,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #acji  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ba1 #bjac ,mr4  
,price ( ,georgia 7= himself & ,mr4     
,k9d7 introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d titles     
,,xviii & ,,xix ( ! ,social ,security   
,act to exclude pa?ologi/s f inc5tive   
paym5ts & p5alties "u ,m$ic>e & ,m$icaid
 relat+ to ! mean+ful use ( electronic  
heal? records4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,heal? ,in=mation  
,te*nology ,re=m ,act4  #b4 ,f9d+s      
,congress f9ds ! foll[+3  7#a7 ,"u !    
,am]ican ,recov]y & ,re9ve/m5t ,act (   
#bjji1 physicians are eligible to       
receive ,f$]al fund+ to promote !       
adoption ( electronic heal? records if  
mean+ful use /&>ds are met4  7#b7       

,beg9n+ 9 #bjae1 c]ta9 physicians :o d n
 meet su* mean+ful use /&>ds face       
p5alties 9 ! =m ( r$uctions 9 ,m$ic>e   
paym5ts4  7#c7 ,pa?ologi/s & _!         
laboratories h be5 on ! front l9es (    
electronic heal? in=mation1 utiliz+     
comput]iz$ ,laboratory ,in=mation       
,sy/ems & ,anatomic ,pa?ology ,in=mation
 ,sy/ems to support ! "w ( analyz+      
pati5t specim5s & g5]at+ te/ results4   
,^! laboratory in=mation sy/ems ex*ange 
laboratory & pa?ology data ) electronic 
heal? records & ent]prise-wide cl9ical  
in=mation sy/ems4  7#d7 ,curr5t         
regulations implem5t+ electronic heal?  
record mean+ful use /&>ds l>gely reflect
 physician (fice-bas$ practices & ?us1  
are n applicable to ! practice (        
pa?ology & laboratory m$ic9e4           
,fur!rmore1 s9ce pa?ologi/s use         
,laboratory ,in=mation ,sy/ems &        
,anatomic ,pa?ology ,in=mation ,sy/ems1 
ma9t5ance ( c]ta9 pati5t heal? in=mation
 9 a c]tifi$ electronic heal? record is 
n applicable4  7#e7 ,?is lack ( alignm5t

 betwe5 regulation & pa?ology practice  
makes x ne>ly impossible = pa?ologi/s to
 satisfy mean+ful use /&>ds1 putt+ !m at
 risk = paym5t p5alties "u ,m$ic>e4     
7#f7 ,?r\gh _! role 9 appropriate te/   
selection & p]sonaliz$ m$ic9e1 & )      
access to ! pati5t's electronic heal?   
record1 pa?ologi/s c play a key role 9  
fur!r+ ,congress' goals ( r$uc+ co/s &  
improv+ heal? c>e quality4  7#g7 ,h[ev]1
 impos+ paym5t p5alties on pa?ologi/s = 
fail+ to meet electronic heal? record   
mean+ful use /&>ds t d n apply to _!    
practice & typical int]action ) pati5ts1
 w n help advance quality c>e &         
acc\ntability4  #c4 ,exclud+ pa?ologi/s 
f ,m$ic>e & ,m$icaid inc5tive paym5ts & 
p5alties relat+ to ! mean+ful use (     
electronic heal? records  7a7 ,m$ic>e   
7#a7 ,exclusion f p5alties ,section     
#ahdh7;a77#g77;,e77iii7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7;a77#g77;,e77iii77 is am5d$ by
 ins]t+ 1 except su* t]m does n include 
a pa?ologi/1 z id5tifi$ by enrollm5t "u 

?is title ) a specialty code ( #bb or   
#fi aft] section #ahfa7r74  7#b7        
,exclusion f inc5tive paym5ts ,section  
#ahdh7o77#e77;,c7 ( su* ,act 7#db       
,u4,s4,c4 #aciew-#d7o77#e77;,c77 is     
am5d$ by ins]t+ 1 except su* t]m does n 
include a pa?ologi/1 z id5tifi$ by      
enrollm5t "u ?is title ) a specialty    
code ( #bb or #fi aft] section #ahfa7r74
  7b7 ,m$icaid ,section                 
#aijc7t77#c77;,b77i7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acif;b7t77#c77;,b77i77 is am5d$ by     
ins]t+ o!r ?an a pa?ologi/1 z id5tifi$  
by enrollm5t "u title ,,xviii ) a       
specialty code ( #bb or #fi or by !     
applicable equival5t ,/ate id5tification
 numb] = pa?ology or indep5d5t          
laboratory aft] physician4