,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #dahh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #aa1 #bjad ,mr4  
,r5acci 7= himself1 ,mr4 ,heck (        
,nevada1 ,mr4 ,joyce1 ,mr4 ,ryan (      
,ohio1 ,mr4 ,fitzpatrick1 ,mr4 ,turn]1  
,mr4 ,kelly ( ,p5nsylvania1 ,mrs4       
,capito1 ,mr4 ,/iv]s1 ,mr4 ,tib]i1 ,mr4 
,la,malfa1 ,mr4 ,p]ry1 ,mr4 ,sam        
,johnson ( ,texas1 ,mr4 ,gibbs1 ,mr4    
,*abot1 ,mr4 ,meehan1 ,mr4 ,johnson (   
,ohio1 ,mr4 ,c>ney1 ,mr4 ,johnson (     
,georgia1 ,mr4 ,engel1 ,ms4 ,kaptur1    
,mr4 ,david ,scott ( ,georgia1 & ,ms4   
,eddie ,b]nice ,johnson ( ,texas7       
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means  ,a     
,,bill  ,to am5d title ,,xviii ( !      
,social ,security ,act to adju/ !       
,m$ic>e hospital readmission r$uction   
program to respond to pati5t disp>ities1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,e/abli%+         
,b5efici>y ,equity 9 ! ,hospital        
,readmission ,program ,act4  #b4 ,adju/+

 ! ,m$ic>e hospital readmission r$uction
 program to respond to pati5t disp>ities
  7a7 ,removal ( c]ta9 readmissions     
,section #ahhf7q77#e77;,e7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acieww7q77#e77;,e77 is am5d$ by add+ at
 ! end ! foll[+3 ,su* t]m does n include
 an admission t is classifi$ )9 "o or m 
( ! foll[+3 transplants1 end-/age r5al  
disease1 burns1 trauma1 psy*osis1 or    
sub/ance abuse4 4  7b7 ,adju/m5t = dual 
eligible population ,section            
#ahhf7q77#d77;,c7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acieww7q77#d77;,c77
 is am5d$ by add+ at ! end ! foll[+ new 
clause3  7iii7 ,adju/m5t = dual         
eligibles ,9 apply+ clause 7i71 !       
,secret>y %all provide = su* risk       
adju/m5t z w take into acc\nt a         
hospital's proportion ( inpati5ts :o are
 full-b5efit dual eligible individuals  
7z def9$ 9 section #aice7;c77#f77 9 ord]
 to ensure t hospitals t treat ! mo/    
vuln]able populations are n unfairly    
p5aliz$ by ! program "u ?is subsection4 

4  7c7 ,med,p,a,c /udy on #cj-;,day     
readmission ?re%old ,! ,m$ic>e ,paym5t  
,advisory ,commission %all conduct a    
/udy on ! appropriat5ess ( us+ a ?re%old
 ( #cj days = readmissions "u section   
#ahhf7q77#e77;,e7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4                     
#acieww7q77#e77;,e774 ,! ,commission    
%all submit to ,congress a report on su*
 /udy 9 its report to ,congress 9 ,june 
#bjad4  7d7 ,address+ issue (           
noncompliant pati5ts ,section           
#ahhf7q77#d77;,c7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4                     
#acieww7q77#d77;,c771 z am5d$ by        
subsection 7b71 is fur!r am5d$ by add+  
at ! end ! foll[+ new clause3  7iv7     
,consid]ation ( exclusion ( noncompliant
 pati5t cases bas$ on ,v codes ,9       
promulgat+ regulations to c>ry out ?is  
subsection = ! applicable p]iod )       
respect to fiscal ye> #bjae1 ! ,secret>y
 %all consid] ! use ( ,v codes =        
pot5tial exclusions ( cases 9 ord] to   
address ! issue ( noncompliant pati5ts4 

4  7e7 ,effective date2 budget neutral  
implem5tation  7#a7 ,! am5dm5ts made by 
?is section %all be effective =         
applicable p]iods ) respect to fiscal   
ye> #bjae & ea* succe$+ fiscal ye>4     
7#b7 ,! ,secret>y ( ,heal? & ,human     
,s]vices %all make su* paym5t adju/m5t  
to subsection 7d7 hospitals "u !        
inpati5t prospective paym5t sy/em "u    
section #ahhf ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acieww7 z may be       
necess>y to ensure t ! implem5tation ( !
 am5dm5ts made by ?is section d n result
 9 an increase 9 aggregate exp5ditures  
"u su* section4