,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #acgc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #af1 #bjae ,mr4  
,burgess 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 require !       
,secret>y ( ,heal? & ,human ,s]vices to 
consid]1 )9 ! annual rulemak+ processes1
 ! effect ( regulatory *anges to c]ta9  
,m$ic>e paym5t sy/ems on provid]        
consolidation4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,provid]s          
,consolidation & ,m$ic>e ,paym5ts       
,exam9$ ?r\gh ,evaluation ,act ( #bjae  
or ! ,provid]s ,,compete ,act ( #bjae4  
#b4 ,rulemak+ t implem5ts c]ta9 ,m$ic>e 
paym5t *anges to consid] effects on     
provid] consolidation  7a7 ,9 g5]al     
,beg9n+ = #bjaf1 z "p ( any annual      
notice & comm5t rulemak+ process to     

implem5t *anges to paym5t sy/ems "u     
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie et seq47 = items &
 s]vices "u title ,,xviii ( ! ,social   
,security ,act 7includ+ ^? = inpati5t & 
outpati5t hospital s]vices1 physicians' 
s]vices1 & s]vices furni%$ by o!r       
provid]s ( s]vices & suppli]s71 !       
,secret>y ( ,heal? & ,human ,s]vices    
%all seek public comm5t on & evaluate ! 
ext5t to :i*1 & h[1 su* a *ange is      
project$ to affect provid]              
consolidation4  7b7 ,coord9ation &      
consultation  7#a7 ,int]nal coord9ation 
,= purposes ( conduct+ ! evaluations "u 
subsection 7a71 ! ,secret>y ( ,heal? &  
,human ,s]vices %all ensure appropriate 
coord9ation )9 ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices su* t exp]ts ) respect
 to ! applicable paym5t sy/em "u title  
,,xviii ( ! ,social ,security ,act "w   
collaboratively = purposes ( su*        
evaluations4  7#b7 ,consultation ,=     
purposes ( conduct+ ! evaluations "u    
subsection 7a71 ! ,secret>y ( ,heal? &  

,human ,s]vices may consult ) ! ,m$ic>e 
,paym5t ,advisory ,commission e/abli%$  
"u section #ahje ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acie;b-#f71 !      
,f$]al ,trade ,commission1 o!r          
gov]nm5tal ag5cies1 & private sector    
entities4  7c7 ,provid] consolidation   
def9$ ,= purposes ( ?is section1 ! t]m  
provid] consolidation includes ! v]tical
 or horizontal integration among        
provid]s ( s]vices & suppli]s1 includ+  
pr(essional practices1 heal? c>e sett+s1
 & ancill>y s]vices by any entity 7su* z
 a heal? sy/em1 gr\p practice1 or heal? 
insur]74