,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #dgaj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ba1         
#bjag,mr4 ,buc%on 7= himself & ,mr4     
,pet]s7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d ! ,public 
,heal? ,s]vice ,act to e/abli% a        
moratorium on ! regi/ration ( c]ta9 new 
#cdj;,b hospitals & associat$ sites1 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! #cdj;,b ,protect+  
,access = ! ,und]s]v$ & ,safety-net     
,entities ,act or ! #cdj;,b ,,pause     
,act4  #b4 ,moratorium on regi/ration ( 
c]ta9 new #cdj;,b hospitals & associat$ 
sites ,section #cdj;,b7a7 ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bef;b7a77 is am5d$--  7#a7 9 p>agraph  
7#d77,l71 by /rik+ ,a subsection 7d7    
hospital & ins]t+ ,subject to p>agraph  
7#aa71 a subsection 7d7 hospital2 &     
7#b7 by add+ at ! end ! foll[+ new      
p>agraph3  7#aa7 ,moratorium on         
regi/ration ( c]ta9 hospitals &         

associat$ sites ( su* hospitals ,dur+ ! 
p]iod beg9n+ on ! date ( ! enactm5t (   
?is p>agraph1 & end+ on ! date t is #b  
ye>s aft] su* date ( enactm5t--  7,a7 an
 entity describ$ 9 p>agraph 7#d77,l7    
%all n be consid]$ a cov]$ entity "u ?is
 section unless su* entity _h be5       
id5tifi$ z a cov]$ entity "u ! sy/em    
e/abli%$ "u subsection 7d77#b77;,b77iv7 
z ( ! day be=e ! date ( ! enactm5t ( ?is
 p>agraph2 &  7,b7 9 ! case ( an entity 
describ$ 9 p>agraph 7#d77,l7 t is       
id5tifi$ z a cov]$ entity "u su* sy/em1 
an (f-site outpati5t facility1 cl9ic1   
eligible (f-site location1 or associat$ 
site ( su* entity 79 ?is p>agraph &     
subsection 7f7 ref]r$ to z a pot5tial   
*ild site ( su* entity7 may n be        
id5tifi$ "u su* sy/em z a *ild site ( ! 
cov]$ entity = purposes ( ?is section   
unless su* *ild site 0 s id5tifi$ "u su*
 sy/em1 ) respect to su* cov]$ entity1 z
 ( ! day be=e ! date ( ! enactm5t ( ?is 
p>agraph4  4  #c4 ,data report+ to      
improve ! transp>5cy reg>d+ h[ #cdj;,b  

hospital cov]$ entities provide c>e =   
pati5ts ,section #cdj;,b ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bef;b7 is am5d$ by add+ at ! end !     
foll[+ new subsection3  7f7 ,data       
report+ ,to improve ! transp>5cy reg>d+ 
h[ hospital cov]$ entities provide c>e =
 pati5ts  7#a7 ,9 g5]al ,beg9n+ on !    
date t is #ad mon?s aft] ! date ( !     
enactm5t ( ?is subsection1 & annually   
!reaft]1 subject to subp>agraph 7,c71 a 
cov]$ entity describ$ 9 subp>agraph 7,l7
 or 7,m7 ( subsection 7a77#d71 unless   
o!rwise indicat$1 %all report on !      
foll[+1 ) respect to ! previ\s ye>1 9   
su* a mann] & =m z specifi$ by !        
,secret>y3  7,a7 ,! foll[+ in=mation3   
7i7 ,) respect to su* cov]$ entity & )  
respect to ea* *ild site ( su* entity 7z
 ref]5c$ 9 p>agraph 7#aa771 ! numb] &   
p]c5tage ( individuals :o are disp5s$ or
 adm9i/]$ drugs t are subject to an     
agreem5t "u ?is section1 organiz$ by =m 
( heal? insurance cov]age ( su*         
individuals 7includ+ at lea/ by !       

,m$ic>e program "u title ,,xviii ( !    
,social ,security ,act1 ! ,m$icaid      
program "u title ,,xix ( su* ,act1 heal?
 insurance cov]age (f]$ 9 ! individual  
or gr\p m>ket or a gr\p heal? plan 7z   
su* t]ms are def9$ 9 section #bgia71 &  
un9sur$74  7ii7 ,) respect to ea* su*   
*ild site ( su* entity1 ! total co/s    
incurr$ at ea* su* site & ! co/ incurr$ 
at ea* su* site = *>ity c>e z def9$ 9   
l9e #bc ( work%eet ,s-#aj to ! ,m$ic>e  
co/ report or 9 any successor =m4  7,b7 
,! aggregate am\nt ( gross reimbursem5t 
receiv$ by ea* su* cov]$ entity 7includ+
 *ild sites ( su* entity7 describ$ 9 su*
 subp>agraph 7,l7 or 7,m7 = all drugs   
pur*as$ t are subject to an agreem5t "u 
?is section & ! entity's aggregate      
acquisition co/ = su* drugs4  7,c7 ,9 ! 
case ( cov]$ entity describ$ 9          
subp>agraph 7,l7 ( subsection 7a77#d71  
at ! "t ( application & rec]tification  
7& at lea/ annually !reaft]71 ! contract
 t is ! basis = eligibility "u !        
requirem5t "u clause 7i7 ( su*          

