,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #cfic  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,november #bi1 
#bjah ,mr4 ,hatch introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to provide   
for the treatment of certain cancer     
hospitals4  #a4 ,treatment of certain   
cancer hospitals  7a7 ,in general       
,section #ahhf7;d77#a77;,b77v7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#a77;,b77v77 is amended--    
7#a7 in subclause 7,,ii71 by striking or
 at the end2 and  7#b7 by adding at the 
end the following new subclause3  7,,iv7
 a hospital that was designated as a    
comprehensive cancer center by the      
,national ,cancer ,institute of the     
,national ,institutes of ,health before 
the date of the enactment of this       
subclause1 and that is located in a     
,state with less than #ce people per    
square mile based on #bjaj data         

published by the ,bureau of the ,census1
 or  4  7b7 ,special ,rule for ,eligible
 ,hospitals ,in the case of a hospital  
described in section                    
#ahhf7;d77#a77;,b77v77,,iv7 of the      
,social ,security ,act1 as added by     
subsection 7a71 that elects not to be   
treated as a subsection 7d7 hospital    
pursuant to such section 7in this       
section referred to as an eligible      
hospital71 for purposes of the          
provisions of section #dab4bb7;e7 of    
title #db1 ,code of ,federal            
,regulations 7or any successor          
regulations71 the eligible hospital     
shall not be denied an exemption from   
the prospective payment system under    
section #ahhf7;d7 of the ,social        
,security ,act 7#db ,u4,s4,c4 #acieww7  
solely because the eligible hospital and
 another hospital are both under the    
control of any third entity 7including  
with respect to the governing body1 the 
chief medical officer1 or the chief     
executive officer of the eligible       

hospital74  7c7 ,effective date ,the    
amendments made by subsection 7a7 shall 
apply to eligible hospitals in cost     
reporting periods beginning on or after 
the date of the enactment of this ,act4 
7d7 ,budget neutrality ,the ,secretary  
shall make a proportional adjustment in 
the standardized amounts otherwise      
determined under subsection 7d77#c7 of  
section #ahhf of the ,social ,security  
,act 7#db ,u4,s4,c4 #acieww71 for cost  
reporting periods beginning on or after 
the date of enactment of this ,act1 to  
assure that the provisions of subclause 
7,,iv7 of subsection 7d77#a77;,b77v7 of 
such section1 as added by subsection    
7a71 do not result in aggregate payments
 under such section that are greater or 
less than those that would otherwise be 
made if such subclause had not been     
enacted4