# 114-hr-5273: Helping Hospitals Improve Patient Care Act of 2016

114-hr-5273, Helping Hospitals Improve Patient Care Act of 2016, is a 114th Congress bill sponsored by PATRICK TIBERI (R-OH); status Received in the Senate and Read twice and referred to the Committee on Finance. (as of 2025-11-18).

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- As of: 2025-11-18
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## Facts
- Bill: 114-hr-5273
- Congress: 114
- Title: Helping Hospitals Improve Patient Care Act of 2016
- Status: Received in the Senate and Read twice and referred to the Committee on Finance.
- Introduced: 2016-05-18
- Sponsor: PATRICK TIBERI (R-OH)
- Cosponsors: 1
- Policy area: Health
- Touches household money: no
- Last recorded action: 2025-11-18

## Summary

Helping Hospitals Improve Patient Care Act of 2016 The bill amends title XVIII (Medicare) of the Social Security Act to alter provisions related to hospital services, medical services, and Medicare Advantage (MA). With respect to claims for hospital services, the Centers for Medicare &amp; Medicaid Services (CMS) shall develop codes under the Healthcare Common Procedure Coding System (HCPCS) for similar inpatient and outpatient hospital services. The bill establishes processes for adjusting a hospital's Medicare payments based on the hospital's overall proportion of inpatients who are dually eligible for Medicare and Medicaid. The bill extends for five years the Rural Community Hospital Demonstration Program, through which Medicare pays certain rural hospitals on the basis of reasonable incurred costs rather than under the standard prospective payment system. With respect to&nbsp;long-term care hospitals, the bill lifts&nbsp;a moratorium on bed increases. The bill reduces rates for high-cost outlier payments, which are additional Medicare payments made in extraordinarily high-cost cases. The bill reduces the amount by which hospital payment rates for inpatient services increase in FY2018. The bill excludes certain off-campus outpatient departments&nbsp;from&nbsp;specified rules&nbsp;that mandate&nbsp;lower Medicare payments.&nbsp; With respect to payment reductions for failing to meet requirements for the meaningful use of electronic health records (EHR), the bill exempts eligible professionals who are based in ambulatory surgical centers. Until plan year 2019, CMS may not terminate an MA plan solely because the plan failed to achieve a specified minimum quality rating.

## Cosponsors (1)

- JIM MCDERMOTT (D-WA), 2016-05-18T00:00:00.000Z

## Related bills

- 114-hr-5621: To posthumously award a Congressional Gold Medal to Lawrence Eugene "Larry" Doby in recognition of his achievements and contributions to American major league…
- 114-hr-5285: To amend the Foreign Assistance Act of 1961 to require the annual human rights reports to include information on the institutionalization of children and the s…
- 114-hr-5090: To ensure that air transportation between the United States and the European Union complies with the intent of article 17 bis of the United States-European Uni…
- 114-hr-4770: To amend the Internal Revenue Code of 1986 to provide appropriate rules for the application of the deduction for income attributable to domestic production act…
- 114-hr-4592: Naismith Memorial Basketball Hall of Fame Commemorative Coin Act
- 114-hr-4521: Lake Berryessa Recreation Enhancement Act of 2016

## Sources
- [114-hr-5273 on Congress.gov](https://www.congress.gov/bill/114th-congress/house-bill/5273)

## Related
- [114-hr-5621: To posthumously award a Congressional Gold Medal to Lawrence Eugene "Larry" Dob…](https://policyrisk.com/legislation/114-hr-5621)
- [114-hr-5285: To amend the Foreign Assistance Act of 1961 to require the annual human rights…](https://policyrisk.com/legislation/114-hr-5285)
- [114-hr-5090: To ensure that air transportation between the United States and the European Un…](https://policyrisk.com/legislation/114-hr-5090)
- [114-hr-4770: To amend the Internal Revenue Code of 1986 to provide appropriate rules for the…](https://policyrisk.com/legislation/114-hr-4770)
- [114-hr-4592: Naismith Memorial Basketball Hall of Fame Commemorative Coin Act](https://policyrisk.com/legislation/114-hr-4592)
- [114-hr-4521: Lake Berryessa Recreation Enhancement Act of 2016](https://policyrisk.com/legislation/114-hr-4521)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/114-hr-5273 (as of 2025-11-18).
