Page:United States Statutes at Large Volume 100 Part 3.djvu/181

 PUBLIC LAW 99-509—OCT. 21, 1986

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100 STAT. 1989

of illness and case complexity which are not adequately accounted for by the current classification and payment system. (3) DEADLINE.—The proposal shall be submitted to Congress by not later than 2 years after the date of the enactment of this Act. (b) REQUIRING NOTICE OF HOSPITAL DISCHARGE RIGHTS.— (1) REQUIREMENT FOR HOSPITALS TO PROVIDE STATEMENT.—Sec-

tion 1866(a)(1) of the Social Security Act (42 U.S.C. 1395cc(a)(l)), as amended by section 1895(b) of the Tax Reform Act of 1986 and by section 233 of the Veterans' Benefits Improvement and Health-Care Authorization Act of 1986, is amended— (A) by striking "and" at the end of the subparagraph (K), (B) by striking the period at the end of subparagraph (L) and inserting ", and", and (C) by inserting after subparagraph (L) the following new subparagraph: "(M) in the case of hospitals, to provide to each individual who is entitled to benefits under part A (or to a person acting on the individual's behalf), at or about the time of the individual's admission as an inpatient to the hospital, a written statement (containing such language as the Secretary prescribes consistent with this paragraph) which explains— "(i) the individual's rights to benefits for inpatient hospital services and for post-hospital services under this title, "(ii) the circumstances under which such an individual will and will not be liable for charges for continued stay in the hospital, "(iii) the individual's right to appeal denials of benefits for continued inpatient hospital services, including the practical steps to initiate such an appeal, and "(iv) the individual's liability for payment for services if such a denial of benefits is upheld on appeal, and which provides such additional information as the Secretary may specify." (2) EFFECTIVE DATE.—The Secretary of Health and Human Services shall first prescribe the language required under section 1866(a)(l)(M) of the Social Security Act not later than six months after the date of the enactment of this Act. The requirement of such section shall apply to admissions to hospitals occurring on such date (not later than 60 days after the date such language is first prescribed) as the Secretary shall provide. (c) REQUIRING HOSPITALS TO PROVIDE DISCHARGE PLANNING PROCESS.— (1) REQUIREMENT AS CONDITION OF PARTICIPATION.—Section

Post, p. 2025. Post, p. 2931.

42 USC I395cc "o*®-

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1861(e)(6) of the Social Security Act (42 U.S.C. 1395x(e)(6)) is amended— (A) by inserting "(A)" after "(6)", and (B) by inserting before the semicolon at the end the following: "and (B) has in place a discharge planning process that meets the requirements of subsection (ee)". (2) DISCHARGE PLANNING PROCESS DEFINED.—Section 1861

of

such Act is further amended by adding at the end the following new subsection:

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