,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #efad  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #a1 #bjaf,mr4   
,cr[ley introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,ways & ,means
  ,a ,,bill  ,to am5d title ,,xviii ( ! 
,social ,security ,act to provide = a   
*ange 9 ,m$ic>e classification = c]ta9  
hospitals4  #a4 ,*ange 9 m$ic>e         
classification = c]ta9 hospitals  7a7 ,9
 g5]al ,subsection 7d77#a77;,b7 (       
section #ahhf ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acieww7 is am5d$-- 7#a7
 9 clause 7iv7--  7,a7 9 subclause      
7,i7-- 7i7 by /rik+ 7iv77,i7 & ins]t+   
7iv72 &  7ii7 by /rik+ or at ! end2 &   
7,b7 9 subclause 7,,ii7--  7i7 by /rik+ 
1 or at ! end & ins]t+ a semicolon2 &   
7ii7 by r$esignat+ su* subclause z      
clause 7vi7 & by mov+ x to imm$iately   
foll[ clause 7v72 &  7iii7 9 clause 7v71
 by /rik+ ! semicolon at ! end & ins]t+ 
1 or4  7b7 ,con=m+ paym5t ref]5ces ,!   
second s5t5ce ( subsection 7d77#a77;,b7 
( su* section is am5d$--  7#a7 by ins]t+

 7z 9 effect z ( su* date7 aft] clause  
7iv72 &  7#b7 by ins]t+ 7or1 9 ! case ( 
a hospital describ$ 9 clause 7iv77,,ii71
 z s 9 effect1 %all be classifi$ "u     
clause 7vi7 on & aft] ! effective date (
 su* clause 7vi7 & = co/-report+ p]iods 
beg9n+ on or aft] ,janu>y #a1 #bjae1    
%all n be subject to subsection 7m7 z ( 
! date ( su* classification7 aft] s     
classifi$4  7c7 ,application  7#a7 ,9   
g5]al ,= co/-report+ p]iods beg9n+ on or
 aft] ,janu>y #a1 #bjae1 9 ! case ( an  
applicable hospital 7z def9$ 9 p>agraph 
7#c771 ! foll[+ %all apply3  7,a7       
,paym5t = inpati5t op]at+ co/s %all be  
made on ! ,,tefra basis 9 ! mann]       
provid$ 9 section #dab4ebf7;c7 ( title  
#db1 ,code ( ,f$]al ,regulations 7z 9   
effect on ,janu>y #a1 #bjae74  7,b7     
,paym5t = capital co/s %all be made 9 ! 
mann] provid$ by section                
#dab4ebf7;c77#d7 ( title #db1 ,code (   
,f$]al ,regulations 7z 9 effect on su*  
date74  7,c7 ,claims = paym5t = ,m$ic>e 
b5efici>ies :o are dis*>g$ on ( aft]    

,janu>y #a1 #bjae1 %all be process$ z   
claims :i* are paid on a ,,tefra paym5t 
basis z describ$ 9 section #dab4ebf7;c7 
( title #db1 ,code ( ,f$]al ,regulations
 7z 9 effect on su* date74  7#b7        
,assignm5t ( new provid] numb] ,!       
,secret>y ( ,heal? & ,human ,s]vices    
%all assign a new provid] numb] = an    
applicable hospital 7z def9$ 9 p>agraph 
7#c771 effective = its fir/ co/-report+ 
p]iod beg9n+ on or aft] ! date (        
enactm5t ( ?is ,act4  7#c7 ,applicable  
hospital def9$ ,9 ?is subsection1 ! t]m 
applicable hospital means a hospital t  
is classifi$ "u clause 7iv77,,ii7 (     
section #ahhf7;d77#a77;,b7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#a77;,b77 on ! day be=e !    
date ( ! enactm5t ( ?is ,act & :i* is   
classifi$ "u clause 7vi7 ( su* section1 
z add$ by subsection 7a71 on or aft] su*
 date ( enactm5t4  7d7 ,con=m+ te*nical 
am5dm5t ,section                        
#ahii;,b7a77#b77;,a77iv7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           

#acielll7a77#b77;,a77iv77 is am5d$ by   
/rik+ #ahhf7;d77#a77;,b77iv77,,ii7 &    
ins]t+ #ahhf7;d77#a77;,b77vi74