,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #fjhh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bj1        
#bjaf,mr4 ,r5acci 7= himself1 ,miss     
,rice ( ,new ,york1 ,mr4 ,coll9s ( ,new 
,york1 ,mr4 ,heck ( ,nevada1 ,mr4       
,engel1 ,mr4 ,k+ ( ,new ,york1 ,mr4     
,craw=d1 ,mr4 ,katko1 & ,mr4 ,ryan (    
,ohio7 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 delay = "o ye> !
 release ( ! ,ov]all ,hospital ,quality 
,/> ,rat+s1 & = o!r purposes4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,hospital ,quality ,rat+ ,transp>5cy    
,act ( #bjaf4  #b4 ,"o-ye> delay =      
release ( ,ov]all ,hospital ,quality ,/>
 ,rat+s  7a7 ,9 g5]al ,! ,secret>y (    
,heal? & ,human ,s]vices1 ) respect to  
any ,ov]all ,hospital ,quality ,/>      

,rat+s = hospitals develop$ or implem5t$
 pursuant to section                    
#ahhf7;b77#c77;,b77viii77,,vii7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7b77#c77;,b77viii77,,vii77 or    
section #ahcc7t77#ag77;,e7 ( su* ,act   
7#db ,u4,s4,c4 #aciel7t77#ag77;,e77 7su*
 z rat+s g5]at$ by ! rat+ sy/em describ$
 9 ! ,fact ,%eet issu$ by ! ,c5t]s =    
,m$ic>e  ,m$icaid ,s]vices ?r\gh !      
,quality,net ,int]net website entitl$   
,ov]all ,hospital ,quality ,/> ,rat+s   
,fact ,%eet1 ,july #bjaf ,preview       
,p]iod7--  7#a7 %all make publicly      
available detail$ in=mation on !        
me?odology us$ to calculate su* ,rat+s2 
7#b7 %all h ! validity & accuracy ( su* 
me?odology confirm$ by an indep5d5t     
/ati/ician n o!rwise engag$ by !        
,secret>y 9 /> rat+s measure developm5t 
activities2  7#c7 %all provide1 )       
respect to ! rat+s sy/em t is to use su*
 me?odology & data to calculate su*     
,rat+s1 a public comm5t p]iod t--  7,a7 
beg9s on a date t is aft] ! date on :i* 

! ,secret>y1 "u p>agraph 7#a71 makes    
publicly available ! detail$ in=mation  
describ$ 9 su* p>agraph2 &  7,b7 is at  
lea/ #fj days 9 duration2 &  7#d7 may n 
make su* ,rat+s publicly available 7su* 
z by publi%+ on ! ,int]net website      
commonly kn[n z ! ,hospital ,comp>e     
website7 on a date t is be=e ! late/ (--
  7,a7 ! date on :i* ! indep5d5t        
/ati/ician describ$ 9 p>agraph 7#b7     
provides ! confirmation describ$ 9 su*  
p>agraph2  7,b7 ! date on :i* ! public  
comm5t p]iod describ$ 9 p>agraph 7#c7   
concludes2 &  7,c7 ,july #ca1 #bjag4    
7b7 ,application 9 case ( publication   
be=e enactm5t ,9 ! case t ! ,secret>y   
publi%es su* ,rat+s on ! ,int]net       
website commonly kn[n z ! ,hospital     
,comp>e website on a date t is be=e !   
date ( ! enactm5t ( ?is ,act1 !         
,secret>y %all apply subsection 7a7 by--
  7#a7 remov+ su* ,rat+s f su* ,int]net 
website z soon z is practicable2 &  7#b7
 9 accordance ) subsection 7a77#d71 n   
republi%+ aft] ! date ( ! enactm5t ( ?is

 ,act any su* ,rat+s on su* ,int]net    
website or o!rwise s mak+ any su* ,rat+s
 publicly available on a date t is be=e 
! late/ ( ! dates describ$ 9            
subp>agraphs 7,a71 7,b71 & 7,c7 ( su*   
subsection4