,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cabh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ah1        
#bjac,ms4 ,matsui introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means  ,a ,,bill  ,to am5d     
title ,,xviii ( ! ,social ,security ,act
 to provide additional p5alties         
applicable to psy*iatric hospitals &    
units t fail to comply ) ,m$ic>e dis*>ge
 plann+ process requirem5ts4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,protect
 ,pati5ts ,act4  #b4 ,additional        
p5alties = psy*iatric hospital or unit  
failure to comply ) ,m$ic>e dis*>ge     
plann+ process requirem5ts ,section     
#ahfa7;ee7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #aciex7ee77 is am5d$ by  
add+ at ! end ! foll[+ new p>agraph3    
7#d7 7,a7 ,beg9n+ #a ye> aft] ! date ( !
 enactm5t ( ?is p>agraph1 a psy*iatric  
hospital or a psy*iatric unit 7z        
describ$ 9 ! matt] foll[+ clause 7v7 (  
section #ahhf7;d77#a77;,b77 t is det]m9$
 by ! ,secret>y n to h 9 place a dis*>ge

 plann+ process t meets ! requirem5ts ( 
?is subsection is subject to a civil    
money p5alty ( n m ?an #aj1jjj4 ,a civil
 money p5alty "u ?is subp>agraph %all be
 impos$ & collect$ 9 ! same mann] z     
civil money p5alties "u subsection 7a7 (
 section #aabh;,a are impos$ & collect$ 
"u t section4  7,b7 ,beg9n+ #a ye> aft] 
! date ( ! enactm5t ( ?is p>agraph1 !   
,secret>y may require a psy*iatric      
hospital or su* a psy*iatric unit t !   
,secret>y has det]m9$ on multiple       
occasions does n h 9 place a dis*>ge    
plann+ process t meets ! requirem5ts (  
?is subsection to ent] into an agreem5t 
) ! ,secret>y1 simil> to a sy/em        
improvem5t agreem5t appli$ pursuant to  
section #ahff7;b71 to-- 7i7 obta9 f a   
?ird p>ty t is select$ by ! ,secret>y an
 indep5d5t review ( policies & proc$ures
 ( ! hospital or unit = purposes (      
provid+ recomm5dations = e/abli%+ a     
suffici5t dis*>ge plann+ process "u ?is 
subsection2  7ii7 reta9 an indep5d5t    
compliance (fic] = a p]iod specifi$ 9 ! 

agreem5t to monitor & assi/ ! hospital  
or unit 9 e/abli%+ a suffici5t dis*>ge  
plann+ process "u ?is subsection2  7iii7
 submit p]iodic reports to ! ,secret>y  
detail+ improvem5ts made to ! policies &
 proc$ures ( ! hospital or unit to h 9  
place a suffici5t dis*>ge plann+ process
 "u ?is subsection2 &  7iv7 und]take su*
 o!r actions z ! ,secret>y det]m9es     
necess>y 9 ord] to ensure t ! hospital  
or unit w cont9ue to h a suffici5t      
dis*>ge plann+ process "u ?is subsection
 on an ongo+ basis4  7,c7 ,9 ! case t a 
psy*iatric hospital or su* a psy*iatric 
unit has ent]$ into an agreem5t "u      
subp>agraph 7,b7 & does n h 9 place a   
suffici5t dis*>ge plann+ process by !   
date t is #de days aft] ent]+ into su*  
agreem5t1 ! ,secret>y may1 9            
consultation ) ! ,/ate1 appo9t tempor>y 
managem5t to ov]see ! op]ation ( !      
hospital or unit1 assure ! heal? &      
safety ( ! hospital or unit's inpati5ts1
 & ensure compliance ) requirem5ts ( su*
 dis*>ge plann+ process by ! hospital or

 unit4 ,! tempor>y managem5t "u ?is     
subp>agraph %all be t]m9at$ :5 !        
,secret>y has det]m9$ t ! hospital or   
unit has ! managem5t capability to      
ensure cont9u$ compliance ) all su*     
requirem5ts4  4