H.R. 5232House113th Congress (2013-2015)In Committee

NOTICE Act

Introduced July 29, 2014

Legislative Activity

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2 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

August 1, 2014

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HouseIntro Referral

Introduced in House

July 29, 2014

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.

July 29, 2014

HouseCommittee

Referred to the Subcommittee on Health.

August 1, 2014

Floor Debate

24 members

What members said about H.R. 5232 on the floor

11 Republicans13 Democrats
Nita M. Lowey
Rep. Nita M. LoweyD-NY-17 · Aug 1, 2014

Mr. Speaker, I yield myself such time as I may consume, and I rise today to oppose this outrageous bill and the ridiculous process that produced it. Just yesterday, this House attempted to consider a…

Nancy Pelosi
Rep. Nancy PelosiD-CA-12 · Aug 1, 2014

Mr. Speaker, I thank the gentlewoman for yielding. The time is late, the cause is great. We must, we must have clarity in how we understand what is before us. Today, we had an opportunity to work…

Harold Rogers
Rep. Harold RogersR-KY-5 · Aug 1, 2014

Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and include extraneous material on the further consideration of H.R.…

Bob Goodlatte
Rep. Bob GoodlatteR-VA-6 · Aug 1, 2014

Mr. Speaker, I thank the gentleman from Kentucky, the chairman of the Appropriations Committee for his leadership on this issue, and I urge my colleagues to support H.R. 5230. There is a crisis at…

John Abney Culberson
Rep. John Abney CulbersonR-TX-7 · Aug 1, 2014

Mr. Speaker, I have heard several of my Democratic colleagues tonight say this bill does not reflect American values. I am disappointed to hear them say that because it really reflects a fundamental,…

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Steny H. Hoyer
Rep. Steny H. HoyerD-MD-5 · Aug 1, 2014

Mr. Speaker, I thank the gentlelady for yielding. Mr. Speaker, House Republicans have taken two bad bills that failed to meet the challenge of the humanitarian crisis on the border and made them…

David E. Price
Rep. David E. PriceD-NC-4 · Aug 1, 2014

Mr. Speaker, I rise in strong opposition to this so-called appropriations bill. I say ``so-called'' because it really is mainly about ill-advised and mean-spirited policy changes. Rather than…

Xavier Becerra
Rep. Xavier BecerraD-CA-34 · Aug 1, 2014

Mr. Speaker, I thank the ranking member for yielding. The corrosive effects of shutdown do-nothing politics is on full display here tonight in the House of Representatives. Stripping the rights and…

Steve Scalise
Rep. Steve ScaliseR-LA-1 · Aug 1, 2014

Mr. Speaker, I thank the gentleman from Kentucky, the chairman of the Appropriations Committee, for his leadership, and the gentlewoman from Texas for her leadership in putting this working group…

Lucille Roybal-Allard
Rep. Lucille Roybal-AllardD-CA-40 · Aug 1, 2014

Mr. Speaker, as a nation, Americans have always valued children and families. If we pass this inadequate, irresponsible bill tonight, we will be breaking from that tradition and turning our backs on…

Kay Granger
Rep. Kay GrangerR-TX-12 · Aug 1, 2014

Thank you, Mr. Chairman, and thank you for the hard work you have put into this difficult situation. Mr. Speaker, we are here tonight because this Congress has a responsibility to immediately stop…

John R. Carter
Rep. John R. CarterR-TX-31 · Aug 1, 2014

Mr. Speaker, as chairman of the Appropriations Subcommittee on Homeland Security and as a native Texan, I am uniquely familiar with our southern border. I am also uniquely familiar with the national…

Marlin A. Stutzman
Rep. Marlin A. StutzmanR-IN-3 · Aug 1, 2014

Mr. Speaker, I thank the gentleman from Kentucky for his dedication and hard work in finding a solution to a problem that none of us created here in this Chamber. I rise today in strong support of…

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Zoe Lofgren
Rep. Zoe LofgrenD-CA-19 · Aug 1, 2014

Mr. Speaker, we have heard repeatedly that this bill simply treats all children the way that Mexican children are treated. It is true that the bill would subject all children to the ineffective…

Tom Marino
Rep. Tom MarinoR-PA-10 · Aug 1, 2014

Mr. Speaker, I sat here quietly listening to the argument from my colleagues on the other side of the aisle, and I find it absolutely amazing that they say because the President would not sign this…

Barbara Lee
Rep. Barbara LeeD-CA-13 · Aug 1, 2014

Mr. Speaker, let me thank our ranking member, Mrs. Lowey, for yielding and for her tremendous leadership. Let me just start by saying that, yes, as an appropriator, I am very troubled by the…

