Establishing Beneficiary Equity in the Hospital Readmission Program Act
Official title: To amend title XVIII of the Social Security Act to adjust the Medicare hospital readmission reduction program to respond to patient disparities, and for other purposes.
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Referred to the House Committee on Ways and Means.
Establishing Beneficiary Equity in the Hospital Readmission Program Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the hospital readmission reduction program to exclude from the program admissions related to transplants, end-stage renal disease (ESRD), burns, trauma, psychosis, or substance abuse.
Requires the Secretary of Health and Human Services (HHS), in applying requirements for the excess readmission ratio, to provide for a risk adjustment that will take into account a hospital's proportion of inpatients who are full-benefit dual eligible individuals (eligible for both Medicare and Medicaid under SSA title XIX) in order to ensure that hospitals that treat the most vulnerable populations are not unfairly penalized.
Directs the Medicare Payment Advisory Commission (MEDPAC) to study the appropriateness of using a threshold of 30 days for readmissions under the program.
Directs the Secretary, in promulgating regulations for the hospital readmission reduction program, to consider the use of V codes for potential exclusions of cases involving noncompliant patients in promulgating applicable regulations.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 4188: Establishing Beneficiary Equity in the Hospital Readmission Program Act. 113th Congress. Open America. https://openamerica.io/bill/113-HR-4188/
"H.R. 4188: Establishing Beneficiary Equity in the Hospital Readmission Program Act." 113th Congress, 2026, Open America, https://openamerica.io/bill/113-HR-4188/.
H.R. 4188, 113th Cong. (2026), https://openamerica.io/bill/113-HR-4188/.
[H.R. 4188: Establishing Beneficiary Equity in the Hospital Readmission Program Act](https://openamerica.io/bill/113-HR-4188/)