H.R. 1174House110th Congress (2007-2009)In Committee

Healthy Hospitals Act of 2007

Sponsored by Tim MurphyRep. Tim Murphy (R-PA)
Introduced February 16, 2007

Legislative Activity

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5 earlier actions
HouseIntro Referral Latest Action

Sponsor introductory remarks on measure. (CR H8124)

July 19, 2007

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HouseIntro Referral

Introduced in House

February 16, 2007

HouseIntro Referral

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.

February 16, 2007

HouseCommittee

Referred to the Subcommittee on Health.

February 27, 2007

HouseIntro Referral

Sponsor introductory remarks on measure. (CR H2276)

March 7, 2007

HouseIntro Referral

Sponsor introductory remarks on measure. (CR H5984-5985)

June 5, 2007

HouseIntro Referral

Sponsor introductory remarks on measure. (CR H8124)

July 19, 2007

Floor Debate

21 members

What members said about H.R. 1174 on the floor

10 Republicans11 Democrats
Paul D. Ryan
Rep. Paul D. RyanR-WI-1 · Mar 13, 2008

Mr. Chairman, I offer an amendment. Mr. Chairman, at this time I would like to yield 1 minute to the esteemed minority leader, Mr. Boehner. Mr. Chairman, at this time I would like to yield 2 minutes…

John M. Spratt, Jr.
Rep. John M. Spratt, Jr.D-SC-5 · Mar 13, 2008

Mr. Chairman, I rise in opposition to the substitute. Mr. Chairman, I yield myself 6\1/2\ minutes. Mr. Chairman, I think it bears remembering that 8 short years ago the budget of this government was…

Steny H. Hoyer
Rep. Steny H. HoyerD-MD-5 · Mar 13, 2008

I'm always interested to listen to some of the representations made on this floor. I have been here some time, as all of you know. Ronald Reagan said ``trust but verify.'' For 27 years, all but 8 of…

James R. Langevin
Rep. James R. LangevinD-RI-2 · Mar 13, 2008

Mr. Chairman, I rise today in support of H. Con. Res. 312, the Budget Resolution for fiscal year 2009. This proposal fulfills an important commitment that we have made to the American people by…

John A. Boehner
Rep. John A. BoehnerR-OH-8 · Mar 13, 2008

Mr. Chairman, I want to thank my colleague from Wisconsin for yielding and congratulate him and the Republican members of the Budget Committee for a job well done in putting this budget together. I…

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Mark Udall
Rep. Mark UdallD-CO-2 · Mar 13, 2008

Mr. Chairman, I support this budget resolution, which will lay the foundation for the decisions about spending and taxes that we must make this year. Our first responsibility as Members of Congress…

Nancy Pelosi
Rep. Nancy PelosiD-CA-8 · Mar 13, 2008

Mr. Chairman, I thank the gentleman for yielding. May I begin by thanking the gentleman from South Carolina, Mr. Spratt, the chairman of the Budget Committee, for his masterly work in bringing this…

Robert C. "Bobby" Scott
Rep. Robert C. "Bobby" ScottD-VA-3 · Mar 13, 2008

I thank the chairman for yielding. Mr. Chairman, we have to remind ourselves exactly where we are with the policies that took place in 2001 and 2003 and what has happened to our budget. You will see…

Tim Murphy
Rep. Tim MurphyR-PA-18 · Oct 18, 2007

Mr. Speaker, in the news headlines yesterday and today, we learned that more people die from an infection called MRSA than die from AIDS. The news, however, is much worse than this. And that is, if…

Bob Etheridge
Rep. Bob EtheridgeD-NC-2 · Mar 13, 2008

Mr. Chairman, on behalf of North Carolina's children and our working families, I rise in support of this budget resolution and I congratulate you, Chairman John Spratt for your visionary leadership…

Tim Murphy
Rep. Tim MurphyR-PA-18 · Jun 5, 2007

Mr. Chairman, I am here to talk about a sad but true problem in our health care institutions in this country, and that is this. The Centers for Disease Control tells us in any given year some 2…

Tim Murphy
Rep. Tim MurphyR-PA-18 · Sep 15, 2008

Mr. Speaker, it seems like every day in this House floor we call for a moment of silence to recognize some tragic loss of life across our country. And it is fitting that we do so. If we were to…

