,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #efhh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #h1 #bjaf,mr4   
,tom ,price ( ,georgia 7= himself1 ,ms4 
,de,gette1 ,mr4 ,c(fman1 & ,mr4 ,lewis7 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means  ,a     
,,bill  ,to am5d title ,,xviii ( !      
,social ,security ,act to provide = a   
tempor>y exception to ! application ( ! 
,m$ic>e long-t]m c>e hospital site      
neutral provisions = c]ta9 sp9al cord   
specialty hospitals4  #a4 ,tempor>y     
exception to ! application ( ! ,m$ic>e  
,,lt* site neutral provisions = c]ta9   
sp9al cord specialty hospitals  7a7     
,exception ,section #ahhf7m77#f7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7m77#f77 is am5d$-- 7#a7 9       
subp>agraph 7,a77i7 by /rik+ & 7,e7 &   
ins]t+ 1 7,e71 & 7,f72 &  7#b7 by add+  
at ! end ! foll[+ new subp>agraph3  7,f7
 ,tempor>y exception = c]ta9 sp9al cord 
specialty hospitals ,= dis*>ges 9 co/   
report+ p]iods beg9n+ dur+ fiscal ye>s  

#bjah ?r\gh #bjbc1 subp>agraph 7,a77i7  
%all n apply 7& paym5t %all be made to a
 long-t]m c>e hospital )\t reg>d to ?is 
p>agraph7 if su* dis*>ge is f a long-t]m
 c>e hospital t meets ea* ( ! foll[+    
requirem5ts3  7i7 ,n-=-pr(it ,! long-t]m
 c>e hospital is a n-=-pr(it long-t]m   
c>e hospital ,june #a1 #bjaf4  7ii7     
,prim>ily provid+ treatm5t = cata/rophic
 sp9al cord or acquir$ bra9 injuries or 
o!r p>alyz+ neuromuscul> conditions ,at 
lea/ #ej p]c5t ( ! dis*>ges 9 #bjac f ! 
long-t]m c>e hospital 7 classifi$ "u    
,,ms-,,lt*-,d,r,gs #bh1 #bi1 #eb1 #eg1  
#eea1 #egc1 or #ifc4  7iii7 ,significant
 out-(-,/ate admissions ,! long-t]m c>e 
hospital admitt$ inpati5ts 7includ+ bo? 
individuals entitl$ to1 or enroll$ =    
b5efits "u ?is title & individuals n s  
entitl$ or enroll$7 dur+ fiscal ye>     
#bjad f at lea/ #bj ( ! #ej ,/ates1     
det]m9$ bas$ on su* data1 submitt$ by ! 
hospital to ! ,secret>y1 z ! ,secret>y  
may require4 ,not)/&+ any o!r provision 
( law1 ! ,secret>y may implem5t !       

previ\s s5t5ce by program in/ruction or 
o!rwise4  4  7b7 ,/udy & report on !    
/atus & viability ( c]ta9 sp9al cord    
specialty long-,t]m c>e hospitals  7#a7 
,/udy ,! ,comptroll] ,g5]al ( ! ,unit$  
,/ates %all conduct a /udy on long-t]m  
c>e hospitals describ$ 9 section        
#ahhf7m77#f77;,f7 ( ! ,social ,security 
,act1 z add$ by subsection 7a74 ,su*    
report %all include an analysis ( !     
foll[+3  7,a7 ,! impact on su* hospitals
 ( ! classification & facility lic5sure 
by ,/ate ag5cies ( su* hospitals4  7,b7 
,! ,m$ic>e paym5t rates = su* hospitals4
  7,c7 ,data on ! numb] & heal? c>e ne$s
 ( ,m$ic>e b5efici>ies :o h be5 diagnos$
 ) cata/rophic sp9al cord or acquir$    
bra9 injuries or o!r p>alyz+            
neuromuscul> conditions 7z describ$ )9 !
 dis*>ge classifications specifi$ 9     
clause 7ii7 ( su* section7 :o are       
receiv+ s]vices f su* hospitals4  7#b7  
,report ,n lat] ?an ,june #cj1 #bjbb1 ! 
,comptroll] ,g5]al %all submit to       
,congress a report on ! /udy conduct$ "u

 p>agraph 7#a71 toge!r ) recomm5dations 
= su* legislation & adm9i/rative action 
z ! ,comptroll] ,g5]al det]m9es         
appropriate4