,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #beeb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #g1 #bjai,mr4    
,kilm] 7= himself & ,ms4 ,/efanik7      
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$  ,a
 ,,bill  ,to direct ! ,secret>y ( ,heal?
 & ,human ,s]vices to prev5t c]ta9      
paym5t r$uctions = cl9ic visit s]vices  
furni%$ at except$ (f-campus outpati5t  
dep>tm5ts ( a provid] "u ! ,m$ic>e      
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,protect+ ,local ,access to 
,c>e = ,ev]yone ,act ( #bjai or !       
,,place ,act ( #bjai4  #b4 ,prev5t+     
c]ta9 paym5t r$uctions = cl9ic visit    
s]vices furni%$ at except$ (f-campus    
outpati5t dep>tm5ts ( a provid] "u !    
,m$ic>e program  7a7 ,9 g5]al ,!        
,secret>y ( ,heal? & ,human ,s]vices    

%all1 = purposes ( paym5t "u "p ,b (    
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;j et seq47 = cl9ic
 visit s]vices 7z def9$ 9 subsection    
7c77 furni%$ dur+ ! p]iod beg9n+ on     
,janu>y #a1 #bjai1 & end+ on ,decemb]   
#ca1 #bjbj1 by an applicable provid] 7z 
def9$ 9 su* subsection71 treat su*      
s]vices z if su* s]vices _h be5 furni%$ 
by a dep>tm5t ( a provid] locat$ on !   
campus 7z def9$ 9 section               
#dac4fe7;a77#b7 ( title #db1 ,code (    
,f$]al ,regulations 7or any successor   
regulation77 ( su* provid]4  7b7        
,reimbursem5t ,9 ! case ( su* cl9ic     
visit s]vices furni%$ dur+ ! p]iod      
describ$ 9 subsection 7a7 by su* an     
applicable provid] = :i* paym5t has     
already be5 made "u su* "p ,b z ( ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y ( 
,heal? & ,human ,s]vices %all promptly  
reimburse su* provid] 9 an am\nt equal  
to ! diff]5ce betwe5 ! paym5t = su*     
s]vices "u subsection 7a7 & ! am\nt     
actually paid = su* s]vices4  7c7       

,def9itions ,9 ?is section3 7#a7        
,applicable provid] ,! t]m applicable   
provid] means a dep>tm5t ( a provid] t  
w\ld be an (f-campus outpati5t dep>tm5t 
( a provid] 7z def9$ 9 section          
#ahcc7t77#ba77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciel7t77#ba77;,b77 b = ! application (
 clause 7ii7 or 7iv7 ( su* section4     
7#b7 ,cl9ic visit s]vices ,! t]m cl9ic  
visit s]vices means ^? s]vices id5tifi$ 
by ,heal?c>e ,common ,proc$ure ,cod+    
,sy/em code ,g#jdfc 7or a successor     
code74  7#c7 ,dep>tm5t ( a provid] ,!   
t]m dep>tm5t ( a provid] has ! mean+    
giv5 su* t]m 9 section #dac4fe7;a77#b7 (
 title #db1 ,code ( ,f$]al ,regulations1
 z 9 effect z ( ! date ( ! enactm5t (   
?is ,act4