PARCR - Posts Published in October 2015

Observation Stays

10/19/2015 - PARCR Admin

At the last Quarterly PARCR Meeting at Messiah Pathways on October 14, 2015 a concern was expressed about Observation Stay Status. Here is some information

10-19-2015: From Anne Henry, LeadingAge PA’s Senior Vice President & Chief Government Affairs Officer: “The Improving Access to Medicare Coverage Act of 2015 – H.R. 1571 was introduced March 24, 2015 but has not had any activity so it has a long way to go. If nothing happens before we go to D.C. in March to do Congressional visits we will push it.”

Here is some background information:

Improving Access to Medicare Coverage Act of 2015 amends title XVIII (Medicare) of the Social Security Act to deem an individual receiving outpatient observation services in a hospital to be an inpatient with respect to satisfying the three-day inpatient hospital requirement in order to entitle the individual to Medicare coverage of post-hospital extended care services in a skilled nursing facility.

On March 23rd, alongside Center for Medicare Advocacy Executive Director, Judith Stein, Congressman Joe Courtney (CT) announced the reintroduction of the Improve Access to Medicare Coverage Act of 2015 (H.R. 1571.) As the Congressman stated, “My bill would fix this problem by counting all days spent in the hospital—whether admitted or on ‘observation’—toward the three-day requirement to qualify for Medicare coverage. This is a bipartisan effort that has been gaining momentum as more seniors and their families learn about this problem firsthand.” See Rep. Courtney’s press release.

The following day, Senators Brown, Collins, Nelson and Capito reintroduced the companion Senate bill, Improving Access to Medicare Coverage Act (S. 843) See Sen. Brown’s press release.

This bill was assigned to a congressional committee on March 24, 2015, which will consider it before possibly sending it on to the House or Senate as a whole.

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