Medicare Nursing Facility Access Improvement Act of 1990

Medicare Nursing Facility Access Improvement Act of 1990 - Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to eliminate the prior hospitalization prerequisite to eligibility for Medicare nursing facility services.

 
HR 4627 IH
101st CONGRESS
2d Session
 H. R. 4627
To amend title XVIII of the Social Security Act to eliminate the requirement
that extended care services be provided not later than 30 days after a
period of hospitalization of not fewer than 3 consecutive days in order to
be covered under part A of the medicare program.
IN THE HOUSE OF REPRESENTATIVES
April 25, 1990
Mr. MOODY introduced the following bill; which was referred to the Committee
on Ways and Means
A BILL
To amend title XVIII of the Social Security Act to eliminate the requirement
that extended care services be provided not later than 30 days after a
period of hospitalization of not fewer than 3 consecutive days in order to
be covered under part A of the medicare program.
  Be it enacted by the Senate and House of Representatives of the United
  States of America in Congress assembled,
SECTION 1. SHORT TITLE.
  This Act may be cited as the `Medicare Nursing Facility Access Improvement
  Act of 1990'.
SEC. 2. ELIMINATION OF PRIOR HOSPITALIZATION REQUIREMENT FOR MEDICARE COVERAGE
OF EXTENDED CARE SERVICES.
  (a) IN GENERAL- Section 1812 of the Social Security Act (42 U.S.C. 1395d),
  as restored by section 101(a)(1) of the Medicare Catastrophic Coverage
  Repeal Act of 1989, is amended--
  (1) by amending subsection (a)(2) to read as follows:
  `(2) extended care services for up to 100 days during any spell of illness;';
  (2) in subsections (b)(2) and (e), by striking `post-hospital'; and
  (3) by striking subsection (f) and redesignating subsection (g) as subsection
  (f).
  (b) CONFORMING AMENDMENTS- Title XVIII of the Social Security Act, as
  restored by section 101(a)(1) of the Medicare Catastrophic Coverage Repeal
  Act of 1989, is amended--
  (1) in section 1811 (42 U.S.C. 1395c), by striking `hospital, related
  post-hospital' and inserting `inpatient hospital services, extended care
  services';
  (2) in subsections (a)(3) and (b)(3)(B) of section 1813 (42 U.S.C. 1395e),
  by striking `post-hospital';
  (3) in section 1814(a) (42 U.S.C. 1395f(a))--
  (A) in paragraphs (2)(B) and (6), by striking `post-hospital' each place
  it appears, and
  (B) in paragraph (2)(B), by striking `, for any of the conditions' and
  all that follows up to the semicolon;
  (4) in section 1861 (42 U.S.C. 1395x)--
  (A) in subsection (e)--
  (i) in the matter preceding paragraph (1), by striking `paragraph (7)
  of this subsection, and subsection (i) of this section' and inserting
  `and paragraph (7) of this subsection'; and
  (ii) in the third sentence, by striking `section 1814(f)(2), and subsection
  (i) of this section' and inserting `and section 1814(f)(2)',
  (B) by striking subsection (i),
  (C) in subsections (v)(1)(G), (v)(2)(A), and (v)(3), by striking
  `post-hospital' each place it appears, and
  (D) in subsection (y)--
  (i) by striking `Post-Hospital' in the heading and by striking
  `post-hospital' each place it appears; and
  (ii) by striking paragraph (4);
  (5) in section 1866(d) (42 U.S.C. 1395cc), by striking `post-hospital'; and
  (6) in section 1883 (42 U.S.C. 1395tt), by striking `post-hospital' each
  place it appears in subsections (d)(1) and (f).
  (c) EFFECTIVE DATE- The amendments made by subsections (a) and (b) shall
  apply with respect to extended care services furnished pursuant to an
  admission to a skilled nursing facility occurring on or after January
  1, 1991.