,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #eeef  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #ah1 #bjad  
,mrs4 ,black 7= h]self1 ,mr4 ,david     
,scott ( ,georgia1 ,mrs4 ,blackburn1 &  
,mr4 ,griff9 ( ,arkansas7 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 ) respect to !   
treatm5t ( pati5t enc\nt]s 9 ambulatory 
surgical c5t]s 9 det]m9+ mean+ful ,,ehr 
use1 & = o!r purposes4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,electronic   
,heal? ,fairness ,act ( #bjad4  #b4     
,f9d+s ,congress f9ds ! foll[+3  7#a7   
,ambulatory surg]y c5t]s 7 n cov]$ "u ! 
provisions ( ! ,,hite* ,act ( #bjji1 :i*
 creat$ c]tification /&>ds & inc5tives =
 adopt+ electronic heal? record 7,,ehr7 

te*nology 9 ! physician (fice & hospital
 sett+s4  7#b7 ,,cms def9es a mean+ful  
,,ehr us] z an eligible pr(essional hav+
 #ej p]c5t or m ( ! pr(essional's       
outpati5t enc\nt]s at practices or      
locations equipp$ ) c]tifi$ ,,ehr       
te*nology4  7#c7 ,physicians ) pati5t   
enc\nt]s 9 an ambulatory surgical c5t]  
are at a disadvantage :5 attempt+ to    
meet mean+ful use requirem5ts because   
!re curr5tly is n c]tifi$ ,,ehr         
te*nology = su* c5t]s4  7#d7 ,until su* 
"t z ,,ehr te*nology is c]tifi$         
specifically = use 9 ! ambulatory       
surgical c5t]s1 pati5t enc\nt]s t occur 
9 su* a c5t] %\ld n be us$ :5 calculat+ 
:e!r an eligible pr(essional meets      
mean+ful use requirem5ts1 unless an     
eligible pr(essional elects to include  
^? enc\nt]s4  #c4 ,treatm5t ( pati5t    
enc\nt]s 9 ambulatory surgical c5t]s 9  
det]m9+ mean+ful ,,ehr use ,section     
#ahdh7o77#b7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciew-#d7o77#b77 is     
am5d$ by add+ at ! end ( ! foll[+ new   

subp>agraph3  7,d7 ,treatm5t ( pati5t   
enc\nt]s at ambulatory surgical c5t]s   
7i7 ,9 g5]al ,subject to clause 7ii71   
any pati5t enc\nt] ( an eligible        
pr(essional occurr+ at an ambulatory    
surgical c5t] 7describ$ 9 section       
#ahcb7;i77#a77;,a77 %all n be treat$ z a
 pati5t enc\nt] 9 det]m9+ :e!r an       
eligible pr(essional qualifies z a      
mean+ful ,,ehr us]4  7ii7 ,sunset       
,clause 7i7 %all no long] apply z ( !   
fir/ ye> t beg9s m ?an #c ye>s aft] !   
date ! ,secret>y c]tifies ,,ehr         
te*nology = ! ambulatory surgical c5t]  
sett+4  4