,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #ebcb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bi1 #bjad ,mr4 
,doggett 7= himself & ,mr4 ,"y (        
,indiana7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,ways &      
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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   
require hospitals to provide c]ta9      
notifications to individuals classifi$  
by su* hospitals "u obs]vation /atus r  
?an admitt$ z inpati5ts ( su* hospitals4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,notice ( ,obs]vation ,treatm5t &   
,implication = ,c>e ,eligibility ,act or
 ! ,,notice ,act4  #b4 ,m$ic>e          
requirem5t = hospital notifications (   
obs]vation /atus  7a7 ,9 g5]al ,section 
#ahff7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;cc7a77#a77 is     

am5d$--  7#a7 9 subp>agraph 7,v71 by    
/rik+ at ! end &2  7#b7 9 ! fir/        
subp>agraph 7,w71 by /rik+ at ! end !   
p]iod & ins]t+ a comma2  7#c7 9 ! second
 subp>agraph 7,w7--  7,a7 by r$esignat+ 
su* subp>agraph z subp>agraph 7,x72 &   
7,b7 by /rik+ at ! end ! p]iod & ins]t+ 
1 &2 &  7#d7 by ins]t+ aft] su*         
subp>agraph 7,x7 ! foll[+ new           
subp>agraph3  7,y7 9 ! case ( a         
hospital1 to provide to ea* individual  
:o is entitl$ to b5efits "u "p ,a & :o !
 hospital classifies = m ?an #bd h\rs z 
an outpati5t "u obs]vation /atus or any 
o!r simil> /atus1 z ! ,secret>y det]m9es
 appropriate 7or to a p]son act+ on !   
individual's behalf71 n lat] ?an #cf    
h\rs aft] ! "t ( su* classification (   
su* individual "u su* /atus 7or1 if     
soon]1 ^u dis*>ge71 an adequate oral &  
writt5 notification 7z def9$ by !       
,secret>y pursuant to rulemak+ & conta9+
 su* language z ! ,secret>y prescribes  
consi/5t ) ?is p>agraph7 :i*--  7i7     
expla9s ! /atus ( ! individual z an     

outpati5t "u su* obs]vation /atus or any
 o!r su* simil> /atus & n z an inpati5t 
( ! hospital2  7ii7 expla9s ! reason = !
 classification ( su* individual "u su* 
/atus2  7iii7 expla9s ! implications (  
su* /atus z an outpati5t on--  7,i7     
eligibility = cov]age ( items & s]vices 
"u ?is title1 includ+ su* items &       
s]vices furni%$ by ! hospital ) respect 
to su* individual :ile "u su* /atus & = 
items & s]vices "u ?is title = a        
subsequ5t dis*>ge to a skill$ nurs+     
facility or o!r facility2 &  7,,ii7     
co/-%>+ requirem5ts "u ?is title1       
includ+ ) respect to items & s]vices    
furni%$ by ! hospital to su* individual 
:ile "u su* /atus & ) respect to items &
 s]vices "u ?is title = a subsequ5t     
dis*>ge to a skill$ nurs+ facility or   
o!r facility2  7iv7 includes ! "n &     
title ( ! /aff ( ! hospital :o provid$ !
 oral notification & ! date & "t ( su*  
oral notification2  7v7 includes su*    
additional in=mation z ! ,secret>y deems
 appropriate2 &  7vi7 9 ! case ( !      

writt5 notification1 is--  7,i7 sign$ by
 su* individual 7or p]son act+ on !     
individual's behalf7 to ackn[l$ge       
receipt ( su* notification2  7,,ii7     
writt5 & =matt$ us+ language t is cle> &
 easily und]/&able to ,m$ic>e           
b5efici>ies2 &  7,,iii7 made available 9
 diff]5t languages1 z specifi$ by !     
,secret>y4  4  7b7 ,effective date ,!   
am5dm5ts made by subsection 7a7 %all    
apply ) respect to items & s]vices      
furni%$ on or aft] ! date t is six mon?s
 aft] ! date ( ! enactm5t ( ?is ,act4