,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cf  ,,9 ,,! ,,h\se ,,(             
,,repres5tatives  ,janu>y #c1 #bjac ,mr4
 ,d5t 7= himself & ,mr4 ,sessions7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to improve access to em]g5cy   
m$ical s]vices1 & = o!r purposes4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,heal? ,c>e ,safety ,net ,enhancem5t    
,act ( #bjac4  #b4 ,con/itutional       
au?ority ,! con/itutional au?ority ^u   
:i* ?is ,act re/s is ! p[] ( ! ,congress
 to provide = ! g5]al welf>e1 to        
regulate comm]ce1 & to make all laws :i*
 %all be necess>y & prop] = c>ry+ into  
execution ,f$]al p[]s1 z enum]at$ 9     
section #h ( article ,i ( ! ,con/itution
 ( ! ,unit$ ,/ates4  #c4 ,protection =  
em]g5cy & relat$ s]vices furni%$        
pursuant to ,,emtala ,section #bbd7;g7 (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bcc7;g77 is am5d$--  7#a7 9  
p>agraph 7#d71 by /rik+ ,an entity &    
ins]t+ ,subject to p>agraph 7#f71 an    

entity2 &  7#b7 by add+ at ! end !      
foll[+3  7#f7 7,a7 ,= purposes ( ?is    
section--  7i7 an entity describ$ 9     
subp>agraph 7,b7 %all be consid]$ to be 
an entity describ$ 9 p>agraph 7#d72 &   
7ii7 ! provisions ( ?is section %all    
apply to an entity describ$ 9           
subp>agraph 7,b7 9 ! same mann] z su*   
provisions apply to an entity describ$ 9
 p>agraph 7#d71 except t--  7,i7 not)/&+
 p>agraph 7#a77;,b71 ! deem+ ( any      
entity describ$ 9 subp>agraph 7,b71 or (
 an (fic]1 gov]n+ bo>d memb]1 employee1 
contractor1 or on-call provid] ( su* an 
entity1 to be an employee ( ! ,public   
,heal? ,s]vice = purposes ( ?is section 
%all apply only ) respect to items &    
s]vices t are furni%$ to an individual  
pursuant to section #ahfg ( ! ,social   
,security ,act & to po/ /abilization    
s]vices 7z def9$ 9 subp>agraph 7,d77    
furni%$ to su* an individual2  7,,ii7   
no?+ 9 p>agraph 7#a77;,d7 %all be       
con/ru$ z prev5t+ a physician or        
physician gr\p describ$ 9 subp>agraph   

7,b77ii7 f mak+ ! application ref]r$ to 
9 su* p>agraph or z condition+ ! deem+ (
 a physician or physician gr\p t makes  
su* an application ^u receipt by !      
,secret>y ( an application f ! hospital 
or em]g5cy dep>tm5t t employs or        
contracts ) ! physician or gr\p1 or     
enli/s ! physician or physician gr\p z  
an on-call provid]2  7,,iii7 not)/&+    
p>agraph 7#c71 ?is p>agraph %all apply  
only ) respect to causes ( action aris+ 
f acts or omissions t occur on or aft]  
,janu>y #a1 #bjad2  7,,iv7 p>agraph 7#e7
 %all n apply to a physician or         
physician gr\p describ$ 9 subp>agraph   
7,b77ii72  7,v7 ! ,attorney ,g5]al1 9   
consultation ) ! ,secret>y1 %all make   
sep>ate e/imates "u subsection 7k77#a7 )
 respect to entities describ$ 9         
subp>agraph 7,b7 & entities describ$ 9  
p>agraph 7#d7 7o!r ?an ^? describ$ 9    
subp>agraph 7,b771 & ! ,secret>y %all   
e/abli% sep>ate funds "u subsection     
7k77#b7 ) respect to su* gr\ps (        
entities1 & any appropriations "u ?is   

subsection = entities describ$ 9        
subp>agraph 7,b7 %all be sep>ate f !    
am\nts au?oriz$ by subsection 7k77#b72  
7,,vi7 not)/&+ subsection 7k77#b71 !    
am\nt ( ! fund e/abli%$ by ! ,secret>y  
"u su* subsection ) respect to entities 
describ$ 9 subp>agraph 7,b7 may exce$ a 
total ( #aj1jjj1jjj = a fiscal ye>2 &   
7,,vii7 subsection 7m7 %all n apply to  
entities describ$ 9 subp>agraph 7,b74   
7,b7 ,an entity describ$ 9 ?is          
subp>agraph is--  7i7 a hospital or an  
em]g5cy dep>tm5t to :i* section #ahfg ( 
! ,social ,security ,act applies2 &     
7ii7 a physician or physician gr\p t is 
employ$ by1 is "u contract )1 or is an  
on-call provid] ( su* hospital or       
em]g5cy dep>tm5t1 to furni% items &     
s]vices to individuals "u su* section4  
7,c7 ,= purposes ( ?is p>agraph1 ! t]m  
on-call provid] means a physician or    
physician gr\p t--  7i7 has full1       
tempor>y1 or locum t55s /aff privileges 
at a hospital or em]g5cy dep>tm5t to :i*
 section #ahfg ( ! ,social ,security    

,act applies2 &  7ii7 is n employ$ by or
 "u contract ) su* hospital or em]g5cy  
dep>tm5t1 b agrees to be ready &        
available to provide s]vices pursuant to
 section #ahfg ( ! ,social ,security    
,act or po/-/abilization s]vices to     
individuals be+ treat$ 9 ! hospital or  
em]g5cy dep>tm5t ) or )\t comp5sation f 
! hospital or em]g5cy dep>tm5t4  7,d7 ,=
 purposes ( ?is p>agraph1 ! t]m po/     
/abilization s]vices means1 ) respect to
 an individual :o has be5 treat$ by an  
entity describ$ 9 subp>agraph 7,b7 =    
purposes ( comply+ ) section #ahfg ( !  
,social ,security ,act1 s]vices t are-- 
7i7 relat$ to ! condition t 0 s treat$2 
&  7ii7 provid$ aft] ! individual is    
/abiliz$ 9 ord] to ma9ta9 ! /abiliz$    
condition or to improve or resolve !    
condition ( ! individual4  7,e7 7i7     
,no?+ 9 ?is p>agraph 7or 9 any o!r      
provision ( ?is section z su* provision 
applies to entities describ$ 9          
subp>agraph 7,b7 by op]ation (          
subp>agraph 7,a77 %all be con/ru$ z     

au?oriz+ or requir+ ! ,secret>y to make 
paym5ts to su* entities1 ! budget       
au?ority = :i* is n provid$ 9 advance by
 appropriation ,acts4  7ii7 ,! ,secret>y
 %all limit ! total am\nt ( paym5ts "u  
?is p>agraph = a fiscal ye> to ! total  
am\nt appropriat$ 9 advance by          
appropriation ,acts = su* purpose = su* 
fiscal ye>4 ,if ! total am\nt ( paym5ts 
t w\ld o!rwise be made "u ?is p>agraph =
 a fiscal ye> exce$s su* total am\nt    
appropriat$1 ! ,secret>y %all take su*  
/eps z may be necess>y to ensure t !    
total am\nt ( paym5ts "u ?is p>agraph = 
su* fiscal ye> does n exce$ su* total   
am\nt appropriat$4  4