S.Amdt. 3209

SA 3209. Mr. GRASSLEY submitted an amendment intended to be proposed
to amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr.
Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal
Revenue Code of 1986 to modify the first-time homebuyers credit in the
case of members of the Armed Forces and certain other Federal
employees, and for other purposes; which was ordered to lie on the
table; as follows:

On page 823, after line 22, insert the following:

SEC. 3125A. ADJUSTMENT TO LOW-VOLUME HOSPITAL PROVISION;
QUALITY REPORTING FOR PSYCHIATRIC HOSPITALS.

(a) Adjustment to Low-Volume Hospital Provision.--Section
1886(d)(12) of the Social Security Act (42 U.S.C.
1395ww(d)(12), as amended by section 3125, is amended--
(1) in subparagraph (C)(i), by striking ``1,500
discharges'' and inserting ``1,600 discharges''; and
(2) in subparagraph (D), by striking ``1,500 discharges''
and inserting ``1,600 discharges''.
(b) Quality Reporting for Psychiatric Hospitals.--Section
1886(s) of the Social Security Act, as added by section
3401(f), is amended by adding at the end the following new
paragraph:
``(4) Quality reporting.--
``(A) Reduction in update for failure to report.--
``(i) In general.--Under the system described in paragraph
(1), for rate year 2014 and each subsequent rate year, in the
case of a psychiatric hospital or psychiatric unit that does
not submit data to the Secretary in accordance with
subparagraph (C) with respect to such a rate year, any annual
update to a standard Federal rate for discharges for the
hospital during the rate year, and after application of
paragraph (2), shall be reduced by 2 percentage points.
``(ii) Special rule.--The application of this subparagraph
may result in such annual update being less than 0.0 for a
rate year, and may result in payment rates under the system
described in paragraph (1) for a rate year being less than
such payment rates for the preceding rate year.
``(B) Noncumulative application.--Any reduction under
subparagraph (A) shall apply only with respect to the rate
year involved and the Secretary shall not take into account
such reduction in computing the payment amount under the
system described in paragraph (1) for a subsequent rate year.
``(C) Submission of quality data.--For rate year 2014 and
each subsequent rate year, each psychiatric hospital and
psychiatric unit shall submit to the Secretary data on
quality measures specified under subparagraph (D). Such data
shall be submitted in a form and manner, and at a time,
specified by the Secretary for purposes of this subparagraph.
``(D) Quality measures.--
``(i) In general.--Subject to clause (ii), any measure
specified by the Secretary under this subparagraph must have
been endorsed by the entity with a contract under section
1890(a).
``(ii) Exception.--In the case of a specified area or
medical topic determined appropriate by the Secretary for
which a feasible and practical measure has not been endorsed
by the entity with a contract under section 1890(a), the
Secretary may specify a measure that is not so endorsed as
long as due consideration is given to measures that have been
endorsed or adopted by a consensus organization identified by
the Secretary.
``(iii) Time frame.--Not later than October 1, 2012, the
Secretary shall publish the measures selected under this
subparagraph that will be applicable with respect to rate
year 2014.
``(E) Public availability of data submitted.--The Secretary
shall establish procedures for making data submitted under
subparagraph (C) available to the public. Such procedures
shall ensure that a psychiatric hospital and a psychiatric
unit has the opportunity to review the data that is to be
made public with respect to the hospital or unit prior to
such data being made public. The Secretary shall report
quality measures that relate to services furnished in
inpatient settings in psychiatric hospitals and psychiatric
units on the Internet website of the Centers for Medicare &
Medicaid Services.''.
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