,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #adhd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #aa1 #bjac ,mr4
 ,huiz5ga ( ,mi*igan introduc$ ! foll[+ 
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means1 & 9 addition to !       
,committee on ,en]gy & ,comm]ce1 = 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 
title ,,xviii ( ! ,social ,security ,act
 to make publicly available on ! (ficial
 ,m$ic>e ,int]net site ,m$ic>e paym5t   
rates = frequ5tly reimburs$ hospital    
inpati5t proc$ures1 hospital outpati5t  
proc$ures1 & physicians' s]vices4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,m$ic>e ,paym5t ,rate ,disclosure ,act (
 #bjac4  #b4 ,public ,int]net           
availability ( ,m$ic>e paym5t rates =   
frequ5tly reimburs$ proc$ures & s]vices 
,title ,,xviii ( ! ,social ,security    
,act is am5d$ by add+ at ! end ! foll[+ 
new section3  #ahii;,b4 ,public ,int]net

 availability ( ,m$ic>e paym5t rates =  
frequ5tly reimburs$ proc$ures & s]vices 
7a7 ,9 g5]al  7#a7 ,initial po/+ ,dur+ !
 initial p]iod beg9n+ on a date n lat]  
?an #abj days aft] ! date ( ! enactm5t (
 ?is section & end+ on ! date t is #bdj 
days aft] su* />t+ date1 ! ,secret>y    
%all make publicly available on !       
(ficial ,m$ic>e ,int]net site ! foll[+3 
7,a7 ,paym5t rates = hospital inpati5t  
proc$ures ,= ea* proc$ure select$ "u    
subsection 7b77#a77;,a77i7 & = ea*      
,metropolitan ,/ati/ical ,area or o!r   
paym5t area us$ = purposes ( section    
#ahhf7;d71 ! av]age rate ( paym5t "u su*
 section = ! proc$ure1 det]m9$ )\t reg>d
 to ! application ( any d$uction or     
co9surance am\nt or any adju/m5t "u     
subp>agraph 7,b71 7,d71 7,f71 or 7,g7 ( 
p>agraph 7#e7 ( su* section4  7,b7      
,paym5t rates = hospital outpati5t      
proc$ures ,= ea* proc$ure select$ "u    
subsection 7b77#a77;,a77ii7 & = ea*     
c\nty or o!r paym5t area us$ = purposes 
( section #ahcc7t71 ! av]age rate (     

paym5t "u su* section = ! proc$ure1     
det]m9$ )\t reg>d to ! application ( any
 d$uctible or co9surance4  7,c7         
,physician paym5t rates = physicians'   
s]vices ,= ea* physicians' s]vice       
select$ "u subsection 7b77#a77;,a77iii7 
& = ea* fee s*$ule area "u section      
#ahdh1 ! av]age paym5t am\nt det]m9$ "u 
! fee s*$ule "u su* section = ! s]vice1 
det]m9$ )\t reg>d to ! application ( any
 d$uctible or co9surance4  7,d7 ,p]iod =
 :i* paym5t rates are applicable ,a     
description ( ! p]iod = :i* ea* paym5t  
rate or am\nt "u subp>agraph 7,a71 7,b71
 or 7,c7 is applicable4  7,e7 ,s]vices  
includ$ 9 proc$ures ,a description ( !  
items & s]vices includ$ 9 ea* proc$ure  
select$ "u clauses 7i7 & 7ii7 (         
subsection 7b77#a77;,a74  7,f7 ,notice  
,a /atem5t t ! av]age paym5t rates &    
av]age paym5t am\nts describ$ 9         
subp>agraphs 7,a7 ?r\gh 7,c7 are only   
applicable to ! ,m$ic>e program "u ?is  
title & may n be available = an         
individual :o is n pur*as+ su* a        

proc$ure or s]vice "u su* program4  7#b7
 ,po/+ ( exp&$ selection ,dur+ ! p]iod  
beg9n+ on ! date t is "o day aft] ! la/ 
day ( ! initial p]iod describ$ 9        
p>agraph 7#a71 ! ,secret>y %all make    
publicly available on ! (ficial ,m$ic>e 
,int]net site ! foll[+3  7,a7 ,paym5t   
rates = hospital inpati5t proc$ures ,=  
ea* proc$ure select$ "u subsection      
7b77#a77;,b77i7 & = ea* ,metropolitan   
,/ati/ical ,area or o!r paym5t area us$ 
= purposes ( section #ahhf7;d71 ! av]age
 rate ( paym5t describ$ 9 p>agraph      
7#a77;,a7 = ! proc$ure4  7,b7 ,paym5t   
rates = hospital outpati5t proc$ures ,= 
ea* proc$ure select$ "u subsection      
7b77#a77;,b77ii7 & = ea* c\nty or o!r   
paym5t area us$ = purposes ( section    
#ahcc7t71 ! av]age rate ( paym5t        
describ$ 9 p>agraph 7#a77;,b7 = !       
proc$ure4  7,c7 ,physician paym5t rates 
= physicians' s]vices ,= ea* physicians'
 s]vice select$ "u subsection           
7b77#a77;,b77iii7 & = ea* fee s*$ule    
area "u section #ahdh1 ! av]age paym5t  

