,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #abej  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #d1 #bjae ,mr4   
,h>p] 7= himself & ,mr4 ,?ompson (      
,mississippi7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,ways & 
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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 to   
provide t paym5t "u ! ,m$ic>e program to
 a long-t]m c>e hospital = inpati5t     
s]vices %all n be made at ! applicable  
site neutral paym5t rate = c]ta9        
dis*>ges involv+ sev]e w\nds1 & = o!r   
purposes4  #a4 ,tempor>y exception to   
site neutral paym5t rate = c]ta9        
dis*>ges involv+ sev]e w\nds  7a7 ,9    
,g5]al ,section #ahhf7m77#f7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acieww7m77#f77 is am5d$-- 7#a7 9       
subp>agraph 7,a77i7 by /rik+ subp>agraph

 7,c7 & ins]t+ subp>agraphs 7,c71 7,e71 
& 7,f72 &  7#b7 by add+ at ! end !      
foll[+ new subp>agraphs3  7,e7 ,tempor>y
 exception = c]ta9 sev]e w\nd dis*>ges f
 subsection 7d7 hospitals  7i7 ,9 g5]al 
,= a dis*>ge occurr+ 9 a co/ report+    
p]iod beg9n+ prior to ,octob] #a1 #bjag1
 subp>agraph 7,a77i7 %all n apply 7&    
paym5t %all be made to a long-t]m c>e   
hospital )\t reg>d to ?is p>agraph7 if--
  7,i7 ! individual dis*>g$ has a sev]e 
w\nd dur+ ! /ay 9 ! long-t]m c>e        
hospital end+ ) su* dis*>ge2  7,,ii7 !  
individual dis*>g$ meets ! sev]e w\nd   
crit]ion2 &  7,,iii7 ! /ay 9 ! long-t]m 
c>e hospital end+ ) su* dis*>ge 0       
imm$iately prec$$ by a dis*>ge f a /ay 9
 a subsection 7d7 hospital4  7ii7 ,sev]e
 w\nd def9$ ,9 ?is p>agraph1 ! t]m sev]e
 w\nd means a /age #c w\nd1 /age #d     
w\nd1 un/ageable w\nd1 non-heal+        
surgical w\nd1 infect$ w\nd1 fi/ula1    
o/eomyelitis1 or w\nd ) morbid obesity1 
z id5tifi$ 9 ! claim f ! long-t]m c>e   
hospital4  7iii7 ,sev]e w\nd crit]ion ,9

 ?is subp>agraph1 ! t]m sev]e w\nd      
crit]ion means t ! individual dis*>g$-- 
7,i7 receiv$ an excisional debridem5t or
 total p>5t]al nutrition dur+ ! /ay 9 ! 
long-t]m c>e hospital ref]r$ to 9 clause
 7i77,,iii72 or  7,,ii7 has at lea/ "o  
major sy/em organ failure 7lung1 liv]1  
kidney1 or he>t7 z id5tifi$ 9 ! claim f 
! imm$iately prec$+ /ay 9 a subsection  
7d7 hospital ref]r$ to 9 clause         
7i77,,iii74  7,f7 ,tempor>y exception = 
c]ta9 sev]e w\nd dis*>ges f c]ta9       
long-t]m c>e hospitals ,= a dis*>ge     
occurr+ 9 a co/ report+ p]iod beg9n+    
prior to ,octob] #a1 #bjag1 subp>agraph 
7,a77i7 %all n apply 7& paym5t %all be  
made to a long-t]m c>e hospital )\t     
reg>d to ?is p>agraph7 if su* dis*>ge-- 
7i7 is f a long-t]m c>e hospital        
id5tifi$ by ! am5dm5t made by section   
#ddag7;a7 ( ! ,balanc$ ,budget ,act (   
#aiig 7#db ,u4,s4,c4 #acieww note1      
,public ,law #aje-cc72 &  7ii7 !        
individual dis*>g$ has a sev]e w\nd 7z  
def9$ 9 subp>agraph 7,e77ii774  4  7b7  

,/udy & report to ,congress  7#a7 ,/udy 
,! ,secret>y ( ,heal? & ,human ,s]vices 
%all1 9 consultation ) relevant         
/akehold]s1 conduct a /udy on ! treatm5t
 ne$s ( individuals entitl$ to b5efits  
"u "p ,a ( su* title1 or enroll$ "u "p  
,b ( su* title1 requir+ specializ$ w\nd 
c>e1 & ! co/1 = su* individuals & !     
,m$ic>e program1 ( treat+ sev]e w\nds 9 
rural & urban areas4 ,su* /udy %all     
include an assessm5t (--  7,a7 access ( 
su* individuals to appropriate levels ( 
c>e = su* cases2  7,b7 ! pot5tial impact
 t section #ahhf7m77#f77;,a77i7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7m77#f77;,a77i77 w h on ! access1
 quality1 & co/ ( c>e = su* individuals2
 &  7,c7 h[ to appropriately pay = su*  
c>e "u ! ,m$ic>e program "u su* title4  
7#b7 ,report ,n lat] ?an ,octob] #a1    
#bjaf1 ! ,secret>y ( ,heal? & ,human    
,s]vices %all submit to ,congress a     
report on ! /udy conduct$ "u p>agraph   
7#a71 toge!r ) recomm5dations = su*     
legislation & adm9i/rative action z !   

,secret>y det]m9es appropriate4