown link
[H.R. 3698: Two-Midnight Rule Delay Act of 2013](https://openamerica.io/bill/113-HR-3698/)
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