Robert E. Andrews
Rep. Robert E. AndrewsD-NJ-1 · Mar 13, 2008

I thank my friend for yielding. Mr. Chairman, this week, the House has in front of it two well- thought-out but starkly different visions of where to take the country. We have put forward a budget…

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Tim Murphy
Rep. Tim MurphyR-PA-18 · Dec 19, 2007

Madam Speaker, over the last several months, and certainly over the last 2 weeks, Congress has had a number of accomplishments. Today we did a number of things that were important such as funding for…

John Campbell
Rep. John CampbellR-CA-48 · Mar 13, 2008

Mr. Chairman, I thank the gentleman for yielding. You know, our friends on the other side of the aisle may not like and may have problems with our budget, but the one thing they can't say is that we…

Jeb Hensarling
Rep. Jeb HensarlingR-TX-5 · Mar 13, 2008

I thank the ranking member for yielding, and I certainly thank him for his leadership and all he does to protect the family budget from the Federal budget. Mr. Chairman, today the American people are…

Solomon P. Ortiz
Rep. Solomon P. OrtizD-TX-27 · Mar 13, 2008

Mr. Chairman, this budget is a commitment to restoring fiscal responsibility while providing for programs that boost economic growth, create new jobs, and provide tax relief to millions of middle-…

J. Gresham Barrett
Rep. J. Gresham BarrettR-SC-3 · Mar 13, 2008

I thank the gentleman for yielding. Mr. Chairman, I rise in strong support of the Republican substitute. And there is a clear difference between the two proposals on the table. The key to managing,…

Ike Skelton
Rep. Ike SkeltonD-MO-4 · Mar 13, 2008

Mr. Chairman, let me take this means to congratulate Budget Committee Chairman John Spratt, also a senior and well-respected member of the House Armed Services Committee, for crafting a strong,…

Eric Cantor
Rep. Eric CantorR-VA-7 · Mar 13, 2008

I thank the gentleman. First of all, let me respond to some of the assertions made by our friend from Illinois. He tries to portray this as a choice, a budget document that represents a choice…

Roy Blunt
Rep. Roy BluntR-MO-7 · Mar 13, 2008

Mr. Chairman, I rise in support of the budget he brings to the floor. I think it's clear, looking at that budget, that the specific cuts that have just been suggested don't have to be the cuts that…

Rahm Emanuel
Rep. Rahm EmanuelD-IL-5 · Mar 13, 2008

Mr. Chairman, this week, or just today, rather, it was found out, we discovered and it was reported, that the United States is running a $176 billion deficit in February alone. Earlier this week, we…

Mike Pence
Rep. Mike PenceR-IN-6 · Mar 13, 2008

I thank the ranking member for yielding, and I thank him for his extraordinary leadership on this budget. Mr. Chairman, I rise in support of fiscal responsibility, and my conscience therefore demands…

Paul C. Broun
Rep. Paul C. BrounR-GA-10 · Mar 13, 2008

I thank the gentleman for yielding. Mr. Chairman, the Speaker is absolutely right, but this is about their values, not America's values. We hear it's about the children. The Democrat Party's budget,…

Bill Text

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Introduced in HouseIssued February 16, 2007

I

110th CONGRESS

1st Session

H. R. 1174

IN THE HOUSE OF REPRESENTATIVES

February 16, 2007

Mr. Tim Murphy of Pennsylvania (for himself, Mrs. Myrick, Mr. Boswell, and Ms. Corrine Brown of Florida) 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 require public reporting of health care-associated infections data by hospitals and ambulatory surgical centers and to permit the Secretary of Health and Human Services to establish a pilot program to provide incentives to hospitals and ambulatory surgical centers to eliminate the rate of occurrence of such infections.

1.

Short title

This Act may be cited as the Healthy Hospitals Act of 2007.

2.

Findings

Congress finds the following:

(1)

Health care costs in the United States are rising. From 2004 through 2005, the medical costs for a four-person household increased by 9.1 percent to $12,214. A significant portion of these increased costs are attributable to health care-associated infections. When a patient contracts such an infection, that cost is passed on to the insurance companies, State and Federal governments, or individuals.

(2)

Health care-associated infections contribute to over $50,000,000,000 in annual medical costs. An acquired infection adds $150,000 to a medical bill per patient.

