,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #cchf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bj1 #bjai,mr4  
,coll9s ( ,new ,york 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 am5d  
title ,,xi ( ! ,social ,security ,act to
 require hospitals & critical access    
hospitals to provide un9sur$ individuals
 ) access to ! l[e/ negotiat$ rate =    
items & s]vices furni%$ to su*          
individuals4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,protect ! ,un9sur$ ,act
 ( #bjai4  #b4 ,requir+ hospitals &     
critical access hospitals to provide    
un9sur$ individuals ) access to ! l[e/  
negotiat$ rate = items & s]vices furni%$
 to su* individuals ,section #aabh;,a ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acbj;a-#g;a7 is am5d$ by add+ at ! end 

! foll[+ new subsection3  7t7  7#a7 ,any
 hospital or critical access hospital t1
 ) respect to an item or s]vice furni%$ 
by su* hospital or critical access      
hospital to an un9sur$ individual 7z    
def9$ 9 p>agraph 7#b77 on or aft] ! date
 t is #f mon?s aft] ! date ( ! enactm5t 
( ?is subsection1 holds su* individual  
liable = an am\nt 9 excess ( ! l[e/     
negotiat$ price 7z def9$ 9 su* p>agraph7
 ) respect to su* item or s]vice %all be
 subject to a civil monet>y p5alty 9 an 
am\nt equal to ! diff]5ce betwe5 ! am\nt
 su* hospital or critical access        
hospital held su* individual liable = ) 
respect to su* item or s]vice & su* l[e/
 negotiat$ price4 ,! provisions (       
subsections 7c71 7d71 7g71 & 7h7 %all   
apply to a civil monet>y p5alty "u !    
prec$+ s5t5ce 9 ! same mann] z su*      
provisions apply to a p5alty1 assessm5t1
 or proce$+ "u subsection 7a74  7#b7 ,9 
?is subsection3 7,a7 ,! t]m l[e/        
negotiat$ price means1 ) respect to a   
hospital or critical access hospital &  

an item or s]vice1 ! l[e/ recogniz$     
am\nt su* hospital or critical access   
hospital has negotiat$ ) any heal?      
insurance issu] or gr\p heal? plan 7z   
su* t]ms are def9$ 9 section #bgia ( !  
,public ,heal? ,s]vice ,act7 ) :i* su*  
hospital or critical access hospital    
contracts = su* item or s]vice4  7,b7 ,!
 t]m un9sur$ individual means an        
individual :o is n enroll$ or o!rwise   
cov]$ "u any heal? insurance cov]age1   
gr\p heal? plan1 or ,f$]al heal? c>e    
program 7z def9$ 9 section #aabh;,b7f771
 or "u ! heal? insurance program "u     
*apt] #hi ( title #e1 ,unit$ ,/ates     
,code4  4