[113th Congress Public Law 198]
[From the U.S. Government Printing Office]



[[Page 128 STAT. 2057]]

Public Law 113-198
113th Congress

                                 An Act


 
     To provide for the extension of the enforcement instruction on 
supervision requirements for outpatient therapeutic services in critical 
     access and small rural hospitals through 2014 <<NOTE: Dec. 4, 
                         2014 -  [H.R. 4067].>> 

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 1. EXTENSION OF ENFORCEMENT INSTRUCTION ON SUPERVISION 
                              REQUIREMENTS FOR OUTPATIENT 
                              THERAPEUTIC SERVICES IN CRITICAL 
                              ACCESS AND SMALL RURAL HOSPITALS 
                              THROUGH 2014.

    The <<NOTE: Applicability.>> Secretary of Health and Human Services 
shall continue to apply through calendar year 2014 the enforcement 
instruction described in the notice of the Centers for Medicare & 
Medicaid Services entitled ``Enforcement Instruction on Supervision 
Requirements for Outpatient Therapeutic Services in Critical Access and 
Small Rural Hospitals for CY 2013'', dated November 1, 2012 (providing 
for an exception to the restatement and clarification under the final 
rulemaking changes to the Medicare hospital outpatient prospective 
payment system and calendar year 2009 payment rates (published in the 
Federal Register on November 18, 2008, 73 Fed. Reg. 68702 through 68704) 
with respect to requirements for direct supervision by physicians for 
therapeutic hospital outpatient services).

    Approved December 4, 2014.

LEGISLATIVE HISTORY--H.R. 4067 (S. 1954):
---------------------------------------------------------------------------

HOUSE REPORTS: No. 113-582, Pt. 1 (Comm. on Energy and Commerce).
CONGRESSIONAL RECORD, Vol. 160 (2014):
            Sept. 9, considered and passed House.
            Nov. 20, considered and passed Senate.

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