,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #eeih  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bd1 #bjah ,mr4
 ,c>t] ( ,georgia 7= himself & ,mr4     
,coll9s ( ,new ,york7 introduc$ ! foll[+
 bill2 :i* 0 ref]r$ to ! ,committee on  
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d !
 ,public ,heal? ,s]vice ,act to require 
c]ta9 disproportionate %>e hospital     
cov]$ entities "u ! #cdj;,b drug disc\nt
 program to submit to ! ,secret>y (     
,heal? & ,human ,s]vices reports on     
l[-income utilization rates ( outpati5t 
hospital s]vices furni%$ by su*         
entities4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! #cdj;,b ,optimization ,act4
  #b4 ,requir+ #cdj;,b drug disc\nt     
program reports by ,,d% hospital cov]$  
entities on l[-income utilization rate (
 outpati5t hospital s]vices  7a7 ,9     
g5]al ,section #cdj;,b7d77#b7 ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bef;b7d77#b77 is am5d$--     
7#a7 9 subp>agraph 7,b77i71 by ins]t+   
be=e ! p]iod at ! end ! foll[+3 1       

includ+1 ) respect to su* updates made  
on or aft] ,janu>y #a1 #bjbj1 by requir+
 cov]$ entities describ$ 9 subsection   
7a77#d77,l7 to submit 7& to s regul>ly  
update7 in=mation describ$ 9 subp>agraph
 7,c72 &  7#b7 by add+ at ! end ! foll[+
 new subp>agraph3  7,c7 ,in=mation on   
l[-income utilization rate ( outpati5t  
hospital s]vices  7i7 ,9 g5]al ,=       
purposes ( subp>agraph 7,b77i71 !       
in=mation describ$ 9 ?is subp>agraph1 ) 
respect to a cov]$ entity describ$ 9    
subsection 7a77#d77,l7 & an update "u   
su* subp>agraph 7,b77i71 is-- 7,i7 !    
l[-income outpati5t utilization rate (  
su* cov]$ entity = ! mo/ rec5t fiscal   
ye>2 &  7,,ii7 ! l[-income outpati5t    
utilization rate ( (f-site outpati5t    
facilities1 cl9ics1 eligible (f-site    
locations1 & associat$ sites ( su*      
entity id5tifi$ z *ild sites ( su*      
entity pursuant to ! id5tification sy/em
 "u subp>agraph 7,b77iv7 = ! mo/ rec5t  
fiscal ye>4  7ii7 ,l[-income outpati5t  
utilization rate def9$ ,9 ?is           

subp>agraph1 ! t]m l[-income outpati5t  
utilization rate has ! mean+ giv5 ! t]m 
l[-income utilization rate "u p>agraph  
7#c7 ( section #aibc7;b7 ( ! ,social    
,security ,act1 except t--  7,i7 clauses
 7i7 & 7ii7 ( subp>agraph 7,a7 ( su*    
p>agraph %all be appli$ z if-- 7aa7 ea* 
ref]5ce to pati5t s]vices 7 a ref]5ce to
 pati5t s]vices furni%$ on an outpati5t 
basis2 &  7bb7 = purposes ( clause      
7i77,,ii7 ( ?is subp>agraph1 ea* ref]5ce
 to hospital 7 a ref]5ce to (f-site     
outpati5t facilities1 cl9ics1 eligible  
(f-site locations1 & associat$ sites ( !
 hospital t are id5tifi$ z *ild sites ( 
! hospital pursuant to ! id5tification  
sy/em "u section #cdj;,b7d77#b77;,b77iv7
 ( ! ,public ,heal? ,s]vice ,act2 &     
7,,ii7 clauses 7i7 & 7ii7 ( subp>agraph 
7,b7 ( su* p>agraph %all be appli$ z    
if--  7aa7 ea* ref]5ce to inpati5t      
hospital s]vices 7 a ref]5ce to         
outpati5t hospital s]vices2 &  7bb7 =   
purposes ( clause 7i77,,ii7 ea* ref]5ce 
to hospital's *>ges 7 a ref]5ce to *>ges

 ( ! (f-site outpati5t facilities1      
cl9ics1 eligible (f-site locations1 &   
associat$ sites ( ! hospital t are      
id5tifi$ z *ild sites ( ! hospital      
pursuant to ! id5tification sy/em "u    
section #cdj;,b7d77#b77;,b77iv7 ( !     
,public ,heal? ,s]vice ,act4  4  7b7    
,annual reports ,n lat] ?an ,janu>y #a1 
#bjba1 & annually !reaft]1 !            
,adm9i/rator ( ! ,heal? ,res\rces &     
,s]vices ,adm9i/ration %all submit to   
,congress a report on in=mation submitt$
 by cov]$ entities = ! previ\s ye>      
pursuant to ! am5dm5ts made by          
subsection 7a74