Congressional_BillsHR1502IH

Puer­to Rico Hos­pi­tals Medicare DSH Equi­ty Act of 2009 (Intro­duced in House)

HR 1502 IH

111th CONGRESS

1st Ses­sion

H. R. 1502

To amend title XVIII of the Social Secu­ri­ty Act to pro­vide for equi­ty in the cal­cu­la­tion of Medicare dis­pro­por­tion­ate share hos­pi­tal pay­ments for hos­pi­tals in Puer­to Rico .

IN THE HOUSE OF REPRESENTATIVES

March 12, 2009

Mr. PIERLUISI (for him­self, Mr. SERRANO, Ms. VELAZQUEZ, and Mr. GUTIERREZ) intro­duced the fol­low­ing bill; which was referred to the Com­mit­tee on Ways and Means


A BILL

To amend title XVIII of the Social Secu­ri­ty Act to pro­vide for equi­ty in the cal­cu­la­tion of Medicare dis­pro­por­tion­ate share hos­pi­tal pay­ments for hos­pi­tals in Puer­to Rico .

Be it enact­ed by the Sen­ate and House of Rep­re­sen­ta­tives of the Unit­ed States of Amer­i­ca in Con­gress assem­bled,

SECTION 1. SHORT TITLE.

This Act may be cit­ed as the ‘Puer­to Rico Hos­pi­tals Medicare DSH Equi­ty Act of 2009’.

SEC. 2. CALCULATION OF MEDICARE DSH PAYMENTS FOR PPS HOSPITALS IN PUERTO RICO .

Sec­tion 1886(d)(9)(D)(iii) of the Social Secu­ri­ty Act (42 U.S.C. 1395ww(d)(9)(D)(iii)) is amend­ed to read as fol­lows:

‘(iii) Sub­para­graph (F) (relat­ing to dis­pro­por­tion­ate share pay­ments), except that for this pur­pose–

‘(I) the sum described in clause (ii) of this sub­para­graph shall be sub­sti­tut­ed for the sum referred to in para­graph (5)(F)(ii)(I); and

‘(II) for dis­charges occur­ring on or after Octo­ber 1, 2009, sub­clause (I) of para­graph (5)(F)(vi) shall be applied by sub­sti­tut­ing for the numer­a­tor described in such sub­clause the num­ber of sub­sec­tion (d) Puer­to Rico hos­pi­tals’ patient days for a cost report­ing peri­od which were made up of patients who (for such days) were enti­tled to ben­e­fits under part A of this title and either were eli­gi­ble in Puer­to Rico on a cat­e­gor­i­cal­ly needy basis or med­ical­ly needy basis as aged, blind, or dis­abled for med­ical assis­tance under title XIX.’.