,,ii  #aacth ,,congress  #ast ,session  
,s4 #igb  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,may #af1 #bjac ,mr4
 ,coburn 7for himself1 ,mr4 ,barrasso1  
,mr4 ,boozman1 and ,mr4 ,paul7          
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
prohibit the ,secretary of ,health and  
,human ,services replacing ,,icd-#i with
 ,,icd-#aj in implementing the ,,hipaa  
code set standards4  #a4 ,short title   
,this ,act may be cited as the ,cutting 
,costly ,codes ,act of #bjac4  #b4      
,prohibiting replacement of ,,icd-#i    
with ,,icd-#aj in implementing ,,hipaa  
code set standards  7a7 ,in general ,the
 ,secretary of ,health and ,human       
,services may not implement1 administer1
 or enforce the regulations issued on   
,january #af1 #bjji 7#gd ,fed4 ,reg4    
#ccbh71 the regulation issued on        
,september #e1 #bjab 7#gg ,fed4 ,reg4   
#edffd71 or any similar regulation1     

insofar as any such regulation provides 
for the replacement of ,,icd-#i with    
,,icd-#aj as a standard for code sets   
under section #aagc7;c7 of the ,social  
,security ,act 7#db ,u4,s4,c4           
#acbj;d-#b7;c77 and section #afb4ajjb of
 title #de1 ,code of ,federal           
,regulations4  7b7 ,,gao report on      
,,icd-#i replacement  7#a7 ,study ,the  
,comptroller ,general of the ,united    
,states1 in consultation with           
stakeholders in the medical community1  
shall conduct a study to identify steps 
that can be taken to mitigate the       
disruption on health care providers     
resulting from a replacement of ,,icd-#i
 as such a standard4  7#b7 ,report ,not 
later than #f months after the date of  
the enactment of this ,act1 the         
,comptroller ,general shall submit to   
each ,house of ,congress a report on    
such study4 ,such report shall include  
such recommendations respecting such    
replacement and such legislative and    
administrative steps as may be          

appropriate to mitigate the disruption  
resulting from such replacement as the  
,comptroller ,general determines        
appropriate4