,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #dhdh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #bc1 #bjaf ,mr4  
,tom ,price ( ,georgia 7= himself & ,mr4
 ,david ,scott ( ,georgia7 introduc$ !  
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = 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 delay & susp5d             
implem5tation ( a compreh5sive c>e =    
jo9t replacem5t 7,,cjr7 paym5t model =  
episode-bas$ paym5t = l[] extremity jo9t
 replacem5t 7,,lejr7 "u ! ,m$ic>e       
program 9 a budget neutral mann]4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,heal?y ,inpati5t ,proc$ures ,act (     
#bjaf or ! ,,hip ,act4  #b4 ,f9d+s      
,congress f9ds ! foll[+3  7#a7 ,pati5t  
*oice has a uniquely positive influ5ce 9
 a*iev+ quality1 responsiv5ess1         
effectiv5ess1 & effici5cy ( heal? c>e   

s]vices4  7#b7 ,! implem5tation ( a     
,m$ic>e paym5t model = compreh5sive c>e 
= jo9t replacem5t 7,,cjr7 repres5ts a   
significant *ange to ! heal? c>e deliv]y
 sy/em :i* c\ld h a negative impact on  
pati5t *oice1 access1 & quality4  7#c7  
,pati5ts ) high]-co/ complex surg]ies   
7su* z hip fractures & ankle replacem5t 
proc$ures7 or :o suff] f multiple *ronic
 conditions may especially be at risk 9 
! implem5tation ( t model4  7#d7 ,!     
implem5tation ( t model beg9n+ ,april   
#a1 #bjaf1 provides physicians1         
hospitals1 & po/-acute provid]s )       
inadequate "t to prep>e = ?is abrupt    
%ift 9 paym5t = ^! high-volume proc$ures
 & ! *anges 9 c>e deliv]y t !y require4 
#c4 ,delay & susp5sion ( implem5tation (
 a compreh5sive c>e = jo9t replacem5t   
7,,cjr7 ,m$ic>e paym5t model = l[]      
extremity jo9t replacem5t 7,,lejr7 9 a  
budget neutral mann]  7a7 ,9 g5]al ,!   
,secret>y ( ,heal? & ,human ,s]vices    
%all n implem5t 7& %all susp5d any fur!r
 implem5tation (7 be=e ,janu>y #a1      

#bjah1 ! te/+ ( a ,compreh5sive ,c>e =  
,jo9t ,replacem5t ,model 7,,cjr7        
7describ$ 9 ! rule publi%$ 9 ! ,f$]al   
,regi/] on ,novemb] #bd1 #bjae 7#hj ,f$4
 ,reg4 #gcbgd-gceed77 to be conduct$ "u 
section #aaae;,a ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acae;a7 z an       
episode-bas$ paym5t model = l[]         
extremity jo9t replacem5t 7,,lejr74 ,?is
 section %all n apply to implem5tation (
 su* model t has occurr$ be=e ! date ( !
 enactm5t ( ?is ,act4  7b7 ,con/ruction 
,no?+ 9 ?is section %all be con/ru$ to  
affect ! au?ority ( ! ,secret>y to      
require ! p>ticipation ( provid]s (     
s]vices1 suppli]s1 & b5efici>ies 9 !    
te/+ or expansion ( any o!r innovative  
paym5t & s]vice deliv]y model "u section
 #aaae;,a ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acae;a74  7c7 ,(fsett+  
additional exp5ditures ?r\gh r$uctions 9
 am\nts appropriat$ to ! ,prev5tion &   
,public ,heal? ,tru/ ,fund ,not)/&+ any 
o!r provision ( law1 ! am\nt o!rwise    
appropriat$ to ! ,prev5tion & ,public   

,heal? ,tru/ ,fund "u section #djjb7;b7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #cjju-#aa7;b77--  7#a7 =      
fiscal ye> #bjag is r$uc$ 7& resc9d$7 by
 #ahj1jjj1jjj 7or #ahe1jjj1jjj if ?is   
,act is enact$ be=e ,july #a1 #bjaf72 & 
7#b7 = fiscal ye> #bjah is r$uc$ 7&     
resc9d$7 by #ej1jjj1jjj4