,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #ddii  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #i1 #bjaf    
,mr4 ,mooney ( ,we/ ,virg9ia 7= himself1
 ,mr4 ,rog]s ( ,k5tucky1 ,ms4 ,ku/]1    
,mrs4 ,com/ock1 ,mr4 ,ryan ( ,ohio1 ,mr4
 ,gu9ta1 & ,mr4 ,lyn*7 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,ways & ,means  ,a ,,bill 
,to am5d title ,,xviii ( ! ,social      
,security ,act to remove consid]ation ( 
c]ta9 pa9-relat$ issues f calculations  
"u ! ,m$ic>e hospital value-bas$ pur*as+
 program1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,promot+
 ,responsible ,opioid ,prescrib+ ,act ( 
#bjaf & z ! ,,prop ,act ( #bjaf4  #b4   
,remov+ consid]ation ( c]ta9 pa9-relat$ 
issues f calculations "u ! ,m$ic>e      
hospital value-bas$ pur*as+ program     
,section #ahhf7o77#b77;,b7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acieww7o77#b77;,b77 is am5d$--  7#a7 9 
clause 7i77,,ii71 by ins]t+ 1 subject to
 clause 7iii71 aft] %all2 &  7#b7 by    

add+ at ! end ! foll[+ new clause3      
7iii7 ,exclusion ( c]ta9 pa9-relat$     
measures ,= value-bas$ inc5tive paym5ts 
made ) respect to dis*>ges occurr+ dur+ 
fiscal ye> #bjaf or a subsequ5t fiscal  
ye>1 ! ,secret>y %all ensure t measures 
select$ "u subp>agraph 7,a7 d n include 
measures bas$ on any assessm5ts by      
pati5ts1 ) respect to hospital /ays (   
su* pati5ts1 (--  7,i7 ! ne$ ( su*      
pati5ts1 dur+ su* /ay1 = m$ic9e = pa92  
7,,ii7 h[ (t51 dur+ su* /ay1 ! pa9 ( su*
 pati5ts 0 well controll$2 or  7,,iii7  
h[ (t51 dur+ su* /ay1 ! /aff ( !        
hospital 9 :i* su* /ay occurr$ did      
ev]y?+ !y c\ld to help ! pati5t ) ! pa9 
exp]i5c$ by ! pati5t4  4