March 20, 2018

March 20, 2018

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March 19, 2018

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Bipartisan Budget Act of 2015 – Potential Impact on Hospitals

House Republican leaders introduced legislation on Monday, finalizing a two-year budget agreement between Congressional leaders and the White House. This legislation is currently being considered and may be up for a vote as early as Wednesday on the bipartisan budget deal.

Hospitals should note the language in Section 603 (which is on pages 35-39 of the draft bill) codifies the definition of a “provider-based off-campus hospital outpatient department” (PBD HOPD) as a location that is not on the main campus of a hospital and is located more 250 yards from the main campus.  The section defines a “new” PBD HOPD as an entity that executes a CMS provider agreement after the date of enactment of the Act and that any NEW PBD HOPD executing a provider agreement after the date of enactment would not be eligible for reimbursements from CMS’ Outpatient Prospective Payment System (PPS).

Bipartisan Budget Act of 2015

Section-by-Section Summary

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About this Author

Kevin Ryan, Health Care Attorney, Epstein Becker Law Firm

KEVIN J. RYAN is a Member of the Firm in the Health Care and Life Sciences practice, in the firm's Chicago office.

Mr. Ryan:

  • Advises for-profit and not-for-profit health care clients, including hospitals, nursing homes, surgery centers, physician groups, and other provider organizations and businesses on transactions and regulatory matters, including licensing laws, HIPAA privacy requirements, and state and federal administrative matters

  • Counsels providers on Medicare and...