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116TH CONGRESS
1ST SESSION H. R. 1041
To amend title XVIII of the Social Security Act to remove the 96-hour
physician certification requirement for inpatient critical access hospital
services.
IN THE HOUSE OF REPRESENTATIVES
FEBRUARY 7, 2019
Mr. SMITH of Nebraska (for himself and Ms. SEWELL of Alabama) 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 remove
the 96-hour physician certification requirement for inpa-
tient critical access hospital services.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Critical Access Hos-
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pital Relief Act of 2019’’.
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•HR 1041 IH
SEC. 2. REMOVING MEDICARE 96-HOUR PHYSICIAN CER-
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TIFICATION REQUIREMENT FOR INPATIENT
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CRITICAL ACCESS HOSPITAL SERVICES.
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(a) IN GENERAL.—Section 1814(a) of the Social Se-
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curity Act (42 U.S.C. 1395f(a)) is amended—
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(1) in paragraph (6), by adding ‘‘and’’ at the
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end;
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(2) in paragraph (7), at the end of subpara-
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graph (E), by striking ‘‘and’’ and inserting a period;
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and
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(3) by striking paragraph (8).
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(b) APPLICATION.—The amendments made by sub-
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section (a) shall apply with respect to items and services
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furnished on or after January 1, 2020.
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