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H.R. 3698 · 113th Congress

Two-Midnight Rule Delay Act of 2013

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Never voted on. It didn't reach a floor vote before the 113th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.

JGR GerlachSponsor
158 cosponsors · 85 D, 73 R
JCD Crowley RKD Kind PRR Roskam TRR Reed MBR Burgess LJR Jenkins YCD Clarke KCR Cramer MGR Grimm BHD Higgins GHR Harper THR Huelskamp DJR Joyce PKR King CMD Maloney PMR Meehan JND Nadler CRD Rangel ASD Schwartz PTD Tonko CGR Gibson MMR Meadows PRR Roe SBD Bishop RBD Brady JBD Barrow CFD Fattah JHR Heck NLD Lowey GMD Meeks DMD Maffei SMD Maloney WOD Owens JSD Serrano CDR Dent EED Engel JFR Forbes TFR Franks RHR Hanna SID Israel CMD McCarthy GMD Meng PTR Tiberi NTD Tsongas CGR Gardner LBR Barletta HJD Jeffries TLR Latham SLD Lynch JMD McGovern EPD Pastor ASR Scott RAR Aderholt TBD Bishop MBR Bachmann BBD Braley DBR Black CBD Bustos ECD Cummings SCR Capito HCD Cuellar JFR Fortenberry MFD Fudge BGR Goodlatte BGR Guthrie RHR Hultgren WJR Jones HJD Johnson WKD Keating RLD Larsen JMD Matheson MMD Michaud TMR Marino RND Neal MQD Quigley NRD Rahall CRD Ruppersberger JRR Renacci DSD Scott ASD Sires JVD Vargas PWD Welch RWR Wittman JWR Walorski DYR Young RKD Kelly DLD Loebsack CPD Peterson SPR Palazzo BSR Shuster JTD Tierney PCR Cook MFR Fitzpatrick LGD Gutiérrez CMR Miller TYR Young JDR Duncan RDR Davis BFD Foster RLR Latta MPD Pocan SRR Rigell BSD Schneider EWR Whitfield CBR Boustany KCD Clark JKD Kennedy MCR Coffman BRD Rush PDD DeFazio MSR Salmon CMR McMorris Rodgers TGR Griffin MCD Capuano PSR Sessions RRR Ribble PVD Visclosky MKR Kelly LSD Slaughter KCR Conaway EED Esty AKD Kuster GTR Thompson BTD Thompson MCD Cartwright DRR Reichert SSR Stivers LWR Westmoreland JBD Beatty BMD McCollum RFR Frelinghuysen KGR Granger BLD Lee DMD Matsui TRR Rice EBD Blumenauer SDD DelBene EPR Paulsen CSD Shea-Porter KED Ellison SKR King KRR Rothfus MTD Thompson TWD Walz DKD Kilmer VMR McAllister TDD Duckworth SSR Scalise KSD Schrader BFR Farenthold MMR McCaul SPR Perry MHD Honda KSD Sinema DHD Heck TCD Cárdenas MDD Doyle ASD Smith

4 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.

Two-Midnight Rule Delay Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from enforcing the two-midnight rule to a hospital for which payment is made under title XVIII (Medicare) of the Social Security Act for admissions occurring before October 1, 2014.

What it does: CRS summary · Introduced in House · Dec 11, 2013

Two-Midnight Rule Delay Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from enforcing the two-midnight rule to a hospital for which payment is made under title XVIII (Medicare) of the Social Security Act for admissions occurring before October 1, 2014.

(The two-midnight rule allows Medicare coverage of only hospital stays for which a physician admits to a hospital a beneficiary expected to require care that crosses two midnights, but generally denies coverage of care expected to require less than a two-midnight stay.)

Applies such prohibition to Medicare review contracts.

Prohibits Medicare review contractors from denying a claim for inpartient hospital services furnished by a hospital, or inpatient critical access hospital services furnished by a critical access hospital, for discharges occurring before October 1, 2014: (1) for medical necessity due to the length of an inpatient stay in such hospital or due to a determination that the services could have been provided on an outpatient basis; or (2) for requirements for orders, certifications, or recertifications, and associated documentation relating to such matters.

Prohibits the Secretary from increasing the sample of claims selected for prepayment review under the Medicare Probe and Educate program above the number and type established by the Secretary as of November 4, 2013.

Directs the Secretary to develop: (1) a Medicare hospital payment methodology for short inpatient hospital stays; (2) general equivalency maps to link the relevant International Statistical Classification of Diseases and Related Health Problems (ICD)-10 codes (used to report medical diagnoses and inpatient procedures) to relevant Current Procedural Terminology (CPT) codes, and the relevant CPT codes to relevant ICD-10 codes, in order to permit comparison of inpatient hospital services and hospital outpatient department servives; and (3) a second crosswalk between Diagnosis-Related Group (DRG) codes for inpatient hospital services and Ambulatory Payment Class codes for outpatient hospital services.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: Two-Midnight Rule Delay Act of 2013

Latest action (Dec 11, 2013): Referred to the House Committee on Ways and Means.

Policy area: Health · Origin: House · Introduced: Dec 11, 2013

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

No recorded floor vote found.