,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #cgaf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #h1 #bjae ,mr4
 ,buc%on 7= himself1 ,mr4 ,wel*1 & ,mr4 
,butt]field7 introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d title    
,,xix ( ! ,social ,security ,act to     
require ,/ates to provide to ! ,secret>y
 ( ,heal? & ,human ,s]vices c]ta9       
in=mation ) respect to provid]          
t]m9ations1 & = o!r purposes4  #a4 ,%ort
 title ,?is ,act may be cit$ z ! ,ensur+
 ,t]m9at$ ,provid]s are ,remov$ f       
,m$icaid & ,,*ip ,act4  #b4 ,increas+   
ov]sight ( t]m9ation ( ,m$icaid provid]s
  7a7 ,increas$ ov]sight & report+  7#a7
 ,/ate report+ requirem5ts ,section     
#aijb7kk7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;a7kk77 is am5d$--  
7,a7 by r$esignat+ p>agraph 7#h7 z      
p>agraph 7#i72 &  7,b7 by ins]t+ aft]   
p>agraph 7#g7 ! foll[+ new p>agraph3    
7#h7 ,provid] t]m9ations  7,a7 ,9 g5]al 
,beg9n+ #ahj days aft] ! date ( !       

enactm5t ( ?is p>agraph1 9 ! case ( a   
notification "u subsection 7a77#da7 )   
respect to a t]m9ation = cause ( !      
p>ticipation ( any individual or entity 
"u ! ,/ate plan "u subsection 7a77#ci71 
! ,/ate1 n lat] ?an #ad bus9ess days    
aft] ! effective date ( su* t]m9ation1  
submits to ! ,secret>y ) respect to any 
su* individual or entity--  7i7 ! "n (  
su* individual or entity2  7ii7 !       
provid] type ( su* individual or entity2
  7iii7 ! specialty ( su* individual's  
or entity's practice2  7iv7 ! date (    
bir?1 ,social ,security numb]1 national 
provid] id5tifi]1 ,f$]al taxpay]        
id5tification numb]1 & ! ,/ate lic5se or
 c]tification numb] ( su* individual or 
entity2  7v7 ! reason = ! t]m9ation2    
7vi7 ! effective date ( su* t]m9ation2 &
  7vii7 a copy ( ! notice ( t]m9ation   
s5t to ! individual or entity4  7,b7    
,manag$ c>e entities  7i7 ,9 g5]al ,)   
respect to manag$ c>e entities 7z def9$ 
9 section #aicb7;a77#a771 beg9n+ on !   
lat] ( ! date t is #ahj days aft] ! date

 ( ! enactm5t ( ?is p>agraph or ! fir/  
day ( ! fir/ plan ye> = su* an entity t 
beg9s aft] su* date ( enactm5t1 ! ,/ate 
requires t any contract ! ,/ate plan has
 ) any su* entity includes a provision t
 individuals t]m9at$ = cause f          
p>ticipation "u ! program "u title      
,,xviii1 ?is title1 or title ,,xxi be   
t]m9at$ f p>ticipation 9 ! provid]      
networks ( manag$ c>e entities "u ?is   
title t s]ve individuals eligible to    
receive m$ical assi/ance "u ?is title4  
7ii7 ,notification ( t]m9ation ,= !     
p]iod beg9n+ on ! date t is #ahj days   
aft] ! date ( ! enactm5t ( ?is p>agraph 
& end+ on ! date on :i* ! enrollm5t (   
provid]s "u section #aicb7;d77#e7 is    
complete = ! ,/ate1 ! ,/ate provides = a
 sy/em = notify+ manag$ c>e entities 7z 
def9$ 9 section #aicb7;a77#a77 ( !      
t]m9ation ( individuals or entities f   
p>ticipation "u ! program "u title      
,,xviii1 ?is title1 or title ,,xxi4  4  
7#b7 ,t]m9ation ,notification ,database 
,section #aijb ( ! ,social ,security    

,act 7#db ,u4,s4,c4 #acif;a7 is am5d$ by
 add+ at ! end ! foll[+ new subsection3 
7ll7 ,t]m9ation notification database ,9
 ! case ( an individual or entity ^:    
p>ticipation 9 ! program "u title       
,,xviii1 ?is title1 or title ,,xxi is   
t]m9at$ = cause "u subsection 7a77#ci71 
! ,secret>y %all1 n lat] ?an #ad bus9ess
 days aft] ! date on :i* ! ,secret>y is 
notifi$ ( su* t]m9ation "u subsection   
7a77#da71 include su* t]m9ation 9 any   
database or simil> sy/em develop$       
pursuant to section #fdja7;b77#b7 ( !   
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #acie;cc note2      
,public ,law #aaa-adh74  4  7#c7 ,no    
,f$]al funds = items & s]vices furni%$  
by t]m9at$ provid]s ,section            
#aijc7;i77#b7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif;b7i77#b77 is      
am5d$-- 7,a7 9 subp>agraph 7,a71 by     
/rik+ ! comma at ! end & ins]t+ a       
semicolon2  7,b7 9 subp>agraph 7,b71 by 
/rik+ or at ! end2 &  7,c7 by add+ at ! 
end ! foll[+ new subp>agraph3  7,d7     

