I 115th CONGRESS 1st Session H. R. 1831 IN THE HOUSE OF REPRESENTATIVES March 30, 2017 Mr. MacArthur (for himself, Mr. Pascrell , and Ms. Blunt Rochester ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to permit hospitals in all-urban States to be considered Medicare dependent hospitals, and for other purposes.

1. Short title This Act may be cited as the Fairness for Our Hospitals Act of 2017 . 2. Permitting hospitals in all-urban States to be considered medicare dependent hospitals (a) In general Section 1886(d)(5)(G)(iv)(I) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(G)(iv)(I) ) is amended to read as follows: (I) that— (aa) is located in a rural area; or (bb) for discharges occurring on or after January 1, 2011, is located in a State with no rural area (as defined in paragraph (2)(D)) and satisfies any of the criteria in subclause (I), (II), (III), or (IV) of paragraph (8)(E)(ii), . (b) Process for recalculating payments Not later than 120 days after the date of the enactment of this Act, the Secretary of Health and Human Services shall establish and implement a process under which the Secretary shall reimburse hospitals impacted by the amendment made by subsection (a) for any underpayments under title XVIII of the Social Security Act that are a result of the implementation of such amendment.