,,ii  #aac? ,,congress  #a/ ,session    
,s4 #efi  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #ad1 #bjac ,mr4   
,br[n introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
c\nt a p]iod ( receipt ( outpati5t      
obs]vation s]vices 9 a hospital t[>d    
satisfy+ ! #c-;day inpati5t hospital    
requirem5t = cov]age ( skill$ nurs+     
facility s]vices "u ,m$ic>e4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,improv+
 ,access to ,m$ic>e ,cov]age ,act (     
#bjac4  #b4 ,c\nt+ a p]iod ( receipt (  
outpati5t obs]vation s]vices 9 a        
hospital t[>d ! #c-;day inpati5t        
hospital requirem5t = cov]age ( skill$  
nurs+ facility s]vices "u ,m$ic>e  7a7  
,9 g5]al ,section #ahfa7;i7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #aciex7i77
 is am5d$ by add+ at ! end ! foll[+3 ,= 
purposes ( ?is subsection1 an individual
 receiv+ outpati5t obs]vation s]vices   
%all be deem$ to be an inpati5t dur+ su*

 p]iod1 & ! date su* individual ceases  
receiv+ su* s]vices %all be deem$ !     
hospital dis*>ge date 7unless su*       
individual is admitt$ z a hospital      
inpati5t at ! end ( su* p]iod744  7b7   
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply to receipt (  
outpati5t obs]vation s]vices beg9n+ on  
or aft] ,janu>y #a1 #bjac1 b applies to 
a p]iod ( po/-hospital ext5d$ c>e       
s]vices t 0 complet$ be=e ! date ( !    
enactm5t ( ?is ,act only if an          
adm9i/rative appeal is or has be5 made )
 respect to su* s]vices n lat] ?an #ij  
days aft] ! date ( ! enactm5t ( ?is     
,act4 ,not)/&+ any o!r provision ( law1 
! ,secret>y ( ,heal? & ,human ,s]vices  
may implem5t su* am5dm5t ?r\gh an int]im
 f9al regulation1 program in/ruction1 or
 o!rwise4