House Ways and Means Committee Republican leaders introduced three major hospital bills on July 29 that build off of the Hospital Payment Improvement (HIP) Act discussion draft that was released in November. The bills are part of its larger effort to reform the hospital payment system.

Chairman Paul Ryan (R-Wis.), Health Subcommittee Chairman Kevin Brady (R-Texas), Health Subcommittee member Kenny Marchant (R-Texas), and Human Resources Subcommittee Chairman Charles Boustany (R-La.) spearheaded the legislation:

H.R. 3291, the Medicare Crosswalk Code Development Act of 2015 would help translate diagnosis codes between inpatient and outpatient systems.

H.R. 3292, the Medicare IME Pool Act of 2015, would give teaching hospitals lump-sum payments for Indirect Medical Education (IME) costs.

H.R. 3288, the Strengthening DSH and Medicare Through Subsidy Recapture and Payment Reform Act of 2015 would begin reimbursing disproportionate share hospitals (DSH) through lump sum payments. H.R. 3288 would also increase DSH funding to those hospitals that are located in states that have not expanded their Medicaid programs under the Affordable Care Act (ACA) by recouping overpayments for subsidies under the law.

These bills took into account comments received on Rep. Brady's Hospital Improvements for Payment discussion draft. Rep. Brady plans to introduce a larger package that includes these three bills later in the fall.


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