,,ib  ,union ,cal5d> ,no4 #ced  #aae?   
,,congress  #a/ ,session  ,h4 ,r4 #cgbf 
,report ,no4 #aae-dgi1 ,"p ,i  ,,9 ,,!  
,,h\se ,,( ,,repres5tatives  ,septemb]  
#aa1 #bjag ,mr4 ,m>*ant 7= himself1 ,mr4
 ,k9d1 & ,mr4 ,meehan7 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = 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$    
,decemb] #ba1 #bjag;,additional sponsor3
 ,mr4 ,curbelo ( ,florida  ,decemb] #ba1
 #bjag ,report$ f ! ,committee on ,ways 
& ,means ) an am5dm5t ,/rike out all    
aft] ! enact+ clause & ins]t ! "p pr9t$ 
9 italic  ,decemb] #ba1 #bjag,!         
,committee on ,en]gy & ,comm]ce dis*>g$2
 committ$ to ! ,committee ( ! ,:ole     
,h\se on ! ,/ate ( ! ,union & ord]$ to  
be printed,for text ( introduc$ bill1   
see copy ( bill z introduc$ on ,septemb]
 #aa1 #bjag  ,a ,,bill  ,to am5d title  

,,xviii ( ! ,social ,security ,act to   
create alt]native sanctions = te*nical  
noncompliance ) ! ,/>k rule "u ,m$ic>e1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,/>k ,adm9i/rative 
,simplification ,act ( #bjag4  #b4      
,alt]native sanctions = te*nical        
noncompliance ) ,/>k rule "u ,m$ic>e    
,section #ahgg ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acienn7 is am5d$ by
 add+ at ! end ! foll[+ new subsection3 
7j7 ,self-disclosure protocols  7#a7 ,9 
g5]al ,beg9n+ "o ye> aft] ! date ( !    
enactm5t ( ?is subsection-- 7,a7 an     
entity or individual may volunt>ily     
disclose a comp5sation arrangem5t )     
actual or pot5tial inadv]t5t te*nical   
noncompliance ) subsection 7a77#a7 7z   
def9$ 9 p>agraph 7#c77;,h77 pursuant to 
ei!r ! self-ref]ral disclosure protocol 
7def9$ 9 p>agraph 7#b77 or ! alt]native 
protocol = te*nical noncompliance "u    
p>agraph 7#c72  7,b7 disclosures        
volunt>ily )drawn f ! alt]native        
protocol = te*nical noncompliance may be

 submitt$ to ! self-ref]ral disclosure  
protocol2 &  7,c7 an entity t1 prior to 
! e/abli%m5t ( ! alt]native protocol =  
te*nical noncompliance1 disclos$ to !   
self-ref]ral disclosure protocol a      
comp5sation arrangem5t t 0 9 inadv]t5t  
te*nical noncompliance ) subsection     
7a77#a71 may elect1 n lat] ?an "o ye>   
aft] su* alt]native protocol is         
e/abli%$1 to )draw su* disclosure f !   
self-ref]ral disclosure protocol &      
in/ead submit ! disclosure to su*       
alt]native protocol4  7#b7 ,self-ref]ral
 disclosure protocol ,! t]m self-ref]ral
 disclosure protocol or ,,srdp means !  
protocol specifi$ 9 section #fdji (     
,public ,law #aaa-adh4  7#c7 ,alt]native
 protocol = inadv]tant te*nical         
noncompliance  7,a7 ,9 g5]al ,!         
,secret>y %all e/abli%1 n lat] ?an "o   
ye> aft] ! date ( ! enactm5t ( ?is      
subsection1 an alt]native protocol =    
te*nical noncompliance 79 ?is subsection
 ref]r$ to z ! ,,aptn7 to enable        
entities to disclose arrangem5ts t 7    

