,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #acgi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ba1 #bjac ,mr4  
,pi]luisi 7= himself1 ,mr4 ,mica1 ,mr4  
,s]rano1 ,ms4 ,ros-,leht951 ,mr4        
,grijalva1 ,mr4 ,k+ ( ,new ,york1 ,mr4  
,cony]s1 ,mr4 ,diaz-,bal>t1 ,mr4        
,grayson1 ,mr4 ,"y ( ,alaska1 ,mr4      
,faleomavaega1 ,mrs4 ,*ri/5s51 & ,ms4   
,bordallo7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,ways &     
,means  ,a ,,bill  ,to am5d title       
,,xviii ( ! ,social ,security ,act to   
all[ c]ta9 hospitals 9 ,pu]to ,rico to  
qualify = inc5tives = adoption &        
mean+ful use ( c]tifi$ ,,ehr ,te*nology 
"u ! ,m$ic>e program4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,pu]to ,rico  
,hospital ,,hite* ,am5dm5ts ,act (      
#bjac4  #b4 ,application ( ,m$ic>e      
,,hite* paym5ts to hospitals 9 ,pu]to   
,rico  7a7 ,9 g5]al ,subsection         
7n77#f77;,b7 ( section #ahhf ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acieww7 
is am5d$ by /rik+ subsection 7d7        

hospital & ins]t+ hospital t is a       
subsection 7d7 hospital or a subsection 
7d7 ,pu]to ,rico hospital4  7b7 ,con=m+ 
am5dm5ts  7#a7 ,subsection              
7b77#c77;,b77ix7 ( section #ahhf ( !    
,social ,security ,act is am5d$--  7,a7 
9 subclause 7,i71 by /rik+ 7n77#f77;,a7 
& ins]t+ 7n77#f77;,b72 &  7,b7 9        
subclause 7,,ii71 by /rik+ a subsection 
7d7 hospital & ins]t+ an eligible       
hospital4  7#b7 ,p>agraphs 7#b7 &       
7#d77;,a7 ( section #ahec7m7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciew-#bc7m77 are ea* am5d$ by /rik+   
#ahhf7n77#f77;,a7 & ins]t+              
#ahhf7n77#f77;,b74  7c7 ,implem5tation  
,not)/&+ any o!r provision ( law1 !     
,secret>y ( ,heal? & ,human ,s]vices may
 implem5t ! am5dm5ts made by ?is section
 by program in/ruction or o!rwise4  7d7 
,effective date ,! am5dm5ts made by ?is 
section %all apply z if includ$ 9 !     
enactm5t ( ! ,am]ican ,recov]y &        
,re9ve/m5t ,act ( #bjji 7,public ,law   
#aaa-c71 except t1 9 ord] to take into  

acc\nt delays 9 ! implem5tation ( ?is   
section1 9 apply+ subsections           
7b77#c77;,b77ix71 7n77#b77;,e77ii71 &   
7n77#b77;,g77i7 ( section #ahhf ( !     
,social ,security ,act z am5d$ by ?is   
section1 any ref]5ce 9 su* subsections  
to a p>ticul> ye> %all be treat$ )      
respect to a subsection 7d7 ,pu]to ,rico
 hospital z a ref]5ce to ! ye> t is #b  
ye>s aft] su* p>ticul> ye>4