(3)

The Centers for Disease Control and Prevention reports that there are an estimated 2,000,000 cases of health care-associated infections and an estimated 90,000 deaths related to such infections annually.

(4)

Only six States require hospitals to report their health care-associated infection rates. Only one State makes that information available to the public for each hospital.

(5)

Health care-associated infections include surgical site infections, ventilator associated pneumonia, central line related (IV) blood infections, urinary tract infections, methicillin-resistant Staphylococcus aureus (MRSA) infections, and other types of infections. These infections are transmitted to patients when there is inadequate adherence to clean sanitation and patient safety procedures that would otherwise prevent infectious disease. A study in the American Journal of Medical Quality of almost 12,000 hospitalizations reports that hospital procedures, not the sickness of the patient at the time of admission, tended to be the primary cause of these infections.

(6)

Hospitals and other health care providers have been able to drastically reduce infection rates by strict adherence to clean sanitation techniques, including:

(A)

Handwashing before and after contact with any patient.

(B)

Sterilizing all equipment used with patients.

(C)

Clean up before and after patient procedures.

(D)

Proper use of antibiotics before and after surgery.

(E)

Pre-testing patients on admission to evaluate the presence of an infection (such as MRSA).

(F)

Use of infection control boards at hospitals to monitor and manage procedures.

(7)

The National Surgical Infection Prevention Project found in a study of over 34,000 patients treated nationwide that more than 44 percent of patients did not receive antibiotic doses within the recommended time frame. In addition, the American Journal of Infection Control reports that 70 percent of health care workers do not adhere to handwashing and sterilization procedures.

(8)

Hospitals have successfully reduced infections by improving patient safety. For example, Allegheny General Hospital in Pennsylvania reduced the rate of central line-acquired infections to almost zero within 90 days by educating and training health care staff on infection control resulting in savings in three years of over $2,000,000. A major teaching hospital in St. Louis reported a reduction in central line acquired infection rates through introduction of an educational program for all staff resulting in cost savings of over $1,500,000. Mercy Health Center in Oklahoma has performed 400 surgeries without any infections by utilizing antibiotics and clean procedures.

(9)

Uniform and accurate public reporting of health care-associated infections by hospitals and ambulatory surgical centers will allow health care providers to target their efforts to reduce the occurrence of health care-associated infections, enhance consumer choice of health care providers, reduce health care costs, and save lives.

3.

Requirement for public reporting of health care-associated infections data by hospitals and ambulatory surgical centers

(a)

Required reporting

(1)

Hospitals

Subsection (a)(1) of section 1866 of the Social Security Act (42 U.S.C. 1395cc) is amended—

(A)

in subparagraph (U), by striking and at the end;

(B)

in subparagraph (V), by striking the period at the end and inserting , and; and

(C)

by inserting after subparagraph (V) the following new subparagraph:

(W)

in the case of a hospital or critical access hospital, to report to the Secretary data in accordance with subsection (k)(1).

.

(2)

Ambulatory surgical centers

Section 1832(a)(2)(F)(i) of such Act (42 U.S.C. 1395k(a)(2)(F)(i)) is amended by inserting after other standards the following: , including the reporting to the Secretary of data in accordance with section 1866(k)(1),.

(b)

Data reporting and public posting of health care-associated infections by hospitals and ambulatory surgical centers

Section 1866 of such Act (42 U.S.C. 1395cc) is further amended by adding at the end the following new subsection:

(k)

Data reporting and public availability of health care-associated infections by hospitals and ambulatory surgical centers

(1)

Quarterly reporting requirement

Not later than 45 days after the end of a calendar quarter (beginning more than one year after the date of the enactment of this subsection), a hospital or ambulatory surgical center shall report to the Secretary the rate of each health care-associated infection selected under paragraph (2) occurring in the hospital or center, respectively, during the calendar quarter and information on relevant risk factors (relating to susceptibility of patients to each such infection) that may affect such rate.

(2)

Selection of health care-associated infections

For purposes of this subsection, the Secretary shall select one or more health care-associated infections.

(3)

Public posting of data

The Secretary shall promptly post, on the official public Internet site of the Department of Health and Human Services, the data reported under paragraph (1). Such data shall be set forth in a manner that promotes the comparison of the relative rate of occurrence of each health care-associated infection selected under paragraph (2), taking into account the relevant risk factors reported under such paragraph, among hospitals and ambulatory surgical centers.

