What does Preamble of Catastrophic Specialty Hospital Act of 2025 do?

This bill proposes to amend title XVIII of the Social Security Act. The proposed amendment aims to establish new payment rules for certain catastrophic specialty hospitals. The bill intends to apply these new payment rules under the Medicare program.

What does SHORT TITLE. of Catastrophic Specialty Hospital Act of 2025 do?

This bill is formally titled the Catastrophic Specialty Hospital Act of 2025.

What does ESTABLISHING NEW PAYMENT RULES FOR CERTAIN CATASTROPHIC of Catastrophic Specialty Hospital Act of 2025 do?

This section amends Section 1886(m) of the Social Security Act to establish rules for payment to certain long-term care hospitals designated as 'catastrophic specialty hospitals'. Hospitals seeking this designation must meet specific criteria related to discharge classifications, continuum of care, discharge numbers for spinal cord and brain injury patients, patient origin, and neurorehabilitation research. The criteria include a minimum of 80% of discharges classified under specific MS-LTCH-DRG codes related to spinal cord or acquired brain injury, a continuum of care, and at least 175 discharges for each condition annually. Hospitals must also demonstrate that at least 30% of inpatients are admitted from outside their state and exhibit a commitment to neurorehabilitation research. Once designated, a hospital's designation is effective for an initial cost reporting period and each succeeding period within a 3-year period, subject to redesignation based on continued compliance with the criteria. The Secretary has the authority to determine designation, redesignation, and to require additional information from hospitals to demonstrate compliance.

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Catastrophic Specialty Hospital Act of 2025

Last updated: 9/30/2025 · Introduced: 9/30/2025

Author: Barry Loudermilk (R-GA)

TL;DR (AI)

This bill amends the Social Security Act to establish new payment rules within the Medicare program for hospitals designated as 'catastrophic specialty hospitals'.
To qualify for this designation, hospitals must meet specific criteria including discharge classifications related to spinal cord and brain injuries, a continuum of care, a minimum number of discharges, and a percentage of patients admitted from outside their state.
The Secretary of Health and Human Services has the authority to designate, redesignate, and oversee these hospitals, ensuring ongoing compliance with the established criteria.

119th Congressin committeeOfficial page

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Includes provisions on preamble, short title., and 1 more.

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