,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #egbc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #aa1 #bjaf,mr4  
,lev9 introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,ways &       
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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 am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = a tempor>y exception to ! site
 neutral paym5t rate = c]ta9 dis*>ges f 
long-t]m c>e hospitals t involve sev]e  
w\nds4  #a4 ,tempor>y exception to site 
neutral paym5t rate = c]ta9 dis*>ges f  
long-t]m c>e hospitals t involve sev]e  
w\nds  7a7 ,9 g5]al ,section            
#ahhf7m77#f7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acieww7m77#f77 is       
am5d$-- 7#a7 9 subp>agraph 7,a77i7 by   
/rik+ subp>agraphs 7,c7 & 7,e7 & ins]t+ 
subp>agraphs 7,c71 7,e71 & 7,f72  7#b7 9
 subp>agraph 7,e77i77,i77aa71 by /rik+ !

 am5dm5t made & all t foll[s be=e !     
semicolon & ins]t+ ! la/ s5t5ce (       
subsection 7d77#a77;,b72 &  7#c7 by add+
 at ! end ! foll[+ new subp>agraph3     
7,f7 ,additional tempor>y exception =   
c]ta9 sev]e w\nd dis*>ges f c]ta9       
long-t]m c>e hospitals  7i7 ,9 g5]al ,= 
a dis*>ge occurr+ 9 a co/ report+ p]iod 
beg9n+ dur+ fiscal ye> #bjah1           
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--  7,i7 is f a long-t]m c>e 
hospital id5tifi$ by ! la/ s5t5ce (     
subsection 7d77#a77;,b72  7,,ii7 is     
classifi$ "u ,,ms-,,lt*-,,drg #fjb1     
#fjc1 #eci1 or #edj2 &  7,,iii7 is )    
respect to an individual treat$ by a    
long-t]m c>e hospital = a sev]e w\nd4   
7ii7 ,sev]e w\nd def9$ ,9 ?is           
subp>agraph1 ! t]m sev]e w\nd means a   
w\nd :i* is a /age #c w\nd1 /age #d     
w\nd1 un/ageable w\nd1 non-heal+        
surgical w\nd1 or fi/ula z id5tifi$ 9 ! 
claim f ! long-t]m c>e hospital4  7iii7 

,w\nd def9$ ,9 ?is subp>agraph1 ! t]m   
w\nd means an injury involv+ division ( 
tissue or rupture ( ! integum5t or muc\s
 membrane ) exposure to ! ext]nal       
environm5t4  4  7b7 ,/udy & report to   
,congress  7#a7 ,/udy ,! ,comptroll]    
,g5]al ( ! ,unit$ ,/ates %all1 9        
consultation ) relevant /akehold]s1     
conduct a /udy on ! treatm5t ne$s (     
individuals entitl$ to b5efits "u "p ,a 
( title ,,xviii ( ! ,social ,security   
,act or enroll$ "u "p ,b ( su* title :o 
require specializ$ w\nd c>e1 & ! co/1 = 
su* individuals & ! ,m$ic>e program "u  
su* title1 ( treat+ sev]e w\nds 9 rural 
& urban areas4 ,su* /udy %all include an
 assessm5t (--  7,a7 access ( su*       
individuals to appropriate levels ( c>e 
= su* cases2  7,b7 ! pot5tial impact t  
section #ahhf7m77#f77;,a77i7 ( su* ,act 
7#db ,u4,s4,c4 #acieww7m77#f77;,a77i77 w
 h on ! access1 quality1 & co/ ( c>e =  
su* individuals2 &  7,c7 h[ to          
appropriately pay = su* c>e "u ! ,m$ic>e
 program "u su* title4  7#b7 ,report ,n 

lat] ?an ,octob] #a1 #bjbj1 !           
,comptroll] ,g5]al %all submit to       
,congress a report on ! /udy conduct$ "u
 p>agraph 7#a71 includ+ recomm5dations =
 su* legislation & adm9i/rative action z
 ! ,comptroll] ,g5]al det]m9es          
appropriate4