,,ib  ,union ,cal5d> ,no4 #fdc  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #fach
  ,report ,no4 #aae-hca1 ,"p ,i  ,,9 ,,!
 ,,h\se ,,( ,,repres5tatives  ,june #ai1
 #bjah ,mr4 ,nunes 7= himself & ,mr4    
,l>son ( ,connecticut7 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = 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$    
,july #ag1 #bjah;,additional sponsors3  
,mr4 ,gohm]t & ,mr4 ,lance  ,july #ag1  
#bjah ,report$ f ! ,committee on ,ways &
 ,means ) an am5dm5t ,/rike out all aft]
 ! enact+ clause & ins]t ! "p pr9t$ 9   
italic  ,july #ag1 #bjah;,committee on  
,en]gy & ,comm]ce dis*>g$2 committ$ to !
 ,committee ( ! ,:ole ,h\se on ! ,/ate (
 ! ,union & ord]$ to be printed,for text
 ( introduc$ bill1 see copy ( bill z    
introduc$ on ,june #ai1 #bjah  ,a ,,bill
  ,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$4 ,! ,secret>y may n 
use or cite section #daf4aff7;c77#g7 (  
su* title 7or any successor regulation7 
z crit]ia or a basis = exclusion ( a    
proc$ure f su* li/s44  ,july #ag1 #bjah 

,report$ f ! ,committee on ,ways &      
,means ) an amendment,july #ag1         
#bjah;,committee on ,en]gy & ,comm]ce   
dis*>g$2 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union &     
ord]$ to be pr9t$