previ\sly 9 inadv]t5t te*nical          
noncompliance ) subsection 7a77#a7 &1 ^u
 ! ,secret>y's acceptance ( !           
disclosure1 make paym5t ( a civil       
monet>y p5alty4 ,paym5t ( su* civil     
monet>y p5alty = an arrangem5t %all     
resolve only ov]paym5ts due & ow+ z a   
result ( su* arrangem5t's inadv]t5t     
te*nical noncompliance ) subsection     
7a77#a74 ,! provisions ( section #fdji (
 ,public ,law #aaa-adh %all n apply to  
?is subsection4  7,b7 ,disclosure       
requirem5ts ,arrangem5ts disclos$ to !  
,,aptn mu/-- 7i7 involve only inadv]t5t 
te*nical noncompliance ) subsection     
7a77#a7 t 0 end$ by t]m9ation or        
expiration ( ! arrangem5t1 or by action 
( ! p>ties to ! arrangem5t to resolve ! 
te*nical noncompliance1 prior to ! date 
( submission ( ! disclosure to ! ,,aptn2
  7ii7 be made 9 ! =m & mann] specifi$  
by ! ,secret>y on ! public ,int]net     
website ( ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices & include descriptions (--     
7,i7 ! comp5sation arrangem5t t 0 9     

te*nical noncompliance ) subsection     
7a77#a72  7,,ii7 h[ & :5 ! te*nical     
noncompliance ) subsection 7a77#a7 0    
end$ or ! arrangem5t 0 o!rwise t]m9at$2 
&  7,,iii7 h[ ! remun]ation paid "u !   
comp5sation arrangem5t be+ disclos$ 0-- 
7aa7 consi/5t ) ! fair m>ket value ( !  
items & s]vices t 7 provid$ "u !        
comp5sation arrangem5t2 &  7bb7 n       
det]m9$ 9 a mann] t directly or         
indirectly takes into acc\nt ! volume or
 value ( ref]rals or o!r bus9ess g5]at$ 
betwe5 ! p>ties2  7iii7 include a =m    
settlem5t agreem5t provid$ by !         
,secret>y sign$ by ! entity2 &  7iv7    
include a c]tification f ! entity t1 to 
! be/ ( ! entity's k1 ! in=mation       
provid$ is tru?ful in=mation & is bas$  
on a good fai? ef=t to br+ ! matt] to ! 
,secret>y's att5tion4  7,c7 ,acceptance 
or rejection ( disclosure by ! secret>y 
,! foll[+ rules %all apply to !         
acceptance or rejection ( a disclosure  
"u ! ,,aptn3 7i7 ,! ,secret>y %all      
accept or reject a complete1 accurate1 &

 timely disclosure4  7ii7 ,^u receipt ( 
a disclosure1 ! ,secret>y %all notify ! 
disclos+ p>ty ( su* receipt4  7iii7 ,!  
,secret>y may reque/ additional         
in=mation f ! disclos+ p>ty4  7iv7 ,^u  
acceptance by ! ,secret>y1 ! ,secret>y  
%all notify ! disclos+ p>ty 9 writ+ (   
su* acceptance4  7v7 ,! disclosure %all 
be reject$ if-- 7,i7 ! disclos+ p>ty    
fails to furni% ! additional in=mation  
reque/$ by ! ,secret>y 9 su* =m & mann] 
z ! ,secret>y may specify2 or  7,,ii7 9 
! ,secret>y's sole det]m9ation1 !       
noncompliance disclos$ did n meet !     
disclosure requirem5ts specifi$ 9       
subp>agraph 7,b74  7vi7 ,! disclosure   
%all be accept$ if-- 7,i7 ! ,secret>y   
has issu$ a writt5 notice to ! disclos+ 
p>ty t ! disclosure is det]m9$ to       
satisfy ! requirem5ts = disclosures "u  
?is section2 or  7,,ii7 ! disclosure is 
complete1 accurate1 & timely & satisfies
 ea* ( ! requirem5ts = disclosures "u   
?is section1 #ahj cal5d> days h pass$   
s9ce notification ( receipt by !        

,secret>y ( ! disclosure1 & ! ,secret>y 
has n reject$ ! disclosure dur+ t p]iod4
  7vii7 ,9 det]m9+ :e!r to accept a     
disclosure1 ! ,secret>y may reasonably  
rely on ! in=mation & c]tifications     
includ$ 9 ! disclosure4  7,d7 ,rule =   
)drawal ( disclosure ,prior to          
acceptance or rejection ( a disclosure  
by ! ,secret>y1 an entity may volunt>ily
 )draw su* disclosure f ! ,,aptn4  7,e7 
,civil monet>y p5alties pursuant to !   
alt]native protocol = te*nical          
noncompliance  7i7 ,9 g5]al ,subject to 
clause 7ii71 = ea* arrangem5t disclos$  
"u ?is subsection & accept$ "u          
subp>agraph 7,c71 ! ,secret>y %all      
impose a s+le civil monet>y p5alty (--  
7,i7 #e1jjj1 9 ! case 9 :i* disclosure (
 ! inadv]tant te*nical noncompliance )  
subsection 7a77#a7 0 submitt$ to !      
,secret>y n lat] ?an ! date t is "o ye> 
aft] ! initial date ( inadv]t5t te*nical
 noncompliance ) subsection 7a77#a72 or 
7,,ii7 #aj1jjj1 9 ! case 9 :i* !        
disclosure ( ! inadv]tant te*nically    

