,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #cibj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #c1 #bjag,mrs4
 ,walorski 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 e/abli% a       
,m$ic>e demon/ration program on ! use ( 
?ird-p>ty int]e/-free paym5t arrangem5ts
 to r$uce ,m$ic>e hospital "p ,a bad    
debt claims4  #a4 ,m$ic>e demon/ration  
program on ! use ( ?ird-p>ty int]e/-free
 paym5t arrangem5ts to r$uce ,m$ic>e    
hospital "p ,a bad debt claims  7a7 ,9  
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices 79 ?is section ref]r$ to z !   
,secret>y7 %all e/abli% a #c-ye>        
demon/ration program 79 ?is section     
ref]r$ to z ! demon/ration program7 9 #e
 ,/ates to det]m9e ! impact on pati5t   
engagem5t & satisfaction1 heal?         

outcomes1 & claims = ,m$ic>e hospital "p
 ,a bad debt 7z def9$ 9 subsection      
7d77#b77 ( hospitals' implem5t+         
?ird-p>ty int]e/-free paym5t arrangem5ts
 7z def9$ 9 subsection 7b774  7b7       
,?ird-,p>ty int]e/-,free paym5t         
arrangem5t def9$ ,9 ?is section1 ! t]m  
?ird-p>ty int]e/-free paym5t arrangem5t 
means1 ) respect to a hospital &        
individuals :o are receiv+ inpati5t     
hospital s]vices = :i* paym5t may be    
made "u "p ,a ( title ,,xviii ( !       
,social ,security ,act1 an arrangem5t   
betwe5 ! hospital1 a ?ird-p>ty1 & su*   
individuals "u :i*--  7#a7 ! hospital   
(f]s to all su* individuals ! option (  
mak+ paym5t ( ,m$ic>e "p ,a co/-%>+ "u  
su* an arrangem5t = su* s]vices r ?an   
?r\gh ! r\t9e bill+ process = su*       
co/-%>+2  7#b7 9 ! case ( any su*       
individual :o agrees to su* (f]1 !      
hospital assigns to ! ?ird p>ty ! rights
 ( collection = su* ,m$ic>e "p ,a       
co/-%>+ f su* individual & ef=ts = su*  
collection by ! ?ird p>ty pursuant to   

?is section %all be treat$ z reasonable 
collection ef=ts by ! hospital =        
purposes ( section #dac4hi7;e7 ( title  
#db ( ! ,code ( ,f$]al ,regulations 7or 
any successor regulation72  7#c7 9 !    
case ( any su* individual :o does n     
agree to su* (f]1 ! hospital paym5t (   
,m$ic>e "p ,a co/-%>+ = su* s]vices %all
 cont9ue to be made ?r\gh ! r\t9e bill+ 
process = su* co/-%>+ 7includ+ ) respect
 to claims = ,m$ic>e hospital "p ,a bad 
debt72 &  7#d7 ! ?ird p>ty-- 7,a7       
p>ticipates 9 a level ( f9ancial        
engagem5t & education ) all su*         
individuals :o agree to su* (f] to      
ensure su* individuals are able to af=d 
su* co/-%>+ paym5ts2  7,b7 9 collect+ ! 
am\nts s ow$1 p]mits all su* individuals
 :o agree to su* (f] to make paym5t ov] 
"t ?r\gh a paym5t plan t does n *>ge    
int]e/ ) respect to ! balance ( ! am\nt 
s ow$2 &  7,c7 pays ! hospital ! am\nt s
 collect$ "u ! arrangem5t less a fee t  
does n exce$ #ae p]c5t ( ! am\nt s      
collect$4  7c7 ,paym5t inc5tive ,!      

demon/ration program %all provide t a   
hospital t p>ticipates 9 su* a ?ird-p>ty
 int]e/ free paym5t arrangem5t "u !     
program & demon/rates improv$ pati5t    
engagem5t & satisfaction1 improv$ heal? 
outcomes1 & a r$uction 9 ! numb] (      
claims = ,m$ic>e hospital "p ,a bad debt
 t are report$ to ! ,secret>y is paid an
 am\nt equal to #aj p]c5t ( ! orig9al   
am\nt ow$ 9 ,m$ic>e "p ,a co/-%>+ t is  
collect$ "u ! arrangem5t4 ,su* am\nt    
%all be paid f funds appropriat$ 7"u    
subsection 7f77#a7 ( section #aaae;,a ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acae;a77 = activities to c>ry out su*  
section4  7d7 ,report to ,congress ,aft]
 ! completion ( ! demon/ration program1 
! ,secret>y %all submit a report on !   
demon/ration program to ! ,committee on 
,ways & ,means ( ! ,h\se (              
,repres5tatives & ! ,committee on       
,f9ance ( ! ,s5ate4 ,! report %all      
include an analysis ( :e!r !            
demon/ration program r$uc$ ! numb] &    
am\nt ( ,m$ic>e hospital "p ,a bad debt 

claims & if !re 7 improv$ heal? outcomes
 = ,m$ic>e b5efici>ies :o did n =go     
m$ical c>e due to _! inability to pay = 
,m$ic>e "p ,a co/-%>+4  7e7 ,o!r        
def9itions ,9 ?is section3 7#a7 ,m$ic>e 
"p ,a co/-%>+ ,! t]m ,m$ic>e "p ,a      
co/-%>+ means1 ) respect to a hospital1 
am\nts ow$ to ! hospital t are d]iv$ f  
d$uctibles & co9surance impos$ "u "p ,a 
( title ,,xviii ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acie;c et seq474   
7#b7 ,m$ic>e hospital "p ,a bad debt ,! 
t]m ,m$ic>e hospital "p ,a bad debt     
means bad debt ( a hospital t is        
attributable to ! inability ( ! hospital
 to collect ,m$ic>e "p ,a co/-%>+1 tak+ 
into acc\nt collections made "u         
?ird-p>ty int]e/-free paym5t arrangem5ts
 made "u ! demon/ration program4