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This bill amends the Medicare program to establish a new criterion for long-term care hospitals to qualify for exemption from site-neutral payment rates. Specifically, it allows long-term care hospitals to avoid site-neutral payments for discharges assigned to high-acuity diagnosis-related groups (those with a relative weight of 0.8 or greater) beginning October 1, 2025. The change adds a third pathway—alongside existing ventilator and other criteria—for long-term care hospitals to receive higher Medicare reimbursement rates.
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