News & Events
December 31, 2007
Congress Passes Permanent
60% Freeze On 75% Rule
On December 18, the Senate passed the
Medicare, Medicaid, and SCHIP Extension Act of 2007 (S 2499) by unanimous
consent on December 18. Under suspension of the Rules on December 19, 2007, the
House of Representatives passed by a vote of 411 to 3 a Medicare-Medicaid SCHIP
bill. The legislation now will be sent to President Bush to sign. The bill was
limited in scope in order to secure swift passage in the both chambers and
ensure the President's approval.
The 75% Rule relief provisions of S 543
and HR 1459 are included in the final Medicare package. The provision provides
permanent relief at 60% compliance threshold effective July 1, 2006, and enables
hospitals to count comorbidities. The relief will be paid for through a market
basket freeze from April 1, 2008, through September 30, 2009.
The medical
necessity provision did not make it into the final package. The onerous hips and
knees and hip fracture cuts were rejected. The bill also includes extension of
the exceptions process for therapy caps and relief for long-term acute care
hospitals.
Appeared online in Rehab Today 12-31-2007 http://www.rehabpub.com/RMN/2007-12-31_13.asp