(4)

Annual report to Congress

For each year for which data is reported under paragraph (1) for any calendar quarter in the year, the Secretary shall submit to Congress a report that summarizes each of the following:

(A)

The rates of occurrence of each health care-associated infection selected under paragraph (2) in hospitals and ambulatory surgical centers during such year.

(B)

Factors that contribute to the occurrence of each such infection.

(C)

The measures applied by hospitals and ambulatory surgical centers to reduce each such infection and the effect of such measures during such year.

(D)

The total increases or decreases in health care costs that resulted from increases or decreases in the rates of occurrence of each such infection during such year.

(E)

Recommendations for best practices to eliminate the rates of occurrence of each such infection in hospitals and ambulatory surgical centers.

(5)

Civil money penalty

The Secretary may impose a civil money penalty of not more than $10,000 for each knowing violation of paragraph (1) by a hospital or ambulatory surgical center. A civil money penalty under this paragraph shall be imposed and collected in the same manner as a civil money penalty under subsection (a) of section 1128A is imposed and collected under that section, except that, notwithstanding subsection (f) of such section, if the Secretary designs and implements a pilot program under section 4(a) of the Healthy Hospitals Act of 2007 (relating to the health care-associated infections pilot program), amounts recovered under this paragraph shall be paid to the Secretary and shall be available to carry out such pilot program.

(6)

Non-preemption of State laws

Nothing in this subsection shall be construed as preempting or otherwise affecting any provision of State law relating to the disclosure of additional information on health care-associated infections or patient safety procedures for a hospital or ambulatory surgical center.

(7)

Health care-associated infection defined

For purposes of this subsection, the term health care-associated infection

(A)

means, as defined by the Centers for Disease Control and Prevention, an infection caused from bacteria or a virus that—

(i)

is a localized or systemic condition that results from an adverse reaction to the presence of an infectious agent or its toxin and that was not present or incubating at the time of admission of a patient to the hospital involved;

(ii)

is present at any time after admission and before discharge of such patient; and

(iii)

could reasonably have been prevented had patient safety measures, plans, and guidelines been adopted and followed; and

(B)

includes surgical site infections, ventilator associated pneumonia, central line related (IV) blood infections, urinary tract infections, methicillin-resistant Staphylococcus aureus (MRSA) infections, clostridium difficile infections, and any additional infections specified by the Secretary.

(8)

Application to critical access hospitals

For purposes of this subsection, the term hospital shall include a critical access hospital.

.

(c)

Authorization of appropriations

To carry out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2008 through 2010.

4.

Medicare pilot program to reduce health care-associated infection rates

(a)

In general

The Secretary of Health and Human Services is authorized to design and implement a pilot program under title XVIII of the Social Security Act to provide financial incentives or grants to hospitals and ambulatory surgical centers, as selected by the Secretary in accordance with subsection (b), that demonstrate to the satisfaction of the Secretary a reduction in the rate of occurrence (or elimination) of health care-associated infections in the applicable hospital or ambulatory surgical center.

(b)

Selection of hospitals and ambulatory surgical centers

In carrying out subsection (a), the Secretary of Health and Human Services shall select hospitals and ambulatory surgical centers—

(1)

that are capable of accurately monitoring and reporting the rate of occurrence of health care-associated infections; and

(2)

the participation of which in such program will likely result in the greatest scientific and health benefit for purposes of reducing the rate of occurrence of such infections.

(c)

Limitation

Under the pilot program under this section the aggregate financial incentives provided under the program for reduction in infections in a period shall not exceed 10 percent of the amount (estimated by the Secretary) by which Federal expenditures under title XVIII of the Social Security Act are reduced in such period as a result of such reduction in infections.

(d)

Health care-associated infection defined

For purposes of this section, the term health care-associated infection has the meaning given such term under section 1866(k)(6) of the Social Security Act, as added by section 3(b).

(e)

Application to critical access hospitals

For purposes of this section, the term hospital shall include a critical access hospital.

(f)

Authorization of appropriations

To carry out this section there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2008 through 2010.

5.

Sense of Congress

It is the sense of Congress that health care providers and facilities should take measures to reduce the rate of occurrence of health care-associated infections to zero, with respect to patients to whom such providers and facilities furnish services.