,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #acgi  ,,in ,,the ,,house ,,of  
,,representatives  ,march #ba1 #bjac    
,mr4 ,pierluisi 7for himself1 ,mr4      
,mica1 ,mr4 ,serrano1 ,ms4              
,ros-,lehtinen1 ,mr4 ,grijalva1 ,mr4    
,king of ,new ,york1 ,mr4 ,conyers1 ,mr4
 ,diaz-,balart1 ,mr4 ,grayson1 ,mr4     
,young of ,alaska1 ,mr4 ,faleomavaega1  
,mrs4 ,christensen1 and ,ms4 ,bordallo7 
introduced the following bill2 which was
 referred to the ,committee on ,ways and
 ,means  ,a ,,bill  ,to amend title     
,,xviii of the ,social ,security ,act to
 allow certain hospitals in ,puerto     
,rico to qualify for incentives for     
adoption and meaningful use of certified
 ,,ehr ,technology under the ,medicare  
program4  #a4 ,short title ,this ,act   
may be cited as the ,puerto ,rico       
,hospital ,,hitech ,amendments ,act of  
#bjac4  #b4 ,application of ,medicare   
,,hitech payments to hospitals in       
,puerto ,rico  7a7 ,in general          
,subsection 7n77#f77;,b7 of section     

#ahhf of the ,social ,security ,act 7#db
 ,u4,s4,c4 #acieww7 is amended by       
striking subsection 7d7 hospital and    
inserting hospital that is a subsection 
7d7 hospital or a subsection 7d7 ,puerto
 ,rico hospital4  7b7 ,conforming       
amendments  7#a7 ,subsection            
7b77#c77;,b77ix7 of section #ahhf of the
 ,social ,security ,act is amended--    
7,a7 in subclause 7,i71 by striking     
7n77#f77;,a7 and inserting 7n77#f77;,b72
 and  7,b7 in subclause 7,,ii71 by      
striking a subsection 7d7 hospital and  
inserting an eligible hospital4  7#b7   
,paragraphs 7#b7 and 7#d77;,a7 of       
section #ahec7m7 of the ,social         
,security ,act 7#db ,u4,s4,c4           
#aciew-#bc7m77 are each amended by      
striking #ahhf7n77#f77;,a7 and inserting
 #ahhf7n77#f77;,b74  7c7 ,implementation
 ,notwithstanding any other provision of
 law1 the ,secretary of ,health and     
,human ,services may implement the      
amendments made by this section by      
program instruction or otherwise4  7d7  

,effective date ,the amendments made by 
this section shall apply as if included 
in the enactment of the ,american       
,recovery and ,reinvestment ,act of     
#bjji 7,public ,law #aaa-c71 except     
that1 in order to take into account     
delays in the implementation of this    
section1 in applying subsections        
7b77#c77;,b77ix71 7n77#b77;,e77ii71 and 
7n77#b77;,g77i7 of section #ahhf of the 
,social ,security ,act as amended by    
this section1 any reference in such     
subsections to a particular year shall  
be treated with respect to a subsection 
7d7 ,puerto ,rico hospital as a         
reference to the year that is #b years  
after such particular year4