,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bjje  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #f1 #bjad,mr4 
,coburn 7= himself & ,mrs4 ,mc,caskill7 
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = ! report+ ( c]ta9 hospital    
paym5t data "u ! ,m$ic>e program1 & =   
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,consum] ,le>n+ ?r\gh  
,electronically-,accessible &           
,reasonable ,co/ ,in=mation ,act ( #bjac
 or ! ,,cle> ,co/ ,in=mation ,act (     
#bjac4  #b4 ,report+ ( c]ta9 hospital   
paym5t data  7a7 ,9 g5]al ,section #ahff
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acie;cc7 is am5d$-- 7#a7 9   
subsection 7a77#a7-- 7,a7 9 subp>agraph 
7,v71 by /rik+ & at ! end2  7,b7 9      
subp>agraph 7,w71 z add$ by section     
#cjje ( ,public ,law #aaa-adh-- 7i7 by  
mov+ su* subp>agraph #b ems to ! left2 &
  7ii7 by /rik+ ! p]iod at ! end &      

ins]t+ a comma2  7,c7 9 subp>agraph     
7,w71 z add$ by section #fdjf7;b7 (     
,public ,law #aaa-adh-- 7i7 by mov+ su* 
subp>agraph #b ems to ! left2  7ii7 by  
r$esignat+ su* subp>agraph z subp>agraph
 7,x72 &  7iii7 by /rik+ ! p]iod at !   
end & ins]t+ 1 &2 &  7,d7 by ins]t+ aft]
 subp>agraph 7,x71 z r$esignat$ by      
subp>agraph 7,c77ii71 ! foll[+ new      
subp>agraph3  7,y7 9 ! case ( a         
subsection 7d7 hospital 7z def9$ 9      
section #ahhf7;d77#a77;,b771 to report  
paym5t data to ! ,secret>y 9 accordance 
subsection 7l74  2 &  7#b7 by add+ at ! 
end ! foll[+ new subsection3  7l7       
,report+ ( c]ta9 hospital paym5t data   
7#a7 ,9 g5]al ,a subsection 7d7 hospital
 7z def9$ 9 section #ahhf7;d77#a77;,b77 
%all submit to ! ,secret>y data on !    
actual am\nts collect$ by ! hospital f  
un9sur$ & insur$ pati5ts ov] ! prec$+ #b
 ye>s = ea* ( ! proc$ures describ$ 9    
p>agraph 7#b74  7#b7 ,proc$ures describ$
 ,! proc$ures describ$ 9 ?is p>agraph   
are ! #ej mo/ common diagnosis-relat$   

gr\ps & ambulatory paym5t classification
 gr\ps = :i* paym5t is made "u ?is      
title1 z det]m9$ by ! ,secret>y bas$ on 
claims data1 9 bo? ! inpati5t &         
outpati5t sett+s4  7#c7 ,transp>5cy     
7,a7 ,9 g5]al ,9 ord] to be b5eficial to
 consum]s1 ! report+ ( data "u ?is      
subsection %all be done 9 a mann] t is  
transp>5t to ! g5]al public4  7,b7      
,public availability ( in=mation ,!     
,secret>y %all po/ data submitt$ "u     
p>agraph 7#a7 on a publicly accessible &
 se>*able ,int]net website 9 a =m &     
mann] t-- 7i7 all[s = mean+ful          
comp>isons ( hospital collections &     
relat$ policies by zip code2 &  7ii7 is 
readily und]/&able by a typical consum]4
  7,c7 ,l9k+ ( data ,a subsection 7d7   
hospital %all include a l9k to ! data   
po/$ "u subp>agraph 7,b7 on ! home      
,int]net website ( ! hospital4  4  7b7  
,effective date ,! am5dm5ts made by ?is 
section %all apply to contracts ent]$   
into1 or r5ew$1 on or aft] ! date ( !   
enactm5t ( ?is ,act4  #c4 ,inclusion (  

in=mation on *>ity c>e furni%$ by       
hospitals 9 ,med,p,a,c's annual report  
,ea* annual report submitt$ to ,congress
 aft] ! date ( ! enactm5t ( ?is ,act by 
! ,m$ic>e ,paym5t ,advisory ,commission 
"u section #ahje ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acie;b-#f7 %all    
conta9 in=mation on ! p]c5tage t *>ity  
c>e makes up ( ! total c>e furni%$ by   
hospitals & critical access hospitals4  
#d4 ,public availability ( report on    
tr5ds 9 levels ( *>ity c>e provid$ by   
c]ta9 hospitals  7a7 ,po/+ ( data       
,section #ijjg7;e77#b7 ( ! ,pati5t      
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh2 #abd ,/at4 #heh7
 is am5d$ by add+ at ! end ! foll[+ new 
subp>agraph3  7,c7 ,public availability 
,! ,secret>y ( ! ,treasury1 9           
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices1 %all po/ ! data conta9$
 9 ! report "u subp>agraph 7,b7 on a    
publicly accessible & se>*able website  
t-- 7i7 all[s = mean+ful comp>isons ( ! 
data by zip code2 &  7ii7 is readily    

und]/&able by a typical consum]4  4  7b7
 ,m$ic>e requirem5t = hospitals ,to     
provide a l9k to ! data on ! hospital's 
home webpage  7#a7 ,9 g5]al ,section    
#ahff7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;cc7a77#a771 z     
am5d$ by section #b1 is am5d$-- 7,a7 9  
subp>agraph 7,x71 by /rik+ & at ! end2  
7,b7 9 subp>agraph 7,y71 by /rik+ !     
p]iod at ! end & ins]t+ 1 &2 &  7,c7 by 
ins]t+ aft] subp>agraph 7,y7 ! foll[+   
new subp>agraph3  7,z7 9 ! case (       
hospitals & critical access hospitals1  
to include a l9k on ! home ,int]net     
website ( ! hospital or critical access 
hospital to ! data po/$ "u section      
#ijjg7;e77#b77;,c7 ( ! ,pati5t          
,protection & ,af=dable ,c>e ,act4  4   
7#b7 ,effective date ,! am5dm5ts made by
 p>agraph 7#a7 %all apply to contracts  
ent]$ into1 or r5ew$1 on or aft] ! date 
( ! enactm5t ( ?is ,act4