,i #aaeth ,,congress #ast ,session ,h4 ,r4 #dgaj ,,in ,,the ,,house ,,of ,,representatives ,december #ba1 #bjag,mr4 ,bucshon 7for himself and ,mr4 ,peters7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend the ,public ,health ,service ,act to establish a moratorium on the registration of certain new #cdj;,b hospitals and associated sites1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the #cdj;,b ,protecting ,access for the ,underserved and ,safety-net ,entities ,act or the #cdj;,b ,,pause ,act4 #b4 ,moratorium on registration of certain new #cdj;,b hospitals and associated sites ,section #cdj;,b7a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;b7a77 is amended-- 7#a7 in paragraph 7#d77,l71 by striking ,a subsection 7d7 hospital and inserting ,subject to paragraph 7#aa71 a subsection 7d7 hospital2 and 7#b7 by adding at the end the following new paragraph3 7#aa7 ,moratorium on registration of certain hospitals and associated sites of such hospitals ,during the period beginning on the date of the enactment of this paragraph1 and ending on the date that is #b years after such date of enactment-- 7,a7 an entity described in paragraph 7#d77,l7 shall not be considered a covered entity under this section unless such entity had been identified as a covered entity under the system established under subsection 7d77#b77;,b77iv7 as of the day before the date of the enactment of this paragraph2 and 7,b7 in the case of an entity described in paragraph 7#d77,l7 that is identified as a covered entity under such system1 an off-site outpatient facility1 clinic1 eligible off-site location1 or associated site of such entity 7in this paragraph and subsection 7f7 referred to as a potential child site of such entity7 may not be identified under such system as a child site of the covered entity for purposes of this section unless such child site was so identified under such system1 with respect to such covered entity1 as of the day before the date of the enactment of this paragraph4 4 #c4 ,data reporting to improve the transparency regarding how #cdj;,b hospital covered entities provide care for patients ,section #cdj;,b of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;b7 is amended by adding at the end the following new subsection3 7f7 ,data reporting ,to improve the transparency regarding how hospital covered entities provide care for patients 7#a7 ,in general ,beginning on the date that is #ad months after the date of the enactment of this subsection1 and annually thereafter1 subject to subparagraph 7,c71 a covered entity described in subparagraph 7,l7 or 7,m7 of subsection 7a77#d71 unless otherwise indicated1 shall report on the following1 with respect to the previous year1 in such a manner and form as specified by the ,secretary3 7,a7 ,the following information3 7i7 ,with respect to such covered entity and with respect to each child site of such entity 7as referenced in paragraph 7#aa771 the number and percentage of individuals who are dispensed or administered drugs that are subject to an agreement under this section1 organized by form of health insurance coverage of such individuals 7including at least by the ,medicare program under title ,,xviii of the ,social ,security ,act1 the ,medicaid program under title ,,xix of such ,act1 health insurance coverage offered in the individual or group market or a group health plan 7as such terms are defined in section #bgia71 and uninsured74 7ii7 ,with respect to each such child site of such entity1 the total costs incurred at each such site and the cost incurred at each such site for charity care as defined in line #bc of worksheet ,s-#aj to the ,medicare cost report or in any successor form4 7,b7 ,the aggregate amount of gross reimbursement received by each such covered entity 7including child sites of such entity7 described in such subparagraph 7,l7 or 7,m7 for all drugs purchased that are subject to an agreement under this section and the entity's aggregate acquisition cost for such drugs4 7,c7 ,in the case of covered entity described in subparagraph 7,l7 of subsection 7a77#d71 at the time of application and recertification 7and at least annually thereafter71 the contract that is the basis for eligibility under the requirement under clause 7i7 of such subparagraph and any modifications to such contract for purposes of review by the ,secretary4 7,d7 ,with respect to such covered entity and with respect to each child site of such entity1 the name of all third-party vendors or other similar entities that the covered entity contracts with to provide services associated with the program under this section4 7#b7 ,availability of information 7,a7 ,in general ,the ,secretary shall make data reported by covered entities under subparagraphs 7,a71 7,c71 and 7,d7 of paragraph 7#a7 available on the public website of the ,department of ,health and ,human ,services in an electronic and searchable format1 which may include the #cdj;,b ,office of ,pharmacy ,affairs ,information ,system or a successor to such system3 7,b7 ,format ,data made available under subparagraph 7,a7 shall be made available in a manner that shows each category of data reported both in the aggregate and identified by covered entities described in subparagraphs 7,l7 and 7,m7 of subsection 7a77#d7 and child sites of such covered entities4 ,in carrying out this paragraph1 with respect to data reported pursuant to paragraph 7#a77;,c71 the ,secretary shall ensure that any proprietary information shall be redacted from contracts submitted pursuant to such paragraph 7#a77;,c7 before posting such data4 7#c7 ,interim final regulations ,the ,secretary shall issue interim final regulations no later than the date that is #f months after the date of the enactment of this subsection1 to carry out this subsection and shall finalize such regulations prior to the end of the moratorium period to which subsection 7a77#aa7 applies4 7#d7 ,reports to ,congress 7,a7 ,,oig report ,not later than #b years after the date of the enactment of this subsection1 the ,office of the ,inspector ,general shall submit to ,congress a final report on the level of charity care provided by covered entities described in subparagraphs 7,l7 and 7,m7 of subsection 7a77#d7 and separately by child sites of such covered entities1 as reported in paragraph 7#a77;,a74 7,b7 ,,gao reports 7i7 ,initial report ,not later than #a year after the date of the enactment of this subsection1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report-- 7,i7 analyzing the ,state and local government contracts intended to satisfy the requirement under subsection 7a77#d77,l77i7 for a covered entity to qualify as an entity described in subparagraph 7,l7 of subsection 7a77#d72 7,,ii7 assessing the amount of care such contracts obligate such entity to provide to low-income individuals ineligible for ,medicare under title ,,xviii of the ,social ,security ,act and ,medicaid under title ,,xix of such ,act2 and 7,,iii7 analyzing how these contracts define low-income individuals and whether the ,secretary reviews such determinations4 7ii7 ,subsequent report ,not later than #b years after the date of the enactment of this subsection1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a final report on the information collected under paragraph 7#a77;,b7 regarding the difference between the aggregate gross reimbursement and aggregate acquisition costs received by each such covered entity 7including child sites of such entity7 for drugs subject to an agreement under this section4 4