,,ii  #aae? ,,congress  #b;d ,session   
,s4 #cfic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #bi1 #bjah    
,mr4 ,hat* introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,f9ance  ,a ,,bill  ,to am5d title     
,,xviii ( ! ,social ,security ,act to   
provide = ! treatm5t ( c]ta9 canc]      
hospitals4  #a4 ,treatm5t ( c]ta9 canc] 
hospitals  7a7 ,9 g5]al ,section        
#ahhf7;d77#a77;,b77v7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#a77;,b77v77 is am5d$-- 7#a7 
9 subclause 7,,ii71 by /rik+ or at !    
end2 &  7#b7 by add+ at ! end ! foll[+  
new subclause3  7,,iv7 a hospital t 0   
designat$ z a compreh5sive canc] c5t] by
 ! ,national ,canc] ,in/itute ( !       
,national ,in/itutes ( ,heal? be=e !    
date ( ! enactm5t ( ?is subclause1 & t  
is locat$ 9 a ,/ate ) less ?an #ce p p] 
squ>e mile bas$ on #bjaj data publi%$ by
 ! ,bureau ( ! ,c5sus1 or  4  7b7       
,special ,rule = ,eligible ,hospitals ,9
 ! case ( a hospital describ$ 9 section 

#ahhf7;d77#a77;,b77v77,,iv7 ( ! ,social 
,security ,act1 z add$ by subsection    
7a71 t elects n to be treat$ z a        
subsection 7d7 hospital pursuant to su* 
section 79 ?is section ref]r$ to z an   
eligible hospital71 = purposes ( !      
provisions ( section #dab4bb7;e7 ( title
 #db1 ,code ( ,f$]al ,regulations 7or   
any successor regulations71 ! eligible  
hospital %all n be d5i$ an exemption f !
 prospective paym5t sy/em "u section    
#ahhf7;d7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acieww7 solely because !
 eligible hospital & ano!r hospital are 
bo? "u ! control ( any ?ird entity      
7includ+ ) respect to ! gov]n+ body1 !  
*ief m$ical (fic]1 or ! *ief executive  
(fic] ( ! eligible hospital74  7c7      
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply to eligible   
hospitals 9 co/ report+ p]iods beg9n+ on
 or aft] ! date ( ! enactm5t ( ?is ,act4
  7d7 ,budget neutrality ,! ,secret>y   
%all make a proportional adju/m5t 9 !   
/&>diz$ am\nts o!rwise det]m9$ "u       

subsection 7d77#c7 ( section #ahhf ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acieww71 = co/ report+ p]iods beg9n+ on
 or aft] ! date ( enactm5t ( ?is ,act1  
to assure t ! provisions ( subclause    
7,,iv7 ( subsection 7d77#a77;,b77v7 (   
su* section1 z add$ by subsection 7a71 d
 n result 9 aggregate paym5ts "u su*    
section t are great] or less ?an ^? t   
w\ld o!rwise be made if su* subclause _h
 n be5 enact$4