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Senate Bill 46
115th Congress(2017-2018)
Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2017
Introduced
Introduced
Introduced in Senate on Jan 5, 2017
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Introduced in Senate 
Jan 5, 2017
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Introduced in Senate(Jan 5, 2017)
Jan 5, 2017
Not Scanned for Linkage
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S. 46 (Introduced-in-Senate)


115th CONGRESS
1st Session
S. 46


To amend title XVIII of the Social Security Act to strengthen intensive cardiac rehabilitation programs under the Medicare program.

IN THE SENATE OF THE UNITED STATES

January 5, 2017

Mr. Heller (for himself, Mr. Blunt, and Mr. Bennet) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend title XVIII of the Social Security Act to strengthen intensive cardiac rehabilitation programs under the Medicare program.

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 “Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2017”.

SEC. 2. Revised requirements for Medicare intensive care rehabilitation programs.

Section 1861(eee)(4) of the Social Security Act (42 U.S.C. 1395x(eee)(4)) is amended—

(1) in subparagraph (A)—

(A) in the matter preceding clause (i)—

(i) by striking “physician-supervised program (as described in paragraph (2))” and inserting “program (supervised as described in paragraph (2))”; and

(ii) by striking “, in peer-reviewed published research, that it accomplished” and inserting “in peer-reviewed published research of its own program, that by lifestyle changes alone it accomplished”;

(B) in clause (i)—

(i) in subclause (I), by striking “positively affected” and inserting “reversed”;

(ii) in subclause (II), by striking “or” and inserting “and”; and

(iii) by striking subclause (III);

(C) in clause (ii), in the matter preceding subclause (I), by inserting “both a statistically significant increase in the measure of blood flow to the heart when compared to a control group and” before “a statistically significant”; and

(D) by adding at the end the following new sentence:

“Programs that the Secretary approved under this paragraph before August 1, 2015, as intensive cardiac rehabilitation programs according to the requirements under this subparagraph before the date of the enactment of the Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2017 shall be deemed to meet the requirements under this subparagraph applied pursuant to the amendments made by such Act.”; and

(2) in subparagraph (B)—

(A) in clause (v), by striking at the end “or”;

(B) in clause (vi), by striking at the end the period; and

(C) by adding at the end the following new clauses:

“(vii) stable, chronic heart failure (defined as patients with left ventricular ejection fraction of 35 percent or less and New York Heart Association (NYHA) class II to IV symptoms despite being on optimal heart failure therapy for at least 6 weeks); or

“(viii) any additional condition for which the Secretary has determined that a cardiac rehabilitation program shall be covered.”.