,,ii  #aad? ,,congress  #b;d ,session   
,s4 #cajg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bi1 #bjaf ,mr4  
,isakson 7= himself1 ,mr4 ,b5net1 ,mr4  
,g>dn]1 & ,mr4 ,p]due7 introduc$ !      
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,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 t1 9 its     
co/-report+ p]iod t began dur+ fiscal   
ye> #bjae--  7i7 0 a n-=-pr(it long-t]m 
c>e hospital2  7ii7 prim>ily provid$    
ext5sive m$ical1 surgical1 or           
rehabilitation s]vices ) respect to     
,,ms-,,ltc-,d,r,gs relat+ to cata/rophic
 sp9al cord or acquir$ bra9 injuries or 
o!r p>alyz+ neuromuscul> conditions2 &  
7iii7 admitt$ inpati5ts 7includ+ bo?    
individuals entitl$ to1 or enroll$ =    
b5efits "u ?is title & individuals n s  
entitl$ or enroll$7 f at lea/ #bj       
diff]5t ,/ates1 det]m9$ bas$ on data    
submitt$ by ! hospital to ! ,secret>y4  
4  7b7 ,/udy & report on ! /atus &      
viability ( c]ta9 sp9al cord specialty  
long-,t]m c>e hospitals  7#a7 ,/udy ,!  
,secret>y ( ,heal? & ,human ,s]vices    
%all conduct a /udy on ! /atus &        
viability ( 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 ,*all5ges
 relat$ to classification & facility    
lic5sure by ,/ate ag5cies = su* long-t]m
 c>e hospitals1 z demon/rat$ by su*     
hospitals4  7,b7 ,! adequacy ( ,m$ic>e  
paym5t rates = su* long-t]m c>e         
hospitals4  7,c7 ,utilization data to   
det]m9e ! preval5ce ( ,m$ic>e           
b5efici>ies :o h be5 diagnos$ )         
cata/rophic sp9al cord or acquir$ bra9  
injuries or o!r p>alyz+ neuromuscul>    
conditions4  7#b7 ,report ,n lat] ?an   
,septemb] #cj1 #bjbb1 ! ,secret>y (     
,heal? & ,human ,s]vices %all submit to 
,congress a report on ! /udy conduct$ "u
 p>agraph 7#a71 toge!r ) recomm5dations 
= su* legislation & adm9i/rative action 
z ! ,secret>y det]m9es appropriate4