#aae? ,,congress  #b;d ,session  ,h4 ,r4
 #fach  ,,an ,,act  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = ambulatory surgical c5t]      
repres5tation dur+ ! review ( hospital  
outpati5t paym5t rates "u "p ,b ( !     
,m$ic>e program1 & = o!r purposes4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,ambulatory ,surgical ,c5t] ,paym5t     
,transp>5cy ,act ( #bjah or ! ,,asc     
,paym5t ,transp>5cy ,act ( #bjah4  #b4  
,advisory ,panel on ,hospital ,outpati5t
 ,paym5t ,repres5tation  7a7 ,,asc      
repres5tative ,! second s5t5ce ( section
 #ahcc7t77#i77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciel7t77#i77;,a77
 is am5d$ by ins]t+ & at lea/ "o        
ambulatory surgical c5t] repres5tative  
aft] an appropriate selection (         
repres5tatives ( provid]s4  7b7         
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply ) respect to  
advisory panels consult$ on or aft] !   
date t is #a ye> aft] ! date ( enactm5t 
( ?is ,act4  #c4 ,reasons = exclud+     

additional proc$ures f ,,asc approv$ li/
 ,section #ahcc7;i77#a7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciel7i77#a77 is am5d$ by add+ at ! end
 ! foll[+3 ,9 updat+ su* li/s =         
application 9 ye>s beg9n+ ) ! second ye>
 beg9n+ aft] ! date ( ! enactm5t ( ?is  
s5t5ce1 = ea* proc$ure t 0 n propos$ to 
be includ$ 9 su* li/s 9 ! propos$ rule )
 respect to su* li/s & t 0 subsequ5tly  
reque/$ to be includ$ 9 su* li/s dur+ ! 
public comm5t p]iod ) respect to su*    
propos$ rule & t is n includ$ 9 ! f9al  
rule updat+ su* li/s1 ! ,secret>y %all  
cite 9 su* f9al rule ! specific crit]ia 
9 p>agraph 7b7 or 7c7 ( section #daf4aff
 ( title #db1 ,code ( ,f$]al            
,regulations 7or any successor          
regulation71 bas$ on :i* ! proc$ure 0   
exclud$4 ,if p>agraph 7b7 ( su* section 
is cit$ = exclusion ( a proc$ure1 !     
,secret>y %all id5tify ! pe] review$    
rese>*1 if any1 or ! evid5ce ^u :i* su* 
det]m9ation is bas$44  ,pass$ ! ,h\se ( 
,repres5tatives ,july #bd1 #bjah4;,cl]k4