S. 1405Senate109th Congress (2005-2007)In Committee

Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005

Sponsored by Ben NelsonSen. Ben Nelson (D-NE)
Introduced July 14, 2005

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S8319-8320)

July 14, 2005

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SenateIntro Referral

Introduced in Senate

July 14, 2005

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S8318-8319)

July 14, 2005

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S8319-8320)

July 14, 2005

Floor Debate

13 members

What members said about S. 1405 on the floor

8 Republicans5 Democrats
Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Jul 14, 2005

Mr. President, today I will introduce the Lobbying and Ethics Reform Act of 2005. This bill builds on similar legislation that was introduced in the House by Representatives Marty Meehan and Rahm…

Judd Gregg
Sen. Judd GreggR-NH · Jul 14, 2005

Mr. President, sustained military operations in Afghanistan and Iraq have brought to light another example of how outdated and burdensome government policies can punish generous employers. Employers…

Bill Nelson
Sen. Bill NelsonD-FL · Jul 14, 2005

Mr. President, I rise today on behalf of myself and Senator Hillary Rodham Clinton of New York, to introduce the Jessica Lunsford and Sarah Lunde Act. This bill will provide grants for State and…

Gordon H. Smith
Sen. Gordon H. SmithR-OR · Jul 14, 2005

Mr. President, I rise today with Senators Bill Nelson, Stevens, Inouye, McCain, and Pryor to introduce the Identity Theft Protection Act of 2005. The introduction of this bill has been a bipartisan…

George Allen
Sen. George AllenR-VA · Jul 14, 2005

Mr. President, I am pleased to join with my distinguished colleague, Senator Santorum, in introducing the Increased Capital Access for Growing Businesses Act. The legislation would help many small…

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Ben Nelson
Sen. Ben NelsonD-NE · Jul 14, 2005

Mr. President, today I am introducing the ``Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005'' to make changes to a rule issued by the Centers for Medicare and Medicaid…

Ben Nelson
Sen. Ben NelsonD-NE · Jul 14, 2005

Mr. President, today I am introducing the ``Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005'' to make changes to a rule issued by the Centers for Medicare and Medicaid…

Ted Stevens
Sen. Ted StevensR-AK · Jul 14, 2005

Mr. President, I am pleased to join Senators Inouye, Smith, McCain, Nelson, and Pryor in introducing a bipartisan bill to address the growing perpetration of identity theft against American…

John Cornyn
Sen. John CornynR-TX · Jul 14, 2005

Mr. President, I rise today to introduce the ``Respirator Access Assurance Act of 2005.'' This legislation is not a complex or lengthy proposal, but it is critically important for our men and women…

Christopher S. Bond
Sen. Christopher S. BondR-MO · Jul 14, 2005

Mr. President, I rise today to introduce legislation that will allow for the continued expansion of non-primary hub airports across the country. The simple fact of the matter is that demand for…

Lisa Murkowski
Sen. Lisa MurkowskiR-AK · Jul 14, 2005

Mr. President, I rise to introduce a bill that will allow the Environmental Protection Agency to continue to provide grant funding and technical assistance to small, rural communities in Alaska for…

Ron Wyden
Sen. Ron WydenD-OR · Jul 14, 2005

Mr. President, when Congress passed the Medicare Modernization Act, Medicare cost contracts were kept as a health plan option for seniors. However, Congress also limited the ability of cost contracts…

Joseph I. Lieberman
Sen. Joseph I. LiebermanD-CT · Jul 14, 2005

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

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Lincoln Chafee
Sen. Lincoln ChafeeR-RI · Jul 14, 2005

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

Latest available legislative text

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Latest
Introduced in SenateIssued July 14, 2005

II

109th CONGRESS

1st Session

S. 1405

IN THE SENATE OF THE UNITED STATES

July 14, 2005

Mr. Nelson of Nebraska (for himself, Mr. Santorum, and Mr. Corzine) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To extend the 50 percent compliance threshold used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility and to establish the National Advisory Council on Medical Rehabilitation.

1.

Short title

This Act may be cited as the Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005.

2.

Effect on enforcement of regulations

(a)

In general

Notwithstanding section 412.23(b)(2) of title 42, Code of Federal Regulations, during the period beginning on July 1, 2005, and ending on the date that is 2 years after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this Act as the Secretary) shall not—

(1)

require a compliance rate, pursuant to the criterion (commonly known as the 75 percent rule) that is used to determine whether a hospital or unit of a hospital is an inpatient rehabilitation facility (as defined in the rule published in the Federal Register on May 7, 2004, entitled Medicare Program; Final Rule; Changes to the Criteria for Being Classified as an Inpatient Rehabilitation Facility (69 Fed. Reg. 25752)), that is greater than the 50 percent compliance threshold that became effective on July 1, 2004;

(2)

change the designation of an inpatient rehabilitation facility in compliance with the 50 percent threshold; or

(3)

conduct medical necessity review of inpatient rehabilitation facilities using any guidelines, such as fiscal intermediary Local Coverage Determinations, other than the national criteria established in chapter 1, section 110 of the Medicare Benefits Policy Manual.

