Hospice Opportunities for Supporting Patients with Integrity and Care Evaluations (HOSPICE) Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to subject any entity certified as a hospice program to a standard survey by an appropriate state or local survey agency, or an approved accreditation agency, at least once every 36 months.
Specifies funding from the Federal Hospital Insurance Trust Fund for FY2014-FY2016 for such survey requirements.
Applies certain rules for the limitation of a beneficiary's liability with respect to denial of a Medicare payment for hospice care provided to an individual for more than 180 days in the same manner as such limitation applies with respect to denial of a payment for items and services as not reasonable or necessary for the diagnosis or treatment of an illness or injury.
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5393 Introduced in House (IH)]
113th CONGRESS
2d Session
H. R. 5393
To amend title XVIII of the Social Security Act to provide for required
Medicare hospice program surveys, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
August 1, 2014
Mr. Reed (for himself and Mr. Thompson of California) introduced the
following bill; which was referred to the Committee on Ways and Means,
and in addition to the Committee on Energy and Commerce, for a period
to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to provide for required
Medicare hospice program surveys, and for other purposes.
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 ``Hospice Opportunities for Supporting
Patients with Integrity and Care Evaluations (HOSPICE) Act of 2014''.
SEC. 2. HOSPICE SURVEY REQUIREMENT.
(a) In General.--Section 1861(dd)(4) of the Social Security Act (42
U.S.C. 1395x(dd)(4)) is amended by adding at the end the following new
subparagraph:
``(c) Any entity that is certified as a hospice program shall be
subject to a standard survey by an appropriate State or local survey
agency, or an approved accreditation agency, as determined by the
Secretary, not less frequently than once every 36 months beginning 6
months after the date of the enactment of this subparagraph.''.
(b) Funding.--For purposes of carrying out subparagraph (C) of
section 1861(dd)(4) of the Social Security Act (42 U.S.C.
1395x(dd)(4)), as added by subsection (a), there shall be transferred
from the Federal Hospital Insurance Trust Fund under section 1817 of
such Act (42 U.S.C. 1395i) $25,000,000 for the period of fiscal years
2014 through 2016, to be made available for such purposes in equal
parts for each such fiscal year.
SEC. 3. HOSPICE PROGRAM ELIGIBILITY RECERTIFICATION TECHNICAL
CORRECTION TO APPLY LIMITATION ON LIABILITY OF
BENEFICIARY RULES.
Section 1879 of the Social Security Act (42 U.S.C. 1395pp) is
amended by adding at the end the following new subsection:
``(I) The provisions of this section shall apply with respect to a
denial of a payment under this title by reason of section
1814(a)(7)(D)(ii) in the same manner as such provisions apply with
respect to a denial of a payment under this title by reason of section
1862(a)(1).''.
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Introduced in House
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
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