beg9n+ #b ye>s aft] ! date ( ! enactm5t 
( ?is subp>agraph1 "u ! plan by any     
individual or entity ^: p>ticipation 9 !
 ,/ate plan is t]m9at$ = cause "u       
subsection 7a77#ci7 ( section #aijb aft]
 ! date t is #fj days aft] ! date on :i*
 su* t]m9ation is includ$ 9 ! database  
or o!r sy/em "u subsection 7ll7 ( su*   
section2 or  4  7#d7 ,developm5t ( uni=m
 t]m9ology = reasons = provid] t]m9ation
 ,n lat] ?an #ahj days aft] ! date ( !  
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all issue     
regulations e/abli%+ uni=m t]m9ology to 
be us$ ) respect to specify+ reasons "u 
p>agraph 7#h77;,a7 ( section #aijb7kk7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acif;a7kk77 = ! t]m9ation ( !         
p>ticipation ( c]ta9 provid]s 9 !       
,m$icaid program "u title ,,xix ( su*   
,act or ! ,*ildr5's ,heal? ,insurance   
,program "u title ,,xxi ( su* ,act4     
7#e7 ,con=m+ am5dm5t ,section           
#aijb7;a77#da7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7a77#da77 is 

am5d$ by /rik+ provide t :5ev] & ins]t+ 
provide1 9 accordance ) subsection      
7kk77#h7 7z applicable71 t :5ev]4  7b7  
,increas+ availability ( ,m$icaid       
provid] in=mation  7#a7 ,,ffs provid]   
enrollm5t ,section #aijb7;a7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acif;a7a77 is am5d$ by ins]t+ aft]     
p>agraph 7#gg7 ! foll[+ new p>agraph3   
7#gh7 provide t1 n lat] ?an #ahj days   
aft] ! date ( ! enactm5t ( ?is p>agraph1
 9 ! case ( a ,/ate plan t provides     
m$ical assi/ance on a fee-=-s]vice      
basis1 ! ,/ate %all require ea* provid] 
furni%+ items & s]vices to individuals  
eligible to receive m$ical assi/ance "u 
su* plan to enroll ) ! ,/ate ag5cy &    
provide to ! ,/ate ag5cy ! provid]'s    
id5tify+ in=mation1 includ+ ! "n1       
specialty1 date ( bir?1 ,social         
,security numb]1 national provid]       
id5tifi]1 ,f$]al taxpay] id5tification  
numb]1 & ! ,/ate lic5se or c]tification 
numb] ( ! provid]2  4  7#b7 ,manag$ c>e 
provid] enrollm5t ,section #aicb7;d7 ( !

 ,social ,security ,act 7#db ,u4,s4,c4  
#acifu-#b7;d77 is am5d$ by add+ at ! end
 ! foll[+ new p>agraph3  7#e7 ,enrollm5t
 ( p>ticipat+ provid]s  7,a7 ,9 g5]al   
,beg9n+ n lat] ?an "o ye> aft] ! date ( 
! enactm5t ( ?is p>agraph1 a ,/ate %all 
require t1 z a condition on !           
p>ticipation 9 ! provid] network ( a    
manag$ c>e entity ( a provid] t provides
 s]vices to1 or ord]s or provides       
ref]rals = s]vices =1 individuals :o are
 eligible = m$ical assi/ance "u ! ,/ate 
plan "u ?is title & :o are enroll$ ) !  
entity1 ! provid] enrolls ) ! ,/ate     
ag5cy adm9i/]+ ! ,/ate plan "u ?is      
title4 ,su* enrollm5t %all include      
provid+ to ! ,/ate ag5cy ! provid]'s    
id5tify+ in=mation1 includ+ ! "n1       
specialty1 date ( bir?1 ,social         
,security numb]1 national provid]       
id5tifi]1 ,f$]al taxpay] id5tification  
numb]1 & ! ,/ate lic5se or c]tification 
numb] ( ! provid]4  7,b7 ,rule (        
con/ruction ,no?+ 9 subp>agraph 7,a7    
%all be con/ru$ z requir+ a provid]     

describ$ 9 su* subp>agraph to provide   
s]vices to individuals :o are n enroll$ 
) a manag$ c>e entity "u ?is title4  4  
7c7 ,coord9ation ) ,,*ip  7#a7 ,9 g5]al 
,section #bajg7;e77#a7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acig;gg7e77#a77 is am5d$-- 7,a7 by     
r$esignat+ subp>agraphs 7,b7 ?r\gh 7,o7 
z subp>agraphs 7,d7 ?r\gh 7,q71         
respectively2  7,b7 by ins]t+ aft]      
subp>agraph 7,a7 ! foll[+ new           
subp>agraphs3  7,b7 ,section            
#aijb7;a77#ci7 7relat+ to t]m9ation (   
p>ticipation ( c]ta9 provid]s74  7,c7   
,section #aijb7;a77#gh7 7relat+ to !    
enrollm5t ( provid]s p>ticipat+ 9 ,/ate 
plans provid+ m$ical assi/ance on a     
fee-=-s]vice basis74  2 &  7,c7 9       
subp>agraph 7,o7 7z r$esignat$ by       
p>agraph 7#a771 by /rik+ 7a77#b77;,c7 & 
7h7 & ins]t+ 7a77#b77;,c7 7relat+ to    
,indian enrollm5t71 7d77#e7 7relat+ to  
enrollm5t ( provid]s p>ticipat+ ) a     
manag$ c>e entity71 & 7h7 7relat+ to    
special rules ) respect to ,indian      

enrollees1 ,indian heal? c>e provid]s1 &
 ,indian manag$ c>e entities74  7#b7    
,exclud+ f ,m$icaid provid]s exclud$ f  
,,*ip ,section #aijb7;a77#ci7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#ci77 is am5d$ by /rik+ title
 ,,xviii or any o!r ,/ate plan "u ?is   
title & ins]t+ title ,,xviii1 any o!r   
,/ate plan "u ?is title1 or any ,/ate   
*ild heal? plan "u title ,,xxi4  7d7    
,rule ( con/ruction ,no?+ 9 ?is section 
%all be con/ru$ z *ang+ ! appeal rights 
( provid]s or ! process = appeals (     
,/ates "u ! ,social ,security ,act4