am\nt describ$ 9 p>agraph 7#a77;,c7 = ! 
physicians' s]vice4  7,d7 ,p]iod = :i*  
paym5t rates are applicable ,a          
description ( ! p]iod = :i* ea* paym5t  
rate or am\nt "u subp>agraph 7,a71 7,b71
 or 7,c7 is applicable4  7,e7 ,s]vices  
includ$ 9 proc$ures ,a description ( !  
items & s]vices includ$ 9 ea* proc$ure  
select$ "u clauses 7i7 & 7ii7 (         
subsection 7b77#a77;,b74  7,f7 ,notice  
,a /atem5t t ! av]age paym5t rates &    
av]age paym5t am\nts describ$ 9         
subp>agraphs 7,a7 ?r\gh 7,c7 are only   
applicable to ! ,m$ic>e program "u ?is  
title & may n be available = an         
individual :o is n pur*as+ su* a        
proc$ure or s]vice "u su* program4  7b7 
,selection ( proc$ures & s]vices  7#a7  
,9 g5]al  7,a7 ,initial selection ,=    
purposes ( subsection 7a77#a7 & bas$ on 
! mo/ rec5t national data available1 !  
,secret>y %all select ! foll[+3  7i7 ,at
 lea/ ! #cj hospital inpati5t proc$ures 
= :i* paym5t is mo/ frequ5tly provid$ "u
 section #ahhf7;d74  7ii7 ,at lea/ ! #cj

 hospital outpati5t proc$ures = :i*     
paym5t is mo/ frequ5tly provid$ "u      
section #ahcc7t74  7iii7 ,at lea/ ! #cj 
physicians' s]vices 7z def9$ 9 section  
#ahfa7q77 = :i* paym5t is mo/ frequ5tly 
provid$ "u section #ahdh4  7,b7 ,exp&$  
selection ,= purposes ( subsection      
7a77#b7 & bas$ on ! mo/ rec5t national  
data available1 ! ,secret>y %all select 
! foll[+3  7i7 ,at lea/ ! #ajj hospital 
inpati5t proc$ures = :i* paym5t is mo/  
frequ5tly provid$ "u section #ahhf7;d74 
7ii7 ,at lea/ ! #ajj hospital outpati5t 
proc$ures = :i* paym5t is mo/ frequ5tly 
provid$ "u section #ahcc7t74  7iii7 ,at 
lea/ ! #ajj physicians' s]vices 7z def9$
 9 section #ahfa7q77 = :i* paym5t is mo/
 frequ5tly provid$ "u section #ahdh4    
7#b7 ,updat+ exp&$ selection ,!         
,secret>y %all p]iodically update !     
proc$ures & s]vices select$ "u p>agraph 
7#a77;,b74  7#c7 ,fur!r expansion (     
selection ,! ,secret>y %all exp& ! numb]
 ( proc$ures & s]vices select$ "u       
p>agraph 7#a77;,b7 to include z _m      

proc$ures & s]vices z may be useful = an
 individual n entitl$ to b5efits "u "p  
,a or enroll$ "u "p ,b 9 ! pur*ase ( su*
 proc$ures & s]vices4  7c7 ,au?ority ,to
 po/ additional in=mation ,! ,secret>y  
may make publicly available on ! (ficial
 ,m$ic>e ,int]net site su* in=mation on 
! paym5t rate or paym5t am\nt "u ?is    
title = a proc$ure1 item1 or s]vice n   
select$ "u subsection 7b7 z may be      
useful = an individual n entitl$ to     
b5efits "u "p ,a or enroll$ "u "p ,b 9 !
 pur*ase ( ! proc$ure1 item1 or s]vice4 
,to ! ext5t practicable1 su* in=mation  
%all be provid$ = ea* paym5t area       
involv$4  7d7 ,adm9i/rative provisions  
7#a7 ,use ( mo/ rec5t national data ,!  
in=mation describ$ 9 p>agraph 7#a7 (    
subsection 7b7 & subsection 7c7 %all be 
bas$ on ! mo/ rec5t national data       
available4  7#b7 ,accessibility by zip  
code ,su* in=mation = an applicable     
paym5t area %all be accessible by any   
zip code includ$ 9 su* area4  4