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United States · Bill · HR

H.R. 362 (111th)

Rural Hospital Assistance Act of 2009

referredUnited States· United States Congress· EN

Introduced

9 January 2009

Last action

14 January 2009 · Referred

Status

Referred to the Subcommittee on Health.

Sponsors

Rep. Boswell, Leonard L. [D-IA-3], Rep. Loebsack, David [D-IA-2], Rep. Berry, Marion [D-AR-1], Rep. Braley, Bruce L. [D-IA-1], Rep. Emerson, Jo Ann [R-MO-8], Rep. Skelton, Ike [D-MO-4], Rep. Boren, Dan [D-OK-2], Rep. Carney, Christopher P. [D-PA-10], Rep. Wilson, Charles A. [D-OH-6], Rep. Jackson Lee, Sheila [D-TX-18], Rep. Salazar, John T. [D-CO-3], Rep. Oberstar, James L. [D-MN-8], Rep. Peterson, Collin C. [D-MN-7], Rep. Carnahan, Russ [D-MO-3], Rep. Filner, Bob [D-CA-51], Sen. Moran, Jerry [R-KS], Rep. Tiahrt, Todd [R-KS-4]

Subjects

Healthcare, Taxation

Source updated

14 August 2025

Healthcare · Taxation

Summary

Rural Hospital Assistance Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act 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 FY2009 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 prospective payment rate (PPS) rate during FY2010 under the Medicare-dependent hospital (MDH) program. Prescribes requirements for hospitals to qualify for a Medicare hospital exception to the prohibition on certain physician referrals to hospitals in which such physicians have an ownership or investment interest in the entity. (Eliminates the Medicare hospital exception for physician-owned hospitals, but provides a limited exception for existing facilities.)

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

Timeline

  1. 9 January 2009

    Introduced

    Referred to House Ways and Means

    Source: IntroReferral

  2. 9 January 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. 9 January 2009

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 9 January 2009

    Introduced

    Introduced in House

    Source: IntroReferral

  5. 14 January 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 · 9 January 2009

    ViewDownloadOpen at official source

  • Introduced in House (PDF)

    Introduced in House · EN · 9 January 2009

    ViewDownloadOpen at official source

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  • Introduced in House

    summary · EN · 9 January 2009

    Open at official source

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Sponsors

Related records

Sources

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