,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #caff  ,,in ,,the ,,house ,,of  
,,representatives  ,july #f1 #bjag,ms4  
,jenkins of ,kansas 7for herself and    
,mr4 ,lewis of ,georgia7 introduced the 
following bill2 which was referred to   
the ,committee on ,ways and ,means1 and 
in addition to the ,committee on ,energy
 and ,commerce1 for a period to be      
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to provide   
under the ,medicare program for         
independent accreditation for dialysis  
facilities and assurance of high quality
 surveys with respect to such           
facilities4  #a4 ,independent           
accreditation for dialysis facilities   
and assurance of high quality surveys   
7a7 ,accreditation and surveys  7#a7 ,in
 general ,section #ahfe of the ,social  
,security ,act 7#db ,u4,s4,c4 #acie;bb7 

is amended-- 7,a7 in subsection 7a7--   
7i7 in paragraph 7#a71 in the matter    
preceding subparagraph 7,a71 by striking
 or the conditions and requirements     
under section #ahha7;b72 and  7ii7 in   
paragraph 7#d71 by inserting 7including 
a renal dialysis facility7 after        
facility2 and  7,b7 by adding at the end
 the following new subsection3  7e7     
,with respect to an accreditation body  
that has received approval from the     
,secretary under subsection 7a77#c77;,a7
 for accreditation of provider entities 
that are required to meet the conditions
 and requirements under section         
#ahha7;b71 in addition to review and    
oversight authorities otherwise         
applicable under this title1 the        
,secretary shall 7as the ,secretary     
determines appropriate7 conduct1 with   
respect to such accreditation body and  
provider entities1 any or all of the    
following more frequently than is       
otherwise required to be conducted under
 this title with respect to other       

accreditation bodies or other provider  
entities3  7#a7 ,validation surveys     
referred to in subsection 7d74  7#b7    
,accreditation program reviews 7as      
defined in section #dhh4h7;c7 of title  
#db of the ,code of ,federal            
,regulations1 or a successor            
regulation74  7#c7 ,performance reviews 
7as defined in section #dhh4h7;a7 of    
title #db of the ,code of ,federal      
,regulations1 or a successor            
regulation74  4  7#b7 ,timing for       
acceptance of requests from             
accreditation organizations ,not later  
than #ij days after the date of         
enactment of this ,act1 the ,secretary  
of ,health and ,human ,services shall   
begin accepting requests from national  
accreditation bodies for a finding      
described in section #ahfe7;a77#c77;,a7 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acie;bb7a77#c77;,a77 for     
purposes of accrediting provider        
entities that are required to meet the  
conditions and requirements under       

section #ahha7;b7 of such ,act 7#db     
,u4,s4,c4 #acierr7b774  7b7 ,requirement
 for timing of surveys of new dialysis  
facilities ,section #ahha7;b77#a7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#acierr7b77#a77 is amended by adding at 
the end the following new sentence3     
,beginning #ahj days after the date of  
the enactment of this sentence1 an      
initial survey of a provider of services
 or a renal dialysis facility to        
determine if the conditions and         
requirements under this paragraph are   
met shall be initiated not later than   
#ij days after such date on which both  
the provider enrollment form 7without   
regard to whether such form is submitted
 prior to or after such date of         
enactment7 has been determined by the   
,secretary to be complete and the       
provider's enrollment status indicates  
approval is pending the results of such 
survey44