S 1390
Physician Led and Rural Access to Quality Care Act
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Bill overview
This bill, the Physician Led and Rural Access to Quality Care Act, modifies rules about physician self-referrals related to hospitals, specifically focusing on physician-owned hospitals. It defines ‘covered rural hospitals’ based on location and specific criteria, and it allows for the expansion of existing physician-owned hospitals by removing a previous restriction. The changes aim to improve access to healthcare in rural areas.
Key provisions
- Defines ‘covered rural hospital’ based on location and specific criteria.
- Revises physician self-referral rules for physician-owned hospitals.
- Allows existing physician-owned hospitals to expand.
- Clarifies the definition of a ‘covered rural hospital’ to exclude certain requirements.
- Establishes a sunset provision for the expansion prohibition.
Who is affected
- Physician-owned hospitals
- Rural healthcare providers
- Patients in rural areas
- Medicare beneficiaries
- Physicians
Notable changes
- Expands the definition of a ‘covered rural hospital’.
- Removes a previous restriction on the expansion of physician-owned hospitals.
- Modifies physician self-referral regulations within the context of these hospitals.
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Primary sponsor
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119th CONGRESS — 1st Session
S. 1390
IN THE SENATE OF THE UNITED STATES
A BILL
To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals.
This Act may be cited as the Physician Led and Rural Access to Quality Care Act
.
in subsection (d)—
in paragraph (2)(C), by inserting (other than a covered rural hospital (as defined in subsection (h)))
after a hospital
; and
in paragraph (3)(D), by inserting in the case of a hospital other than a covered rural hospital (as defined in subsection (h)),
before the hospital
; and
in subsection (h), by adding at the end the following new paragraph:
covered rural hospitalmeans a hospital that—
Section 1877(i) of the Social Security Act (42 U.S.C. 1395nn(i)) is amended—
in paragraph (1)(B), by striking in paragraph (3)
and inserting in paragraph (3) or (7)
; and
by adding at the end the following new paragraph: