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AHA-supported bill would delay two-midnight policy

December 12, 2013

Rep. Jim Gerlach (R-PA) late yesterday introduced the Two Midnight Rule Delay Act of 2013 (H.R. 3698), AHA-supported legislation to delay until Oct. 1, 2014 enforcement of the Centers for Medicare & Medicaid Services’ two-midnight policy for hospital admission and medical review criteria. The legislation also calls on CMS to implement a new payment methodology for short inpatient stays in fiscal year 2015. During the enforcement delay, Medicare audit contractors would not be allowed to deny claims for medically-appropriate care based on the length of an inpatient stay, a determination that services could have been provided in an outpatient setting, or for requirements for orders, certifications and associated documentations. Reps. Joseph Crowley (D-NY), Tom Reed (R-NY), Ron Kind (D-WI) and Peter Roskam (R-IL) are original cosponsors of the bill.