subp>agraph & any modifications to su*  
contract = purposes ( review by !       
,secret>y4  7,d7 ,) respect to su* cov]$
 entity & ) respect to ea* *ild site (  
su* entity1 ! "n ( all ?ird-p>ty v5dors 
or o!r simil> entities t ! cov]$ entity 
contracts ) to provide s]vices associat$
 ) ! program "u ?is section4  7#b7      
,availability ( in=mation  7,a7 ,9 g5]al
 ,! ,secret>y %all make data report$ by 
cov]$ entities "u subp>agraphs 7,a71    
7,c71 & 7,d7 ( p>agraph 7#a7 available  
on ! public website ( ! ,dep>tm5t (     
,heal? & ,human ,s]vices 9 an electronic
 & se>*able =mat1 :i* may include !     
#cdj;,b ,(fice ( ,ph>macy ,affairs      
,in=mation ,sy/em or a successor to su* 
sy/em3  7,b7 ,=mat ,data made available 
"u subp>agraph 7,a7 %all be made        
available 9 a mann] t %[s ea* category (
 data report$ bo? 9 ! aggregate &       
id5tifi$ by cov]$ entities describ$ 9   
subp>agraphs 7,l7 & 7,m7 ( subsection   
7a77#d7 & *ild sites ( su* cov]$        
entities4 ,9 c>ry+ out ?is p>agraph1 )  

respect to data report$ pursuant to     
p>agraph 7#a77;,c71 ! ,secret>y %all    
ensure t any propriet>y in=mation %all  
be r$act$ f contracts submitt$ pursuant 
to su* p>agraph 7#a77;,c7 be=e po/+ su* 
data4  7#c7 ,int]im f9al regulations ,! 
,secret>y %all issue int]im f9al        
regulations no lat] ?an ! date t is #f  
mon?s aft] ! date ( ! enactm5t ( ?is    
subsection1 to c>ry out ?is subsection &
 %all f9alize su* regulations prior to !
 end ( ! moratorium p]iod to :i*        
subsection 7a77#aa7 applies4  7#d7      
,reports to ,congress  7,a7 ,,oig report
 ,n lat] ?an #b ye>s aft] ! date ( !    
enactm5t ( ?is subsection1 ! ,(fice ( ! 
,inspector ,g5]al %all submit to        
,congress a f9al report on ! level (    
*>ity c>e provid$ by cov]$ entities     
describ$ 9 subp>agraphs 7,l7 & 7,m7 (   
subsection 7a77#d7 & sep>ately by *ild  
sites ( su* cov]$ entities1 z report$ 9 
p>agraph 7#a77;,a74  7,b7 ,,gao reports 
7i7 ,initial report ,n lat] ?an #a ye>  
aft] ! date ( ! enactm5t ( ?is          

subsection1 ! ,comptroll] ,g5]al ( !    
,unit$ ,/ates %all submit to ,congress a
 report--  7,i7 analyz+ ! ,/ate & local 
gov]nm5t contracts int5d$ to satisfy !  
requirem5t "u subsection 7a77#d77,l77i7 
= a cov]$ entity to qualify z an entity 
describ$ 9 subp>agraph 7,l7 ( subsection
 7a77#d72  7,,ii7 assess+ ! am\nt ( c>e 
su* contracts obligate su* entity to    
provide to l[-income individuals        
ineligible = ,m$ic>e "u title ,,xviii ( 
! ,social ,security ,act & ,m$icaid "u  
title ,,xix ( su* ,act2 &  7,,iii7      
analyz+ h[ ^! contracts def9e l[-income 
individuals & :e!r ! ,secret>y reviews  
su* det]m9ations4  7ii7 ,subsequ5t      
report ,n lat] ?an #b ye>s aft] ! date (
 ! enactm5t ( ?is subsection1 !         
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all submit to ,congress a f9al report  
on ! in=mation collect$ "u p>agraph     
7#a77;,b7 reg>d+ ! diff]5ce betwe5 !    
aggregate gross reimbursem5t & aggregate
 acquisition co/s receiv$ by ea* su*    
cov]$ entity 7includ+ *ild sites ( su*  

entity7 = drugs subject to an agreem5t  
"u ?is section4  4