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P.L. 110-173, The Medicare, Medicaid, and SCHIP Extension Act of 2007

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Garry

The continuance of the exceptions process for rehabilitation services is imperative to maintain the highest quality of life for those elderly Americans who reside in long term care facilities/nursing homes.

Leon

Section 114, the 3 yr moratorium placed on LTACs,will only benefit the large LTAC companies by reducing further competition from small LTAC hospitals. Patients will also suffer from this bill as their choices for extended care hospitalization will be limited to the larger LTAC companies. LTAC's differ from General Hospital's as their length of stay averages 25 days vs 4-5 for General Hospitals. Health care related costs at LTACs are normally cheaper than traditional hospitals, because they specialize in certain medical conditions and carry less overhead.

Janie

A moratorium on LTAC's will have devastating effects on access for those in need. Medicare already regulates inadequate hospital stays which indirectly promotes repetitive stays. LTAC's play a huge part in resolving medical issues that promote re-admission for more costly hospital stays and further drains on an already stressed Medicare environment. We need MORE LTAC's and quickly to address the increased volume of the upcoming three year period. Instead of "warehousing" an LTAC patient in a nursing home with limited or no therapy services to improve their deficits, we should be moving toward finding ways to increase the number of LTAC's to reduce the needs of people with complex medical issues so they no longer need as much help. Large or small, we need EVERY LTAC possible.

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