Robert B. Aderholt
Rep. Robert B. AderholtR-AL-4 · Aug 1, 2014

Thank you for yielding, Mr. Chairman. Mr. Speaker, it has been discussed throughout this debate this afternoon and this evening that we do face an unprecedented humanitarian emergency with literally…

Adam Smith
Rep. Adam SmithD-WA-9 · Aug 1, 2014

Mr. Speaker, I rise in opposition to this bill and also to the bill that will follow. We have a humanitarian crisis on our border in this country, and neither this bill and certainly not the next…

Pete P. Gallego
Rep. Pete P. GallegoD-TX-23 · Aug 1, 2014

Mr. Speaker, if you read what reporters are already saying, they are saying that this isn't a serious bill that will ever become law--that opportunity was lost yesterday when the original bill was…

Steve King
Rep. Steve KingR-IA-4 · Aug 1, 2014

Mr. Speaker, I want to first thank all the people that worked so hard to put this language together, and it makes me feel good to see the team that has done so. But I also think there is a…

Keith J. Rothfus
Rep. Keith J. RothfusR-PA-12 · Aug 1, 2014

Mr. Speaker, this border crisis is one of the President's making. We are here on a Friday night in August because the President has not done his job. His failure to enforce the law and failure to…

Carol Shea-Porter
Rep. Carol Shea-PorterD-NH-1 · Aug 1, 2014

Mr. Speaker, how did a $35 million earmark for 2012 and maybe 2016 Republican Presidential candidate Texas Governor Rick Perry get into this bill and why? If Texas Governor Rick Perry chooses to send…

Keith Ellison
Rep. Keith EllisonD-MN-5 · Aug 1, 2014

Mr. Speaker, on rollcall No. 478 I was caught in traffic and couldn't reach the floor. Had I been present, I would have voted ``no.''

Jim McDermott
Rep. Jim McDermottD-WA-7 · Aug 1, 2014

Mr. Speaker, on rollcall vote 478 (On Passage of H.R. 5230), had I been present, I would have voted ``nay.''

Bill Text

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Introduced in HouseIssued July 29, 2014

I

113th CONGRESS

2d Session

H. R. 5232

IN THE HOUSE OF REPRESENTATIVES

July 29, 2014

Mr. Doggett (for himself and Mr. Young of Indiana) 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 hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals.

1.

Short title

This Act may be cited as the Notice of Observation Treatment and Implication for Care Eligibility Act or the NOTICE Act.

2.

Medicare requirement for hospital notifications of observation status

(a)

In general

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

(1)

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

(2)

in the first subparagraph (W), by striking at the end the period and inserting a comma;

(3)

in the second subparagraph (W)—

(A)

by redesignating such subparagraph as subparagraph (X); and

(B)

by striking at the end the period and inserting , and; and

(4)

by inserting after such subparagraph (X) the following new subparagraph:

(Y)

in the case of a hospital, to provide to each individual who is entitled to benefits under part A and who the hospital classifies for more than 24 hours as an outpatient under observation status or any other similar status, as the Secretary determines appropriate (or to a person acting on the individual’s behalf), not later than 36 hours after the time of such classification of such individual under such status (or, if sooner, upon discharge), an adequate oral and written notification (as defined by the Secretary pursuant to rulemaking and containing such language as the Secretary prescribes consistent with this paragraph) which—

(i)

explains the status of the individual as an outpatient under such observation status or any other such similar status and not as an inpatient of the hospital;

(ii)

explains the reason for the classification of such individual under such status;

(iii)

explains the implications of such status as an outpatient on—

(I)

eligibility for coverage of items and services under this title, including such items and services furnished by the hospital with respect to such individual while under such status and for items and services under this title for a subsequent discharge to a skilled nursing facility or other facility; and

(II)

cost-sharing requirements under this title, including with respect to items and services furnished by the hospital to such individual while under such status and with respect to items and services under this title for a subsequent discharge to a skilled nursing facility or other facility;

(iv)

includes the name and title of the staff of the hospital who provided the oral notification and the date and time of such oral notification;

(v)

includes such additional information as the Secretary deems appropriate; and

(vi)

in the case of the written notification, is—

(I)

signed by such individual (or person acting on the individual’s behalf) to acknowledge receipt of such notification;

(II)

written and formatted using language that is clear and easily understandable to Medicare beneficiaries; and

(III)

made available in different languages, as specified by the Secretary.

.

(b)

Effective date

The amendments made by subsection (a) shall apply with respect to items and services furnished on or after the date that is six months after the date of the enactment of this Act.