EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS.

SEC. 50204. EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS. (a) In General Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended— (1) in subparagraph (B), in the matter preceding clause (i), by striking “fiscal year 2018” and inserting “fiscal year 2023”; (2) in subparagraph (C)— (A) in clause (i)— (i) by striking “through 2017” the first place it appears and inserting “through 2022”; and (ii) by striking “ and has less than 800 discharges” and all that follows through the period at the end and inserting the following“and has— “(I) with respect to each of fiscal years 2005 through 2010, less than 800 discharges during the fiscal year; “(II) with respect to each of fiscal years 2011 through 2018, less than 1,600 discharges of individuals entitled to, or enrolled for, benefits under part A during the fiscal year or portion of fiscal year; “(III) with respect to each of fiscal years 2019 through 2022, less than 3,800 discharges during the fiscal year; and “(IV) with respect to fiscal year 2023 and each subsequent fiscal year, less than 800 discharges during the fiscal year.” ; and (B) in clause (ii)— (i) by striking “subparagraph (B)” and inserting “subparagraphs (B) and (D)”; and (ii) by inserting “(except as provided in clause (i)(II) and subparagraph (D)(i))” after “regardless”; and (3) in subparagraph (D)— (A) by striking “through 2017” and inserting “through 2022”; (B) by striking “hospitals with 200 or fewer” and inserting the following:“hospitals— “(i) with respect to each of fiscal years 2011 through 2018, with 200 or fewer” ; (C) by striking the period at the end and inserting “or portion of fiscal year; and”; and (D) by adding at the end the following new clause: “(ii) with respect to each of fiscal years 2019 through 2022, with 500 or fewer discharges in the fiscal year to 0 percent for low-volume hospitals with greater than 3,800 discharges in the fiscal year.” . (b) MedPAC Report on Extension of Increased Inpatient Hospital Payment Adjustment for Certain Low-volume Hospitals (1) In general Not later than March 15, 2022, the Medicare Payment Advisory Commission shall submit to Congress a report on the extension of the increased inpatient hospital payment adjustment for certain low-volume hospitals under section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) under the provisions of, and amendments made by, this section. (2) Contents The report under paragraph (1) shall include an evaluation of the effects of such extension on the following: (A) Beneficiary utilization of inpatient hospital services under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.). (B) The financial status of hospitals with a low volume of Medicare or total inpatient admissions. (C) Program spending under such title XVIII. (D) Other matters relevant to evaluating the effects of such extension.