,,ii  #aae? ,,congress  #a/ ,session    
,s4 #agbi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #b1 #bjag ,mr4  
,rob]ts 7= himself1 ,mr4 ,w>n]1 ,mr4    
,crapo1 ,mr4 ,c>d91 & ,mr4 ,"y7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = indep5d5t accr$itation =      
dialysis facilities & assurances ( high 
quality surveys4  #a4 ,%ort title  ,?is 
,act may be cit$ z ! ,dialysis ,access  
,improvem5t ,act ( #bjag4  #b4          
,indep5d5t accr$itation = dialysis      
facilities & assurance ( high quality   
surveys  7a7 ,accr$itation & surveys    
7#a7 ,9 g5]al ,section #ahfe ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acie;bb7
 is am5d$-- 7,a7 9 subsection 7a7--  7i7
 9 p>agraph 7#a71 9 ! matt] prec$+      
subp>agraph 7,a71 by /rik+ or !         
conditions & requirem5ts "u section     
#ahha7;b72 &  7ii7 9 p>agraph 7#d71 by  
ins]t+ 7includ+ a r5al dialysis         

facility7 aft] facility2 &  7,b7 by add+
 at ! end ! foll[+ new subsection3  7e7 
,) respect to an accr$itation body t has
 receiv$ approval f ! ,secret>y "u      
subsection 7a77#c77;,a7 = accr$itation (
 provid] entities t are requir$ to meet 
! conditions & requirem5ts "u section   
#ahha7;b71 9 addition to review &       
ov]sight au?orities o!rwise applicable  
"u ?is title1 ! ,secret>y %all 7z !     
,secret>y det]m9es appropriate7 conduct1
 ) respect to su* accr$itation body &   
provid] entities1 any or all ( ! foll[+ 
z frequ5tly z is o!rwise requir$ to be  
conduct$ "u ?is title ) respect to o!r  
accr$itation bodies or o!r provid]      
entities3  7#a7 ,validation surveys     
ref]r$ to 9 subsection 7d74  7#b7       
,accr$itation program reviews 7z def9$ 9
 section #dhh4h7;c7 ( title #db ( !     
,code ( ,f$]al ,regulations1 or a       
successor regulation74  7#c7 ,p]=mance  
reviews 7z def9$ 9 section #dhh4h7;a7 ( 
title #db ( ! ,code ( ,f$]al            
,regulations1 or a successor            

regulation74  4  7#b7 ,tim+ = acceptance
 ( reque/s f accr$itation organizations 
,n lat] ?an #ij days aft] ! date (      
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all beg9      
accept+ reque/s f national accr$itation 
bodies = a f9d+ describ$ 9 section      
#ahfe7;a77#c77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acie;bb7a77#c77;,a77 = purposes (      
accr$it+ provid] entities t are requir$ 
to meet ! conditions & requirem5ts "u   
section #ahha7;b7 ( su* ,act 7#db       
,u4,s4,c4 #acierr7b774  7b7 ,requirem5t 
= tim+ ( surveys ( new dialysis         
facilities ,section #ahha7;b77#a7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acierr7b77#a77 is am5d$ by add+ at !   
end ! foll[+ new s5t5ce3 ,beg9n+ #ahj   
days aft] ! date ( ! enactm5t ( ?is     
s5t5ce1 an initial survey ( a provid] ( 
s]vices or a r5al dialysis facility to  
det]m9e if ! conditions & requirem5ts "u
 ?is p>agraph are met %all be initiat$ n
 lat] ?an #ij days aft] su* date on :i* 

bo? ! provid] enrollm5t =m 7)\t reg>d to
 :e!r su* =m is submitt$ prior to or    
aft] su* date ( enactm5t7 has be5       
det]m9$ by ! ,secret>y to be complete & 
! provid]'s enrollm5t /atus indicates   
approval is p5d+ ! results ( su*        
survey44