Compliance Just Got Easier: Stay ahead of regulatory changes with instant notifications on updates that matter.
['Employee Benefits']
['Patient Protection and Affordable Care Act']
04/14/2026
Health Care and Education Reconciliation Act of 2010
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) IPPS.-Section 1886(b)(3)(B) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(B)), as amended by sections 3401(a)(4) and 10319(a) of the Patient Protection and Affordable Care Act, is amended-
(a)(1) in clause (xii)-
(a)(1)(A) by placing the subclause (II) (inserted by section 10319(a)(3) of the Patient Protection and Affordable Care Act) immediately after subclause (I) and, in such subclause (II), by striking "and" at the end; and
(a)(1)(B) by striking subclause (III) and inserting the following:
"(III) for fiscal year 2014, by 0.3 percentage point;
"(IV) for each of fiscal years 2015 and 2016, by 0.2 percentage point; and
"(V) for each of fiscal years 2017, 2018, and 2019, by 0.75 percentage point."; and
(a)(2) by striking clause (xiii).
(b) LONG-TERM CARE HOSPITALS.-Section 1886(m)(4) of the Social Security Act (42 U.S.C. 1395ww(m)(4)), as added by section 3401(c) of the Patient Protection and Affordable Care Act and amended by section 10319(b) of such Act, is amended-
(b)(1) in subparagraph (A)-
(b)(1)(A) in clause (iii), by striking "and" at the end; and
(b)(1)(B) by striking clause (iv) and inserting the following:
"(iv) for rate year 2014, 0.3 percentage point;
"(v) for each of rate years 2015 and 2016, 0.2 percentage point; and
"(vi) for each of rate years 2017, 2018, and 2019, 0.75 percentage point.";
(b)(2) by striking subparagraph (B); and
(b)(3) by striking "(4) OTHER ADJUSTMENT.-" and all that follows through "For purposes" and inserting "(4) OTHER ADJUSTMENT.-For purposes" (and redesignating clauses (i) through (vi) as subparagraphs (A) through (F), respectively, with appropriate indentation).
(c) INPATIENT REHABILITATION FACILITIES.-Section 1886(j)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(j)(3)(D)), as added by section 3401(d)(2) of the Patient Protection and Affordable Care Act and amended by section 10319(c) of such Act, is amended-
(c)(1) in clause (i)-
(c)(1)(A) by placing the subclause (II) (inserted by section 10319(c)(3) of the Patient Protection and Affordable Care Act) immediately after subclause (I) and, in such subclause (II), by striking "and" at the end; and (B) by striking subclause (III) and inserting the following:
"(III) for fiscal year 2014, 0.3 percentage point;
"(IV) for each of fiscal years 2015 and 2016, 0.2 percentage point; and
"(V) for each of fiscal years 2017, 2018, and 2019, 0.75 percentage point.";
(c)(2) by striking clause (ii); and
(c)(3) by striking "(D) OTHER ADJUSTMENT.-" and all that follows through "For purposes" and inserting "(D) OTHER ADJUSTMENT.-For purposes" (and redesignating subclauses (I) through (V) as clauses (i) through (v), respectively, with appropriate indentation).
(d) PSYCHIATRIC HOSPITALS. -Section 1886(s)(3) of the Social Security Act, as added by section 3401(f) of the Patient Protection and Affordable Care Act and amended by section 10319(e) of such Act, is amended-
(d)(1) in subparagraph (A)-
(d)(1)(A) by placing the clause (ii) (inserted by section 10319(e)(3) of the Patient Protection and Affordable Care Act) immediately after clause (i) and, in such clause (ii), by striking "and" at the end; and
(d)(1)(B) by striking clause (iii) and inserting the following:
"(iii) for the rate year beginning in 2014, 0.3 percentage point;
"(iv) for each of the rate years beginning in 2015 and 2016, 0.2 percentage point; and
"(v) for each of the rate years beginning in 2017, 2018, and 2019, 0.75 percentage point.";
(d)(2) by striking subparagraph (B); and
(d)(3) by striking "(3) OTHER ADJUSTMENT.-" and all that follows through "For purposes" and inserting "(3) OTHER ADJUSTMENT.-For purposes" (and redesignating clauses (i) through (v) as subparagraphs (A) through (E), respectively, with appropriate indentation).
(e) OUTPATIENT HOSPITALS.-Section 1833(t)(3)(G) of the Social Security Act (42 U.S.C. 1395l(t)(3)(G)), as added by section 3401(i)(2) of the Patient Protection and Affordable Care Act and amended by section 10319(g) of such Act, is amended-
(e)(1) in clause (i)-
(e)(1)(A) by placing the subclause (II) (inserted by section 10319(g)(3) of the Patient Protection and Affordable Care Act) immediately after subclause (I) and, in such subclause (II), by striking "and" at the end; and
(e)(1)(B) by striking subclause (III) and inserting the following:
"(III) for 2014, 0.3 percentage point;
"(IV) for each of 2015 and 2016, 0.2 percentage point; and
"(V) for each of 2017, 2018, and 2019, 0.75 percentage point.";
(e)(2) by striking clause (ii); and
(e)(3) by striking "(G) OTHER ADJUSTMENT.-" and all that follows through "For purposes" and inserting "(G) OTHER ADJUSTMENT.-For purposes" (and redesignating subclauses (I) through (V) as clauses (i) through (v), respectively, with appropriate indentation).
['Employee Benefits']
['Patient Protection and Affordable Care Act']
UPGRADE TO CONTINUE READING
J. J. Keller is the trusted source for DOT / Transportation, OSHA / Workplace Safety, Human Resources, Construction Safety and Hazmat / Hazardous Materials regulation compliance products and services. J. J. Keller helps you increase safety awareness, reduce risk, follow best practices, improve safety training, and stay current with changing regulations.
Copyright 2026 J. J. Keller & Associate, Inc. For re-use options please contact copyright@jjkeller.com or call 800-558-5011.
