,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bcbi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #ab1 #bjac ,mr4 
,smi? ( ,nebraska 7= himself1 ,mr4 ,sam 
,johnson ( ,texas1 ,mr4 ,nunes1 ,mr4    
,tib]i1 ,mr4 ,roskam1 ,mr4 ,price (     
,georgia1 ,mr4 ,s*ock1 ,mrs4 ,black1    
,mr4 ,re$1 ,mr4 ,"y ( ,indiana1 ,mr4    
,kelly ( ,p5nsylvania1 ,mr4 ,b5i%ek1 &  
,ms4 ,j5k9s7 introduc$ ! 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 title      
,,xviii ( ! ,social ,security ,act to   
provide = a maximum p]iod ( #b ye>s =   
submissions ( ,m$ic>e "p ,b claims      
orig9ally submitt$ by hospitals z       
,m$ic>e "p ,a claims & ( #fj days =     
c]ta9 su* submissions = "o-day /ays2 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,adm9i/rative      

,relief & ,accurate ,m$ic>e ,paym5ts    
,act ( #bjac4  #b4 ,maximum p]iod ( #b  
ye>s = submissions ( ,m$ic>e "p ,b      
claims orig9ally submitt$ by hospitals z
 ,m$ic>e "p ,a claims & ( #fj days =    
c]ta9 su* submissions = "o-day /ays  7a7
 ,timely submission z condition =       
provid] paym5t  7#a7 ,9 g5]al ,section  
#ahce ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acien7 is am5d$--  7,a7 9    
subsection 7a77#a71 by ins]t+ be=e !    
semicolon ! foll[+3 or1 9 ! case ( a    
claim describ$ 9 p>agraph 7#a7 or 7#b7 (
 subsection 7f71 no lat] ?an ! close ( !
 p]iod describ$ 9 su* respective        
p>agraph2 &  7,b7 by add+ at ! end !    
foll[+ new subsection3  7f7 ,= purposes 
( subsection 7a77#a7 & section          
#ahdb7;b77#c77;,b7--  7#a7 9 ! case ( a 
claim n describ$ 9 p>agraph 7#b7 =      
hospital s]vices submitt$ "u ?is "p =   
:i* !re 0 a previ\s claim z inpati5t    
hospital s]vices "u "p ,a t 0 d5i$ z n  
reasonable & necess>y pursuant to       
section #ahfb7;a77#a71 ! p]iod describ$ 

9 ?is p>agraph is ! p]iod end+ #b cal5d>
 ye>s aft] ! date ( s]vice2 &  7#b7 9 ! 
case ( a claim = hospital s]vices       
submitt$ "u ?is "p = :i* !re 0 a previ\s
 claim z inpati5t hospital s]vices "u "p
 ,a = a l5g? ( /ay t does n include m   
?an "o midnight t 0 d5i$ z n reasonable 
& necess>y by a qualifi$ indep5d5t      
contractor ?r\gh a reconsid]ation       
conduct$ "u section #ahfi7;c71 ! p]iod  
describ$ 9 ?is p>agraph is ! p]iod end+ 
#fj days aft] ! date ( receipt ( !      
notice requir$ "u section               
#ahfi7;c77#c77;,c77i7 ( ! decision = su*
 d5ial ) respect to su* reconsid]ation4 
4  7#b7 ,con=m+ am5dm5t to exceptions   
au?ority ,section #ahce7;a7 ( su* ,act  
7#db ,u4,s4,c4 #acien7a77 is am5d$ 9 !  
la/ s5t5ce by ins]t+ & ! p]iods describ$
 9 p>agraphs 7#a7 & 7#b7 ( subsection   
7f7 aft] #a cal5d> ye> p]iod specifi$ 9 
su* p>agraph4  7b7 ,application to      
reasonable *>ge adm9i/rative provision  
7#a7 ,9 g5]al ,section                  
#ahdb7;b77#c77;,b7 ( ! ,social ,security

 ,act 7#db ,u4,s4,c4 #acieu7b77#c77;,b77
 is am5d$ by ins]t+ or1 9 ! case ( a    
claim describ$ 9 p>agraph 7#a7 or 7#b7 (
 section #ahce7;f71 no lat] ?an ! close 
( ! p]iod describ$ 9 su* respective     
p>agraph aft] date ( s]vice4  7#b7      
,con=m+ am5dm5t to exceptions au?ority  
,section #ahdb7;b77#c7 ( su* ,act 7#db  
,u4,s4,c4 #acieu7b77#c77 is am5d$ 9 !   
la/ s5t5ce by ins]t+ & ! p]iods describ$
 9 p>agraphs 7#a7 & 7#b7 ( section      
#ahce7;f7 aft] #a cal5d> ye> p]iod      
specifi$ 9 su* p>agraph4  7c7 ,effective
 date ,! am5dm5ts made by ?is section   
%all apply to s]vices furni%$ on or aft]
 ,octob] #a1 #bjac4  #c4 ,maximum       
look-back p]iod ( #c ye>s = ,m$ic>e     
recov]y audit contractors' audit &      
recov]y activities  7a7 ,9 g5]al        
,section #ahic7;h77#d77;,b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acie;ddd7h77#d77;,b77 is am5d$ by /rik+
 #d fiscal ye>s & ins]t+ #c fiscal ye>s4
  7b7 ,effective date ,! am5dm5t made by
 subsection 7a7 %all apply ) respect to 

paym5ts made = items & s]vices furni%$  
on or aft] ,octob] #a1 #bjac4