House bill extends repayment of hospital loans for accelerated and advance relief funds

The Residence on Tuesday passed a bipartisan continuing resolution to prolong federal govt funding as a result of December eleven and stay clear of a govt shutdown at the conclusion of the thirty day period.

Provided in the CR is an extension of the deadline for hospitals to repay the Accelerated and Progress Payment Systems aid funds less than the Coronavirus Assist, Reduction, and Economic Security Act. 

WHY THIS Matters

Though some vendors have been hoping the aid fund financial loans would become grants, lawmakers argue that doing so would pressure the Medicare Have confidence in Fund.

On Tuesday, Residence Techniques and Usually means Committee leaders introduced a letter expressing worry in excess of the Facilities for Medicare and Medicaid Services’ final decision to move forward with a $forty billion method extension devoid of Congressional authorization or a clear and public examination of its possible impression on the Medicare method and its beneficiaries.

They explained CMS had a lack of transparency in growing the Accelerated and Progress Payment Systems further than the scope licensed by Congress in the Coronavirus Assist, Reduction, and Economic Security (CARES) Act. 

CMS expanded eligibility to a lot more Medicare Section A vendors and incorporated choose Section B vendors devoid of good thought for the solvency of the method, they explained in the letter to Section of Wellness and Human Products and services Secretary Alex Azar and CMS Administrator Seema Verma.

“AAP is meant to guide sure vendors in emergencies like the current COVID-19 pandemic, and the CARES Act expanded the amount of qualified vendors and amplified the most payment amount of money,” explained Chairman Richard E. Neal (D-MA), Residence Strength and Commerce Committee Chairman Frank Pallone, Jr. (D-NJ), and Senate Finance Committee Ranking Member Ron Wyden (D-OR). 

The Democratic well being leaders asked for responses to a sequence of thoughts and a briefing to fully grasp the impression of CMS’s unauthorized enlargement of the AAP method by October two.

THE Greater TREND 

In May possibly, Chairmen Neal and Pallone raised issues in excess of CMS’s methodology for distributing COVID-19 financial loans from both equally the AAP Application and the Provider Reduction Fund, and named on both equally HHS and CMS to provide Congress with a lot more transparency.


“In growing the scope of qualified vendors further than what Congress licensed, we are involved that CMS has jeopardized the integrity of the Hospital Insurance plan and Supplemental Health-related Insurance plan Have confidence in Cash in a manner that threatens the lengthy-expression financial viability of the method, would appreciably raise Section B rates, and could harm beneficiary obtain,” the Committee leaders explained. “We request added info and an quick briefing to fully grasp the total impression of CMS’s unauthorized final decision to increase the AAP packages.”

Dr. Bruce Siegel, America’s Crucial Hospitals, thanked Residence leaders for easing compensation of the Medicare accelerated and progress payment financial loans and for delaying Medicaid disproportionate share clinic (DSH) payment cuts. But he named on Congress and the administration to provide a lot more aid for hospitals as COVID-19 scenarios carry on to pressure clinic assets this tumble and winter season.

“Our hospitals carry on to experience large charges and revenue losses associated with COVID-19, and they welcome the aid this continuing resolution would provide,” he explained. “Even more, the added hold off in DSH cuts will assistance hospitals and Congress as they perform toward a sustainable answer to the danger these cuts pose to well being treatment obtain for very low-earnings clients.”

Twitter: @SusanJMorse
E-mail the writer: [email protected]


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