,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ceii  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ba1         
#bjac,mr4 ,=t5b]ry 7= himself & ,mr4    
,hall7 introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,ways & ,means
  ,a ,,bill  ,to am5d title ,,xviii ( ! 
,social ,security ,act ) respect to     
paym5ts to long-t]m c>e hospitals1 & =  
o!r purposes4  #a4 ,relief = ,m$ic>e    
paym5ts to long-t]m c>e hospitals  7a7  
,application ( #be p]c5t rule pati5t    
?re%old paym5t adju/m5t  7#a7 ,ext5sion 
( relief ,9 implem5t+ sections #dab4ecd 
& #dab4ecf ( title #db1 ,code ( ,f$]al  
,regulations1 = a #ab-mon? co/ report+  
p]iod beg9n+ on or aft] ,octob] #a1     
#bjac1 ! ,secret>y ( ,heal? & ,human    
,s]vices %all cont9ue ! same ?re%old    
paym5t adju/m5t p]c5tages & exemptions z
 7 e/abli%$ = ! #ab-mon? co/ report+    
p]iods beg9n+ on or aft] ,octob] #a1    
#bjab1 9 ! same mann] z 0 provid$ = 9 ! 
rule publi%$ on ,augu/ #ca1 #bjab 7#gg  
,f$]al ,regi/] #ecbeh74  7#b7 ,no       

application ( rule to gr&fa!r$ ,l,t,c,hs
 ,! ,secret>y ( ,heal? & ,human ,s]vices
 %all n apply sections #dab4ecd &       
#dab4ecf ( title #db1 ,code ( ,f$]al    
,regulations1 or any simil> provisions  
to a long-t]m c>e hospital describ$ 9 ! 
second s5t5ce ( section                 
#ahhf7;d77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acieww7d77#a77;,b774  7#c7 ,new        
exclusion f calculation ( ! #be p]c5t   
rule ,m$ic>e b5efici>ies :o 7 inpati5ts 
9 a subsection 7d7 hospital )9 #a day   
prior to _! admission to a long-t]m c>e 
hospital describ$ 9 section             
#ahhf7;d77#a77;,b77iv77,i7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#a77;,b77iv77,i77 & :o _h a  
/ay ( m ?an #g days 9 an int5sive c>e   
unit id5tifi$ 9 section #dac4ec7;d7 (   
title #db1 ,code ( ,f$]al ,regulations1 
%all be exclud$ f ! num]ator ( ! #be    
p]c5t ?re%old appli$ "u sections        
#dab4ecd & #dab4ecf ( su* title4  7#d7  
,effective date ,?is subsection %all be 

effective on ,octob] #a1 #bjac4  7b7    
,cl>ification ( paym5ts paid to         
long-,t]m c>e hospitals on an ,,ipps    
basis  7#a7 ,site neutral paym5ts ,=    
dis*>ges occurr+ on or aft] ,octob] #a1 
#bjad1 paym5ts made to long-t]m c>e     
hospitals describ$ 9 section            
#ahhf7;d77#a77;,b77iv77,i7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#a77;,b77iv77,i77 at am\nts t
 are comp>able or equival5t to am\nts t 
are payable to a subsection 7d7         
hospital1 = %ort /ay pati5ts & "u ! #be 
p]c5t rules e/abli%$ "u sections        
#dab4ebi7;d77#d71 #dab4ecd1 & #dab4ecf (
 title #db1 ,code ( ,f$]al ,regulations1
 %all be at am\nts t are n less ?an w\ld
 be paid to a subsection 7d7 hospital _h
 x p]=m$ ! same s]vices4  7#b7          
,calculation ( l5g? ( /ay exclud+ cases 
paid on an ,,ipps basis ,= dis*>ges     
occurr+ on or aft] ! date ( ! enactm5t (
 ?is ,act1 9 calculat+ ! l5g? ( /ay     
requirem5t applicable to a long-t]m c>e 
hospital or satellite facility "u       

section #ahhf7;d77#a77;,b77iv77,i7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#a77;,b77iv77,i77 & section  
#ahfa7;ccc77#b7 ( su* ,act 7#db         
,u4,s4,c4 #aciex7ccc77#b771 ! ,secret>y 
( ,heal? & ,human ,s]vices %all exclude 
any pati5t = :om paym5t is bas$ on an   
am\nt t is comp>able or equival5t to !  
am\nt payable to a subsection 7d7       
hospital _h su* a hospital provid$ !    
same s]vices4  7#c7 ,subsection 7d7     
hospital def9$ ,9 ?is subsection1 ! t]m 
subsection 7d7 hospital has ! mean+ giv5
 su* t]m 9 section #ahhf7;d77#a77;,b7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acieww7d77#a77;,b774