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House Bill 2224
115th Congress(2017-2018)
Repeal of the Obamacare Bay State Boondoggle Act
Introduced
Introduced
Introduced in House on Apr 28, 2017
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Introduced in House 
Apr 28, 2017
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Introduced in House(Apr 28, 2017)
Apr 28, 2017
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H. R. 2224 (Introduced-in-House)


115th CONGRESS
1st Session
H. R. 2224


To amend title XVIII of the Social Security Act to apply budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas.

IN THE HOUSE OF REPRESENTATIVES

April 28, 2017

Mr. Smith of Nebraska (for himself, Mr. Kelly of Pennsylvania, Mr. Long, Mr. Barr, and Mr. Byrne) introduced the following bill; which was referred to the Committee on Ways and Means

A BILL

To amend title XVIII of the Social Security Act to apply budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Short title.

This Act may be cited as the “Repeal of the Obamacare Bay State Boondoggle Act”.

SEC. 2. Applying budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas.

(a) In general.—Section 1886(d)(3)(E) of the Social Security Act (42 U.S.C. 1395ww(d)(3)(E)) is amended by adding at the end the following new clause:

“(iv) APPLICATION OF BUDGET NEUTRALITY RELATING TO FLOOR ON WAGE AREA INDEX IN NON-RURAL AREAS.—

“(I) APPLICATION ON A STATE-SPECIFIC BASIS.—In the case of discharges occurring on or after April 1, 2017, for purposes of applying section 4410(b) of the Balanced Budget Act of 1997, the Secretary shall administer such section 4410(b) and paragraph (e) of section 412.64 of title 42, Code of Federal Regulations, as if paragraph (e)(4)(ii) of such section 412.64, as in effect on the day before the date of the enactment of this clause, had never applied and by using the methodology promulgated in the Federal Register on August 19, 2008 (73 Fed. Reg. 48570) (applied as if such methodology had been fully implemented for fiscal year 2011 using a 100 percent State-specific adjustment to the area wage index).

“(II) CONSTRUCTION.—Nothing in subclause (I) shall be construed as preventing the Secretary, for discharges occurring on or after April 1, 2017, from modifying the regulations under such section 412.64 to be consistent with subclause (I) in carrying out the budget neutrality requirements of such section 4410(b).”.

(b) Conforming amendment terminating application of budget neutrality on a nationwide basis.—Section 3141 of the Patient Protection and Affordable Care Act (42 U.S.C. 1395ww note) is amended by inserting “and before April 1, 2017,” after “2010,”.