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United States · Bill · HR

H.R. 3422 (111th)

Medicare Support for Rural Hospitals Act

referredUnited States· United States Congress· EN

Introduced

30 July 2009

Last action

31 July 2009 · Referred

Status

Referred to the Subcommittee on Health.

Sponsors

Rep. King, Steve [R-IA-4], Rep. Latham, Tom [R-IA-3]

Subjects

Healthcare, Taxation

Source updated

14 August 2025

Healthcare · Taxation

Summary

Medicare Support for Rural Hospitals Act - Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the additional inpatient hospital service payment (payment adjustment) for low-volume hospitals (usually meaning a "subsection (d) hospital" located more than 25 road miles from another subsection (d) hospital and having less than 800 discharges during the fiscal year.) (Generally, a subsection (d) hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system (IPPS) when providing covered inpatient services to eligible beneficiaries.) Redefines low-volume hospital, for discharges occurring during FY2010 only, as a subsection (d) hospital located more than 15 (instead of 25) road miles from another subsection (d) hospital and having less than 1,500 (instead of 800) discharges of individuals entitled to, or enrolled for, Medicare part A (Hospital Insurance) benefits ("tweeners,'' or hospitals too large to be critical access hospitals, but too small to be financially viable under the Medicare hospital prospective payment system [PPS]). Revises, for FY2010 only, the temporary applicable percentage in the formula for determining the payment adjustment for such hospitals. Requires the use of the non-wage adjusted PPS rate during FY2010 under the Medicare-dependent hospital (MDH) program. Amends the Children's Health Insurance Program Reauthorization Act of 2009 to repeal the state option to verify a declaration of U.S. citizenship or nationality for purposes of Medicaid (SSA title XIX) or CHIP (Children's Health Insurance) (SSA title XXI) eligibility through verification of a name and Social Security number with the Commissioner of Social Security, as an alternative to the current documentation requirement.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 30 July 2009

    Introduced

    Referred to House Ways and Means

    Source: IntroReferral

  2. 30 July 2009

    Introduced

    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.

    Source: IntroReferral

  3. 30 July 2009

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 30 July 2009

    Introduced

    Introduced in House

    Source: IntroReferral

  5. 31 July 2009

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

Votes

No vote records are attached yet.

Versions

Documents

3 official files

Introduced in House (text)

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  • Introduced in House (text)

    Introduced in House · EN · 30 July 2009

    ViewDownloadOpen at official source

  • Introduced in House (PDF)

    Introduced in House · EN · 30 July 2009

    ViewDownloadOpen at official source

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  • Introduced in House

    summary · EN · 30 July 2009

    Open at official source

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Sponsors

Related records

Sources

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