,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #dji  ,,in ,,the ,,house ,,of   
,,representatives  ,january #aj1        
#bjag,mr4 ,king of ,iowa 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 sunset    
certain penalties relating to meaningful
 electronic health records use by       
,medicare eligible professionals and    
hospitals1 and for other purposes4  #a4 
,short title ,this ,act may be cited as 
the ,putting ,patients and ,providers   
,ahead of ,compressed ,regulatory       
,timelines ,act of #bjag4  #b4          
,sunsetting certain penalties relating  
to meaningful ,,ehr use  7a7 ,eligible  
professionals  7#a7 ,in general ,section

 #ahdh7;a77#g7 of the ,social ,security 
,act 7#db ,u4,s4,c4 #aciew-#d7;a77#g77  
is amended by striking subparagraph     
7,a74  7#b7 ,effective date2 rebate     
7,a7 ,effective date ,the amendment made
 by paragraph 7#a7 shall apply with     
respect to items and services furnished 
on or after ,january #a1 #bjae4  7,b7   
,rebate ,with respect to items and      
services furnished during the period    
beginning on ,january #a1 #bjae1 and    
ending on the date of the enactment of  
this ,act1 the ,secretary of ,health and
 ,human ,services shall implement a     
method to provide eligible professionals
 7as defined in section                 
#ahdh7o77#e77;,c7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7o77#e77;,c777 a reimbursement 
equal to the amount by which--  7i7 the 
amount of reimbursement made under      
section #ahdh of such ,act 7#db         
,u4,s4,c4 #aciew-#d71 before application
 of this subsection1 for such items and 
services furnished during such period by

 such professionals1 is less than  7ii7 
the amount of reimbursement that would  
have been made under such section1 after
 application of this subsection1 for    
such items and services furnished by    
such professionals during such period4  
7b7 ,eligible hospitals  7#a7 ,in       
general ,section #ahhf7;b77#c77;,b7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acieww7b77#c77;,b77 is       
amended by striking clause 7ix74  7#b7  
,effective date2 rebate  7,a7 ,effective
 date ,the amendment made by paragraph  
7#a7 shall apply with respect to items  
and services furnished on or after      
,october #a1 #bjad4  7,b7 ,rebate ,with 
respect to items and services furnished 
during the period beginning on ,october 
#a1 #bjad1 and ending on the date of the
 enactment of this ,act1 the ,secretary 
of ,health and ,human ,services shall   
implement a method to provide eligible  
hospitals 7as defined in section        
#ahhf7n77#f77;,a7 of the ,social        
,security ,act 7#db ,u4,s4,c4           

#acieww7n77#f77;,a777 a reimbursement   
equal to the amount by which--  7i7 the 
amount of reimbursement made under      
section #ahhf of such ,act 7#db         
,u4,s4,c4 #acieww71 before application  
of this subsection1 for such items and  
services furnished during such period by
 such hospitals1 is less than  7ii7 the 
amount of reimbursement that would have 
been made under such section1 after     
application of this subsection1 for such
 items and services furnished by such   
hospitals during such period4  7c7      
,critical access hospitals  7#a7 ,in    
general ,section #ahad7l7 of the ,social
 ,security ,act 7#db ,u4,s4,c4          
#acie;f7l77 is amended by striking      
paragraph 7#d74  7#b7 ,effective date2  
rebate  7,a7 ,effective date ,the       
amendment made by paragraph 7#a7 shall  
apply with respect to items and services
 furnished during a reporting period    
beginning on or after ,october #a1      
#bjad4  7,b7 ,rebate ,with respect to   
items and services furnished during the 

period beginning on the first day on    
which paragraph 7#a7 applies1 and ending
 on the date of the enactment of this   
,act1 the ,secretary of ,health and     
,human ,services shall implement a      
method to provide critical access       
hospitals a reimbursement equal to the  
amount by which--  7i7 the amount of    
reimbursement made under section #ahad  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acie;f71 before application  
of this subsection1 for such items and  
services furnished during such period by
 such hospitals1 is less than  7ii7 the 
amount of reimbursement that would have 
been made under such section1 after     
application of this subsection1 for such
 items and services furnished by such   
hospitals during such period4  7d7      
,medicare ,advantage  7#a7 ,in general  
,section #ahec of the ,social ,security 
,act 7#db ,u4,s4,c4 #aciew-#bc7 is      
amended-- 7,a7 in subsection 7l7--  7i7 
in paragraph 7#a7-- 7,i7 by striking    
paragraphs 7#c7 and 7#d7 and inserting  

paragraph 7#c72  7,,ii7 by striking     
sections #ahdh7o7 and #ahdh7;a77#g7 and 
inserting section #ahdh7o72 and  7,,iii7
 by striking and payment adjustments    
under paragraph 7#d7 shall apply to2 and
  7ii7 by striking paragraph 7#d72 and  
7,b7 in subsection 7m7--  7i7 in        
paragraph 7#a7-- 7,i7 by striking       
paragraphs 7#c7 and 7#d7 and inserting  
paragraph 7#c72  7,,ii7 by striking     
sections #ahhf7n7 and                   
#ahhf7;b77#c77;,b77ix7 and inserting    
section #ahhf7n72 and  7,,iii7 by       
striking and payment adjustments under  
paragraph 7#d7 shall apply to2 and  7ii7
 by striking paragraph 7#d74  7#b7      
,effective date2 rebate  7,a7 ,effective
 date ,the amendments made by paragraph 
7#a7 shall apply with respect to items  
and services furnished during an        
applicable period beginning on or after 
,october #a1 #bjad4  7,b7 ,rebate ,with 
respect to items and services furnished 
during the period beginning on the first
 day on which paragraph 7#a7 applies1   

and ending on the date of the enactment 
of this ,act1 the ,secretary of ,health 
and ,human ,services shall implement a  
method to provide ,,ma organizations a  
reimbursement equal to the amount by    
which--  7i7 the payment amount payable 
under section #ahec of the ,social      
,security ,act 7#db ,u4,s4,c4           
#aciew-#bc7 for such organization1      
before application of this subsection1  
for such items and services furnished   
during such period1 is less than  7ii7  
the payment amount that would have been 
payable under such section for such     
organization1 after application of this 
subsection1 for such items and services 
furnished during such period4