,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #dji  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #aj1 #bjag,mr4
 ,k+ ( ,i[a 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 am5d title      
,,xviii ( ! ,social ,security ,act to   
sunset c]ta9 p5alties relat+ to mean+ful
 electronic heal? records use by ,m$ic>e
 eligible pr(essionals & hospitals1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,putt+ ,pati5ts &      
,provid]s ,ahead ( ,compress$           
,regulatory ,timel9es ,act ( #bjag4  #b4
 ,sunsett+ c]ta9 p5alties relat+ to     
mean+ful ,,ehr use  7a7 ,eligible       
pr(essionals  7#a7 ,9 g5]al ,section    
#ahdh7;a77#g7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#d7;a77#g77 is   
am5d$ by /rik+ subp>agraph 7,a74  7#b7  

,effective date2 rebate  7,a7 ,effective
 date ,! am5dm5t made by p>agraph 7#a7  
%all apply ) respect to items & s]vices 
furni%$ on or aft] ,janu>y #a1 #bjae4   
7,b7 ,rebate ,) respect to items &      
s]vices furni%$ dur+ ! p]iod beg9n+ on  
,janu>y #a1 #bjae1 & end+ on ! date ( ! 
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all implem5t a
 me?od to provide eligible pr(essionals 
7z def9$ 9 section #ahdh7o77#e77;,c7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciew-#d7o77#e77;,c777 a reimbursem5t  
equal to ! am\nt by :i*--  7i7 ! am\nt (
 reimbursem5t made "u section #ahdh (   
su* ,act 7#db ,u4,s4,c4 #aciew-#d71 be=e
 application ( ?is subsection1 = su*    
items & s]vices furni%$ dur+ su* p]iod  
by su* pr(essionals1 is less ?an  7ii7 !
 am\nt ( reimbursem5t t w\ld h be5 made 
"u su* section1 aft] application ( ?is  
subsection1 = su* items & s]vices       
furni%$ by su* pr(essionals dur+ su*    
p]iod4  7b7 ,eligible hospitals  7#a7 ,9
 g5]al ,section #ahhf7;b77#c77;,b7 ( !  

,social ,security ,act 7#db ,u4,s4,c4   
#acieww7b77#c77;,b77 is am5d$ by /rik+  
clause 7ix74  7#b7 ,effective date2     
rebate  7,a7 ,effective date ,! am5dm5t 
made by p>agraph 7#a7 %all apply )      
respect to items & s]vices furni%$ on or
 aft] ,octob] #a1 #bjad4  7,b7 ,rebate  
,) respect to items & s]vices furni%$   
dur+ ! p]iod beg9n+ on ,octob] #a1      
#bjad1 & end+ on ! date ( ! enactm5t (  
?is ,act1 ! ,secret>y ( ,heal? & ,human 
,s]vices %all implem5t a me?od to       
provide eligible hospitals 7z def9$ 9   
section #ahhf7n77#f77;,a7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acieww7n77#f77;,a777 a reimbursem5t    
equal to ! am\nt by :i*--  7i7 ! am\nt (
 reimbursem5t made "u section #ahhf (   
su* ,act 7#db ,u4,s4,c4 #acieww71 be=e  
application ( ?is subsection1 = su*     
items & s]vices furni%$ dur+ su* p]iod  
by su* hospitals1 is less ?an  7ii7 !   
am\nt ( reimbursem5t t w\ld h be5 made  
"u su* section1 aft] application ( ?is  
subsection1 = su* items & s]vices       

furni%$ by su* hospitals dur+ su* p]iod4
  7c7 ,critical access hospitals  7#a7  
,9 g5]al ,section #ahad7l7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acie;f7l77 is am5d$ by /rik+ p>agraph  
7#d74  7#b7 ,effective date2 rebate     
7,a7 ,effective date ,! am5dm5t made by 
p>agraph 7#a7 %all apply ) respect to   
items & s]vices furni%$ dur+ a report+  
p]iod beg9n+ on or aft] ,octob] #a1     
#bjad4  7,b7 ,rebate ,) respect to items
 & s]vices furni%$ dur+ ! p]iod beg9n+  
on ! fir/ day on :i* p>agraph 7#a7      
applies1 & end+ on ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y ( ,heal? & ,human
 ,s]vices %all implem5t a me?od to      
provide critical access hospitals a     
reimbursem5t equal to ! am\nt by :i*--  
7i7 ! am\nt ( reimbursem5t made "u      
section #ahad ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;f71 be=e          
application ( ?is subsection1 = su*     
items & s]vices furni%$ dur+ su* p]iod  
by su* hospitals1 is less ?an  7ii7 !   
am\nt ( reimbursem5t t w\ld h be5 made  

"u su* section1 aft] application ( ?is  
subsection1 = su* items & s]vices       
furni%$ by su* hospitals dur+ su* p]iod4
  7d7 ,m$ic>e ,advantage  7#a7 ,9 g5]al 
,section #ahec ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciew-#bc7 is      
am5d$-- 7,a7 9 subsection 7l7--  7i7 9  
p>agraph 7#a7-- 7,i7 by /rik+ p>agraphs 
7#c7 & 7#d7 & ins]t+ p>agraph 7#c72     
7,,ii7 by /rik+ sections #ahdh7o7 &     
#ahdh7;a77#g7 & ins]t+ section #ahdh7o72
 &  7,,iii7 by /rik+ & paym5t adju/m5ts 
"u p>agraph 7#d7 %all apply to2 &  7ii7 
by /rik+ p>agraph 7#d72 &  7,b7 9       
subsection 7m7--  7i7 9 p>agraph 7#a7-- 
7,i7 by /rik+ p>agraphs 7#c7 & 7#d7 &   
ins]t+ p>agraph 7#c72  7,,ii7 by /rik+  
sections #ahhf7n7 &                     
#ahhf7;b77#c77;,b77ix7 & ins]t+ section 
#ahhf7n72 &  7,,iii7 by /rik+ & paym5t  
adju/m5ts "u p>agraph 7#d7 %all apply   
to2 &  7ii7 by /rik+ p>agraph 7#d74     
7#b7 ,effective date2 rebate  7,a7      
,effective date ,! am5dm5ts made by     
p>agraph 7#a7 %all apply ) respect to   

items & s]vices furni%$ dur+ an         
applicable p]iod beg9n+ on or aft]      
,octob] #a1 #bjad4  7,b7 ,rebate ,)     
respect to items & s]vices furni%$ dur+ 
! p]iod beg9n+ on ! fir/ day on :i*     
p>agraph 7#a7 applies1 & end+ on ! date 
( ! enactm5t ( ?is ,act1 ! ,secret>y (  
,heal? & ,human ,s]vices %all implem5t a
 me?od to provide ,,ma organizations a  
reimbursem5t equal to ! am\nt by :i*--  
7i7 ! paym5t am\nt payable "u section   
#ahec ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #aciew-#bc7 = su*             
organization1 be=e application ( ?is    
subsection1 = su* items & s]vices       
furni%$ dur+ su* p]iod1 is less ?an     
7ii7 ! paym5t am\nt t w\ld h be5 payable
 "u su* section = su* organization1 aft]
 application ( ?is subsection1 = su*    
items & s]vices furni%$ dur+ su* p]iod4