IN THE SENATE OF THE UNITED STATES
March 14, 2013
Mr. Brownintroduced the following bill; which was read twice and referred to theCommittee on Finance
To amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare.
This Act may be cited as the
Improving Access to Medicare Coverage
Act of 2013
Counting a period of receipt of outpatient observation services in a hospital toward the 3-day inpatient hospital requirement for coverage of skilled nursing facility services under Medicare
Section 1861(i) of the Social Security Act(42 U.S.C.
1395x(i))is amended by adding at the end the following:
For purposes of
this subsection, an individual receiving outpatient observation services shall
be deemed to be an inpatient during such period, and the date such individual
ceases receiving such services shall be deemed the hospital discharge date
(unless such individual is admitted as a hospital inpatient at the end of such
The amendment made bysubsection (a)shall apply to receipt of outpatient observation services beginning on or after January 1, 2013, but applies to a period of post-hospital extended care services that was completed before the date of the enactment of this Act only if an administrative appeal is or has been made with respect to such services not later than 90 days after the date of the enactment of this Act. Notwithstanding any other provision of law, theSecretary of Health and Human Servicesmay implement such amendment through an interim final regulation, program instruction, or otherwise.