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S. Rept. 114-102 1 (2015-07-30)

handle is hein.congrecreports/crptxsat0001 and id is 1 raw text is: AUT-ENTICATED US. GOVERNMENT INFORMATION GP Calendar No. 181 114TH CONGRESS REPORT 1st Session SENATE 114-102 THE RURAL COMMUNITY HOSPITAL DEMONSTRATION EXTENSION ACT OF 2015 JULY 30, 2015.-Ordered to be printed Mr. HATCH, from the Committee on Finance, submitted the following REPORT [To accompany S. 607] The Committee on Finance, to which was referred the bill (S. 607) to amend title XVIII of the Social Security Act to provide for a five-year extension of the rural community hospital demonstra- tion program, and for other purposes, having considered the same, reports favorably thereon with an amendment and an amendment to the title and recommends that the bill, as amended, do pass. I. LEGISLATIVE BACKGROUND The Committee on Finance, to which was referred the bill (S. 607) to amend title XVIII of the Social Security Act to provide for a five-year extension of the rural community hospital demonstra- tion program, and for other purposes, having considered the same, reports favorably thereon with an amendment and an amendment to the title and recommends that the bill, as amended do pass. Background and need for legislative action The Centers for Medicare and Medicaid Services (CMS) is con- ducting the Rural Community Hospital Demonstration Program which started as a five year program authorized in section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. The demonstration was expanded and extended for an additional five year period in sections 3123 and 10313 of the Patient Protection and Affordable Care Act (PPACA) of 2010. Congress established this demonstration in response to the finan- cial concerns of certain small, rural hospitals. The demonstration is intended to test the feasibility and advisability of cost-based re- 49-010

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