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I
116TH CONGRESS
1ST SESSION H. R. 5103
To amend title XVIII of the Social Security Act to extend the floor on
the area wage index under the inpatient prospective payment system
to certain sole community hospitals.
IN THE HOUSE OF REPRESENTATIVES
NOVEMBER 14, 2019
Mr. PETERSON (for himself and Mr. TIPTON) 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 extend
the floor on the area wage index under the inpatient
prospective payment system to certain sole community
hospitals.
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 ‘‘Rural Hospital Fron-
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tier Workforce Fairness Act’’.
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•HR 5103 IH
SEC. 2. EXTENDING FLOOR ON AREA WAGE INDEX TO CER-
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TAIN SOLE COMMUNITY HOSPITALS.
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Section 1886(d)(3)(E)(iii) of the Social Security Act
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(42 U.S.C. 1395ww(d)(3)(E)(iii)) is amended—
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(1) in subclause (I), by inserting before the pe-
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riod at the end the following: ‘‘and, for discharges
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occurring on or after October 1, 2019, the area
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wage index applicable under this subparagraph to
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any sole community hospital that is located not more
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than 75 miles from the closest frontier State and
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that makes an election under subclause (V) may not
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be less than 1.00’’; and
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(2) by adding at the end the following new sub-
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clause:
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‘‘(V) SOLE
COMMUNITY
HOS-
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PITAL
ELECTION.—The
Secretary
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shall provide for a process under
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which a sole community hospital de-
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scribed in subclause (I) may elect, at
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such time and in such manner as
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specified by the Secretary, to apply
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subclause (I) to such sole community
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hospital.’’.
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Æ
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