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H.R. 876, Notice of Observation Treatment and Implication for Care Eligibility Act 1 (March 13, 2015)

handle is hein.congrec/cbo2149 and id is 1 raw text is: 


                   CONGRESSIONAL BUDGET OFFICE
                              COST ESTIMATE

                                                                  March 13, 2015


                                  H.R. 876
Notice of Observation Treatment and Implication for Care Eligibility Act

As ordered reported by the House Committee on Ways and Means on February 26, 2015


H.R. 876 would require hospitals to notify Medicare beneficiaries receiving observation
services for more than 24 hours of their status as an outpatient under observation. The
written notification must explain that, because the beneficiary is receiving
outpatient-rather than inpatient-services:

    The beneficiary will be subject to cost-sharing requirements that apply to outpatient
      services, and

    The beneficiary's outpatient stay will not count toward the three-day inpatient stay
      required for a beneficiary to be eligible for Medicare coverage of subsequent skilled
      nursing facility services.

Enacting H.R. 876 could affect direct spending; therefore, pay-as-you-go procedures
apply. However, CBO estimates that the bill would not have significant budgetary effects
over the 2015-2025 period.

H.R. 876 contains no intergovernmental or private-sector mandates as defined in the
Unfunded Mandates Reform Act and would not affect the budgets of state, local, or tribal
governments.

The CBO staff contact for this estimate is Erica Socker. The estimate was approved by
Holly Harvey, Deputy Assistant Director for Budget Analysis.

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