S.Amdt. 2765

SA 2765. Mr. MARKEY submitted an amendment intended to be proposed to
amendment SA 2360 proposed by Mr. Thune (for Mr. Graham) to the bill
H.R. 1, to provide for reconciliation pursuant to title II of H. Con.
Res. 14; which was ordered to lie on the table; as follows:

At the appropriate place, insert the following:

SEC. ___. HOSPITAL CLOSURES.

Beginning on the date that is 1 year after the date of
enactment of this Act, any provision that modifies the
Medicare program under title XVIII of the Social Security Act
(42 U.S.C. 1395 et seq.), modifies the Medicaid program under
title XIX of such Act (42 U.S.C. 1396 et seq.), or affects
eligibility or payments to States under the Patient
Protection and Affordable Care Act shall be repealed and the
Social Security Act and the Patient Protection and Affordable
Care Act shall be applied as if such amendments had not been
enacted if the following occurs:
(1) A hospital closes, as determined by such hospital
submitting a voluntary termination of participation in the
Medicare program to the Centers for Medicare & Medicaid
Services.
(2) A hospital converts to a rural emergency hospital (as
defined by section 1861(kkk)(2) of the Social Security Act
(42 U.S.C. 1395x(kkk)(2))), as detailed in the report
submitted by the Medicare Payment Advisory Commission under
section 1805(b)(1)(C) of such Act (42 U.S.C. 1395b-
6(b)(1)(C)).
(3) There is an increase in emergency Medicaid payments
compared to the year prior to the date of enactment of this
Act.
(4) There is an increase in disproportionate share hospital
payments compared to the year prior to the date of enactment
of this Act.
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