(b)

Retroactive status as an inpatient rehabilitation facility; payments; expedited review

The Secretary shall establish procedures for—

(1)

making any necessary retroactive adjustment to restore the status of a facility as an inpatient rehabilitation facility as a result of subsection (a);

(2)

making any necessary payments to inpatient rehabilitation facilities based on such adjustment for discharges occurring on or after July 1, 2005, and before the date of enactment of this Act; and

(3)

developing and implementing an appeals process that provides for expedited review of any adjustment to the status of a facility as an inpatient rehabilitation facility made during the period beginning on July 1, 2005, and ending on the date that is 2 years after the date of enactment of this Act.

3.

National advisory council on medical rehabilitation

(a)

Definitions

In this section:

(1)

Advisory Council

The term Advisory Council means the National Advisory Council on Medical Rehabilitation established under subsection (b).

(2)

Appropriate Federal agencies

The term appropriate Federal agencies means—

(A)

the Agency for Healthcare Research and Quality;

(B)

the Centers for Medicare & Medicaid Services;

(C)

the National Institute on Disability and Rehabilitation Research; and

(D)

the National Center for Medical Rehabilitation Research.

(b)

Establishment

Pursuant to section 222 of the Public Health Service Act (42 U.S.C. 217a), the Secretary shall establish an advisory panel to be known as the National Advisory Council on Medical Rehabilitation.

(c)

Membership

(1)

Appointment

The Advisory Council shall be composed of 17 members, of whom—

(A)

9 members shall be appointed by the Secretary, in consultation with the medical rehabilitation community, from a diversity of backgrounds, including—

(i)

physicians;

(ii)

medicare beneficiaries;

(iii)

representatives of inpatient rehabilitation facilities; and

(iv)

other practitioners experienced in rehabilitative care; and

(B)

8 members, not more than 4 of whom are members of the same political party, shall be appointed jointly by—

(i)

the majority leader of the Senate;

(ii)

the minority leader of the Senate;

(iii)

the Speaker of the House of Representatives;

(iv)

the minority leader of the House of Representatives;

(v)

the Chairman and the Ranking Member of the Committee on Finance of the Senate; and

(vi)

the Chairman and the Ranking Member of the Committee on Ways and Means of the House of Representatives.

(2)

Date

Members of the Advisory Council shall be appointed not later than 30 days after the date of enactment of this Act.

(3)

Period of appointment; Vacancies

Members shall be appointed for the life of the Council. A vacancy on the Advisory Council shall be filled not later than 30 days after the date on which the Advisory Council is given notice of the vacancy, in the same manner as the original appointment.

(4)

Meetings

(A)

Initial meeting

The Advisory Council shall conduct an initial meeting not later than 120 days after the date of enactment of this Act.

(B)

Meetings

The Advisory Council shall conduct such meetings as the Council determines to be necessary to carry out its duties but shall meet not less frequently than 2 times during each calendar year.

(d)

Duties

The duties of the Advisory Council shall include the following:

(1)

Advice and recommendations

Providing advice and recommendations to—

(A)

Congress and the Secretary concerning the coverage of rehabilitation services under the medicare program, including—

(i)

policy issues related to rehabilitative treatment and reimbursement for rehabilitative care, such as issues relating to any rulemaking relating to, or impacting, rehabilitation hospitals and units;

(ii)

the appropriate criteria for—

(I)

determining clinical appropriateness of inpatient rehabilitation facility admissions; and

(II)

distinguishing an inpatient rehabilitation facility from an acute care hospital and other providers of intensive medical rehabilitation;

(iii)

the efficacy of inpatient rehabilitation services, as opposed to other post-acute inpatient settings, through a comparison of quality and cost, controlling for patient characteristics (such as medical severity and motor and cognitive function) and discharge destination;

(iv)

the effect of any medicare regulations on access to inpatient rehabilitation care by medicare beneficiaries and the clinical effectiveness of care available to such beneficiaries in other health care settings; and

(v)

any other topic or issue that the Secretary or Congress requests the Advisory Council to provide advice and recommendations on; and

(B)

appropriate Federal agencies (as defined in subsection (a)(3)) on how to best utilize available research funds and authorities focused on medical rehabilitation research, including post-acute care site of service and outcomes research.

(e)

Periodic reports

The Advisory Council shall provide the Secretary with periodic reports that summarize—

(1)

the Council’s activities; and

(2)

any recommendations for legislation or administrative action the Council considers to be appropriate.

(f)

Termination

The Advisory Council shall terminate on September 30, 2010.

(g)

Authorization of appropriations

There are authorized to be appropriated such sums as may be necessary to carry out the purposes of this section.

(h)

Effective date

This section shall take effect on the date of enactment of this Act.