1. Short title This Act may be cited as the Safer Compounding in Hospitals Act of 2020 . 2. Promoting preparedness and Medicare beneficiary access to safer, more accurate sterile intravenous drug preparations through automated hospital infrastructure (a) In general Section 1886(d)(5) is amended by adding at the end the following new subparagraph: (N) (i) Subject to clause (iv), in the case of a subsection (d) hospital and with respect to a discharge of an individual occurring on or after October 1, 2020, and before October 1, 2026, who was furnished a sterile intravenous treatment prepared with closed system automation device technology (as defined in clause (v)) by such hospital in compliance with all applicable requirements and regulations of the Food and Drug Administration, the Secretary shall provide an additional payment to such hospital of $25 for each such treatment so furnished. (ii) The Secretary shall establish a method to identify sterile intravenous treatments prepared with closed system automation device technology through the use of ICD 10 PCS codes, diagnosis codes, condition codes, or such other means as determined appropriate by the Secretary. (iii) The Secretary shall make such adjustments to payments under this subsection as the Secretary determines necessary to ensure that aggregate expenditures under this subsection with respect to a fiscal year with application of this subparagraph are estimated to be equal to such expenditures under this subsection with respect to such year without application of this subparagraph. (iv) Aggregate payments made under this subparagraph with respect to discharges occurring during a fiscal year may not exceed $40,000,000. (v) For purposes of this subparagraph, the term closed system automation device technology means equipment that is cleared or approved by the Food and Drug Administration and that— (I) aseptically compounds ready-to-administer compounded sterile preparations without direct human manipulation