Hemophilia SNF Access Act

Hemophilia SNF Access Act

This bill includes certain treatments for hemophilia and other bleeding disorders as high-cost, low-probability ancillary services that may be paid for separately, rather than under the prospective payment (i.e., per diem) system for skilled nursing facilities, under Medicare.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 3233 Introduced in Senate (IS)]

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116th CONGRESS
  2d Session
                                S. 3233

 To amend title XVIII of the Social Security Act to improve access to 
       skilled nursing facility services for hemophilia patients.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            January 28, 2020

Mr. Menendez (for himself, Mr. Enzi, and Mr. Whitehouse) introduced the 
 following bill; which was read twice and referred to the Committee on 
                                Finance

_______________________________________________________________________

                                 A BILL


 
 To amend title XVIII of the Social Security Act to improve access to 
       skilled nursing facility services for hemophilia patients.

    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 ``Hemophilia SNF Access Act''.

SEC. 2. IMPROVING ACCESS TO SKILLED NURSING FACILITY SERVICES FOR 
              HEMOPHILIA PATIENTS.

    (a) In General.--Section 1888(e)(2)(A)(iii) of the Social Security 
Act (42 U.S.C. 1395yy(e)(2)(A)(iii)) is amended by adding at the end 
the following:
                                    ``(VI) Blood clotting factors and 
                                other medications indicated for the 
                                treatment of patients with hemophilia 
                                and other bleeding disorders 
                                (identified as of January 1, 2020, by 
                                HCPCS codes J7170, J7175, J7179, J7180-
                                J7183, J7185-J7203, J7205, J7207, 
                                J7209-J7211 (and as subsequently 
                                modified by the Secretary)) and the 
                                separate payment amount for items and 
                                services related to the furnishing of 
                                such factors under section 
                                1842(o)(5)(C).''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to items and services furnished on or after January 1, 2021.
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