noncompliance ) subsection 7a77#a7 0    
submitt$ to ! ,secret>y--  7aa7 aft] !  
date t is m ?an "o ye> aft] ! initial   
date ( ! entity's inadv]t5t te*nical    
noncompliance ) subsection 7a77#a72 &   
7bb7 n aft] ! date t is #c ye>s 7or1 9 !
 case ( a disclosure submitt$ aft] ! #e?
 ye> = :i* ?is subsection applies1 !    
date t is #b ye>s7 f ! initial date ( ! 
entity's inadv]t5t te*nical             
noncompliance ) subsection 7a77#a74     
7ii7 ,special rule = entities t disclos$
 to ! aptn aft] )draw+ a disclosure f ! 
srdp ,9 ! case ( an entity t elects "u  
p>agraph 7#a77;,c7 to )draw a disclosure
 f ! self-ref]ral disclosure protocol 7z
 def9$ 9 p>agraph 7#b77 & in/ead submit 
! disclosure to ! ,,aptn "u ?is         
subsection1 9 det]m9+ ! applicable civil
 monet>y p5alty "u clause 7i71 ! date ( 
disclosure to ! self-ref]ral disclosure 
protocol %all be sub/itut$ = ! date (   
disclosure to ! ,,aptn4  7,f7 ,relation 
to advisory op9ions ,! ,,aptn %all be   
sep>ate f ! advisory op9ion process set 

=? 9 regulations implem5t+ subsection   
7g7 ( ?is section4  7,g7 ,publication on
 int]net website ( aptn in=mation ,n    
lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is subsection1 ! ,secret>y %all po/ 
in=mation on ! public ,int]net website (
 ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices  
to in=m relevant /akehold]s ( h[ to     
disclose & make paym5t ( a civil monet>y
 p5alty = inadv]t5t te*nical            
noncompliance ) subsection 7a77#a74     
7,h7 ,def9itions ,9 ?is subsection3 7i7 
,te*nical noncompliance ,! t]m te*nical 
noncompliance ) subsection 7a77#a7      
means1 ) respect to a comp5sation       
arrangem5t1 t--  7,i7 ! arrangem5t is n 
sign$ by "o or m p>ties to ! arrangem5t2
  7,,ii7 foll[+ ! expiration ( !        
arrangem5t1 ! arrangem5t 0 a holdov]    
arrangem5t = a p]iod long] ?an p]mitt$ 9
 regulations issu$ by ! ,secret>y2 or   
7,,iii7 ! contemporane\s writt5         
docum5tation evid5c+ ! t]ms ( !         
arrangem5t id5tifies ! p>ties to !      
arrangem5t & ! items1 s]vices1 space1 or

 equipm5t1 z applicable1 b is n         
suffici5t to satisfy ! writ+ requirem5t 
( an applicable exception4  7ii7        
,inadv]t5t ,! t]m inadv]t5t means1 )    
respect to a comp5sation arrangem5t t is
 9 te*nical noncompliance ) subsection  
7a77#a71 t an entity t is a p>ty to !   
comp5sation arrangem5t did n "k or %\ld 
n h kn[n ( ! noncompliance4  7,i7       
,adm9i/ration ,*apt] #ce ( title #dd1   
,unit$ ,/ates ,code1 %all n apply to ?is
 subsection4  7,j7 ,implem5tation       
,not)/&+ any o!r provision ( law1 !     
,secret>y may implem5t ! provisions (   
?is p>agraph by program in/ruction or   
o!rwise4  4  ,decemb] #ba1 #bjag        
,report$ f ! ,committee on ,ways &      
,means ) an amendment,december #ba1     
#bjag,! ,committee on ,en]gy & ,comm]ce 
dis*>g$2 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union &     
ord]$ to be pr9t$