,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #cggf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #af1         
#bjac,mr4 ,b\/any 7= himself1 ,mr4 ,k9d1
 ,mr4 ,buc%on1 & ,mr4 ,veasey7 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 create        
alt]native sanctions = te*nical         
noncompliance ) ! ,/>k rule "u ,m$ic>e1 
& = o!r purposes4  #a4 ,%ort title  ,?is
 ,act may be cit$ z ! ,/>k ,adm9i/rative
 ,simplification ,act4  #b4 ,alt]native 
sanctions = te*nical noncompliance )    
,/>k rule "u ,m$ic>e ,section #ahgg7;g7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acienn7g77 is am5d$-- 7#a7 9 
p>agraph 7#a71 by /rik+ ,no & ins]t+    
,subject to p>agraph 7#g71 no2  7#b7 9  

p>agraph 7#b71 by /rik+ ,if & ins]t+    
,subject to p>agraph 7#g71 if2  7#c7 9  
p>agraph 7#c71 by /rik+ ,any & ins]t+   
,subject to p>agraph 7#g71 any2 &  7#d7 
by add+ at ! end ! foll[+ new p>agraph3 
7#g7 ,alt]native sanctions = te*nical   
noncompliance  7,a7 ,s+le p5alty =      
comp5sation arrangem5ts 9 te*nical      
noncompliance ,9 ! case ( a comp5sation 
arrangem5t betwe5 a physician 7or an    
imm$iate family memb] ( su* physician7 &
 a p]son or entity t is 9 violation (   
subsection 7a77#a7 solely due to        
te*nical noncompliance1 in/ead ( !      
sanctions describ$ 9 p>agraphs 7#a71    
7#b71 & 7#c7 = any su* violation1 !     
p]son or entity ) respect to su*        
arrangem5t %all be subject to a s+le    
civil monet>y p5alty "u ?is p>agraph 9  
an am\nt t does n exce$-- 7i7 9 ! case  
:]e ! disclosure ( ! violation is       
submitt$ to ! ,secret>y n lat] ?an !    
date t is "o ye> aft] ! initial date (  
noncompliance1 #e1jjj2 &  7ii7 9 ! case 
:]e ! disclosure ( ! violation is       

submitt$ to ! ,secret>y aft] ! date t is
 "o ye> aft] ! initial date (           
noncompliance1 #aj1jjj4  7,b7           
,acceptance ( volunt>y disclosures  7i7 
,9 g5]al ,effective on ! date ( !       
enactm5t ( ?is p>agraph1 ! ,secret>y    
%all accept ! volunt>y disclosure ( a   
te*nically noncompliant comp5sation     
arrangem5t if su* volunt>y disclosure is
 made z describ$ 9 clause 7iii74 ,!     
,secret>y may accept & reasonably rely  
on in=mation provid$ by a p]son or      
entity t is 9 violation ( subsection    
7a77#a7 only because ( a comp5sation    
arrangem5t t is te*nically noncompliant4
  7ii7 ,acceptance ( disclosure ,!      
,secret>y may reject any volunt>y       
disclosure submitt$ "u clause 7iii7 )9  
#ij days aft] ! receipt ( ! disclosure  
only if ! ,secret>y det]m9es t !        
disclosure does n con=m to ! requirem5ts
 describ$ 9 clause 7iii74 ,if !         
,secret>y fails to reject a volunt>y    
disclosure )9 su* #ij-;day p]iod1 !     
volunt>y disclosure is deem$ to be      

accept$4  7iii7 ,volunt>y disclosure ,a 
volunt>y disclosure describ$ 9 ?is      
clause1 ) respect to a comp5sation      
arrangem5t1 is a disclosure submitt$ to 
! ,secret>y1 by a p>ty to su* arrangem5t
 t conta9s ! foll[+3 7,i7 ,!            
id5tification ( ! disclos+ p>ty & all   
o!r p>ties to ! disclos$ comp5sation    
arrangem5t4  7,,ii7 ,a description ( !  
comp5sation paid "u ! arrangem5t & !    
dates ( noncompliance4  7,,iii7 ,a      
c]tification by ! disclos+ p>ty t !     
comp5sation arrangem5t-- 7aa7 is        
te*nically noncompliant 7z def9$ by     
subp>agraph 7,c772  7bb7 has be5 cur$ ( 
! te*nical noncompliance1 or is o!rwise 
t]m9at$2 &  7cc7 is1 9 ! case ( te*nical
 noncompliance "u subp>agraph 7,c77i71 a
 valid contract "u ,/ate law1 an        
arrangem5t consi/5t ) fair m>ket value1 
& "o 9 :i* remun]ation "u ! arrangem5t  
is n det]m9$ 9 a mann] t takes into     
acc\nt directly or indirectly ! volume  
or value ( any ref]rals4  7,,iv7 ,paym5t
 = ! full am\nt ( ! civil monet>y p5alty

 "u clause 7i7 or 7ii71 z applicable1 ( 
subp>agraph 7,a74  7,c7 ,def9ition      
te*nical noncompliance ,= purposes ( ?is
 p>agraph1 ! t]m te*nical noncompliance 
means an arrangem5t t is 9 violation (  
subsection 7a77#a7 only because-- 7i7 ! 
arrangem5t is n set =? 9 writ+2  7ii7 ! 
arrangem5t is n sign$ by #a or m p>ties 
to ! arrangem5t2 or  7iii7 a prior      
arrangem5t expir$ & s]vices cont9u$ )\t 
! execution ( an am5dm5t to su*         
arrangem5t or a new arrangem5t4  7,d7   
,applicability to pre-enactm5t          
disclosures to relieve backlog ,!       
,secret>y %all provide = ! application (
 ?is p>agraph to any te*nically         
noncompliant comp5sation arrangem5t t   
has be5 disclos$1 & to :i* !re has n be5
 a f9al settlem5t z ( ! date ( enactm5t 
( ?is p>agraph4  7,e7 ,report ,n lat]   
?an #bd mon?s aft] ! date ( enactm5t (  
?is p>agraph1 ! ,inspector ,g5]al ( !   
,dep>tm5t ( ,heal? & ,human ,s]vices    
%all submit to ,congress a report on !  
implem5tation ( ?is p>agraph4 ,su*      

report %all include-- 7i7 ! numb] (     
p]sons or entities mak+ disclosures (   
te*nical noncompliance "u ?is p>agraph2 
7ii7 ! am\nt & type ( alt]native        
sanctions collect$ or impos$ = te*nical 
noncompliance2  7iii7 ! types (         
violations disclos$2 &  7iv7 su* o!r    
in=mation z ! ,inspector ,g5]al det]m9es
 may be necess>y to evaluate ! impact ( 
?is p>agraph4  4