,,ii  #aac? ,,congress  #a/ ,session    
,s4 #abhf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #aa1 #bjac ,mr4  
,rockefell] 7= himself1 ,mr4 ,:iteh\se1 
& ,mr4 ,frank57 introduc$ ! foll[+ bill2
 :i* 0 read twice & ref]r$ to !         
,committee on ,f9ance  ,a ,,bill  ,to   
enc\rage ! adoption & use ( c]tifi$     
electronic heal? record te*nology by    
safety net provid]s & cl9ics4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,m$icaid ,in=mation ,te*nology to       
,enhance ,community ,heal? ,act ( #bjac 
or ! ,,mite* ,act4  #b4 ,inc5tives =    
adoption & use ( ,,ehr ,te*nology by    
safety net cl9ics & provid]s ,section   
#aijc7t7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;b7t77 is am5d$--  7#a7 
9 p>agraph 7#b7--  7,a7 9 subp>agraph   
7,a7--  7i7 9 clause 7i71 by ins]t+ or  
,,qsnc-bas$ aft] hospital-bas$2  7ii7 9 
clause 7ii7--  7,i7 by ins]t+ or        
,,qsnc-bas$ aft] hospital-bas$2 &       
7,,ii7 by /rik+ & at ! end & ins]t+ or2 
&  7iii7 9 clause 7iii71 by /rik+ :o    

practices pr$om9antly 9 a ,f$]ally      
qualifi$ heal? c5t] or rural heal? cl9ic
 & ins]t+ subject to p>agraph           
7#aa77;,c71 :o practices pr$om9antly 9 a
 ,f$]ally qualifi$ heal? c5t]1 rural    
heal? cl9ic1 or qualifi$ safety net     
cl9ic2 &  7,b7 9 subp>agraph 7,b7--  7i7
 9 clause 7i71 by /rik+ or2  7ii7 9     
clause 7ii71 by /rik+ ! p]iod at ! end &
 ins]t+ 1 or2 &  7iii7 by add+ at ! end 
! foll[+ new clause3  7iii7 subject to  
p>agraph 7#aa71 a qualifi$ safety net   
cl9ic 7z def9$ 9 p>agraph 7#c77;,g774  2
  7#b7 9 p>agraph 7#c7--  7,a7 9        
subp>agraph 7,b77v71 by /rik+ rural     
heal? cl9ic & all t foll[s ?r\gh ! p]iod
 & ins]t+ rural heal? cl9ic1 ,f$]ally   
qualifi$ heal? c5t]1 or qualifi$ safety 
net cl9ic t is l$ by a physician        
assi/ant42 &  7,b7 by add+ at ! end !   
foll[+ new subp>agraphs3  7,g7 ,! t]m   
qualifi$ safety net cl9ic means a cl9ic 
or network ( cl9ics t is op]at$ by a    
private non-pr(it or public entity & t  
has at lea/ #cj p]c5t ( its pati5t      

volume 7z e/imat$ 9 accordance ) a      
me?odology e/abli%$ by ! ,secret>y7     
attributable to ne$y individuals 7z     
def9$ 9 subp>agraph 7,f774  7,h7 ,! t]m 
,,qsnc-bas$ means1 ) respect to an      
eligible pr(essional1 an individual :o  
furni%es sub/antially all ( _!          
pr(essional s]vices 9 a qualifi$ safety 
net cl9ic & ?r\gh ! use ( ! facilities &
 equipm5t1 includ+ qualifi$ electronic  
heal? records1 ( ! cl9ic4 ,! det]m9ation
 ( :e!r an eligible pr(essional is a    
,,qsnc-bas$ eligible pr(essional %all be
 made on ! basis ( ! site ( s]vice 7z   
def9$ by ! ,secret>y7 & )\t reg>d to any
 employm5t or bill+ arrangem5t betwe5 ! 
eligible pr(essional & any o!r provid]4 
2  7#c7 9 p>agraph 7#e7--  7,a7 9       
subp>agraph 7,a71 by ins]t+ clause 7i7  
or 7ii7 ( be=e p>agraph 7#b77;,b72 &    
7,b7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,e7 ,= purposes ( paym5ts
 describ$ 9 p>agraph 7#a77;,b7 to a     
,m$icaid provid] describ$ 9 p>agraph    
7#b77;,b77iii71 ! ,secret>y %all e/abli%

 a me?odology = det]m9+ ! maximum am\nt 
( paym5t p]mitt$ = ea* su* provid]4  2 &
  7#d7 by add+ at ! end ! foll[+ new    
p>agraph3  7#aa7 7,a7 ,n lat] ?an       
,janu>y #a1 #bjae1 ! ,secret>y1 9       
consultation ) ,/ates & o!r relevant    
/akehold]s1 %all promulgate regulations 
to e/abli% a proc$ure ?r\gh :i* a       
qualifi$ safety net cl9ic may demon/rate
 mean+ful use ( c]tifi$ ,,ehr te*nology 
by su* cl9ic = purposes ( satisfy+ !    
requirem5t describ$ 9 p>agraph          
7#f77;,c77i77,,ii74  7,b7 ,a qualifi$   
safety net cl9ic %all n be eligible to  
receive paym5ts describ$ 9 p>agraph     
7#a77;,b7 be=e ! date on :i* ! ,secret>y
 e/abli%es ! proc$ure describ$ 9        
subp>agraph 7,a74 ,on & aft] t date1 a  
qualifi$ safety net cl9ic may receive   
su* paym5ts if ! qualifi$ safety net    
cl9ic notifies ! ,secret>y t ! qualifi$ 
safety net cl9ic elects to receive su*  
paym5ts 9 lieu ( ! ,secret>y mak+       
paym5ts describ$ 9 p>agraph 7#a77;,a7 to
 ! eligible pr(essionals :o practice    

pr$om9ately 9 ! qualifi$ safety net     
cl9ic4  7,c7 ,on or aft] ! date t !     
,secret>y e/abli%es ! proc$ure describ$ 
9 subp>agraph 7,a71 an eligible         
pr(essional :o practices pr$om9ately 9 a
 qualifi$ safety net cl9ic1 z describ$ 9
 p>agraph 7#b77;,a77iii71 %all n be     
eligible to receive paym5ts describ$ 9  
p>agraph 7#a77;,a7 if ! qualifi$ safety 
net cl9ic receives paym5ts describ$ 9   
p>agraph 7#a77;,b74  4