,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #efha ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,janu>y #bg1 #bjbj,mr4 ,br5dan ,f4 ,boyle ( ,p5nsylvania introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to require hospitals to submit notice to ! ,secret>y ( ,heal? & ,human ,s]vices be=e clos+ all or c]ta9 units or dep>tm5ts1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect+ ,communities f ,hospital ,closures ,act ( #bjbj4 #b4 ,hospital clos+s 7a7 ,9 g5]al ,"p ,c ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdh et seq47 is am5d$ by add+ at ! end ! foll[+3 #cbg;,b4 ,hospital clos+s 7a7 ,notice requirem5t 7#a7 ,requirem5t ,a hospital %all provide writt5 notice to ! ,secret>y ( a det]m9ation-- 7,a7 to close all or mo/ ( its units or dep>tm5ts 79 ?is section ref]r$ to z a g5]al hospital clos+72 or 7,b7 to close an em]g5cy treatm5t unit or dep>tm5t1 a labor & deliv]y unit or dep>tm5t1 or any o!r type ( unit or dep>tm5t t ! ,secret>y det]m9es1 by regulation1 might significantly impact ! heal? & welf>e ( an affect$ community su* t advanc$ notice & plann+ is w>rant$ 79 ?is section ref]r$ to z a significant impact unit clos+74 7#b7 ,tim+ ,a hospital %all give notice requir$ by p>agraph 7#a7-- 7,a7 ^u mak+ a det]m9ation to close describ$ 9 su* p>agraph2 & 7,b7 9 no ev5t less ?an #ahj days f ! anticipat$ date ( ! clos+4 7b7 ,prohibition aga9/ clos+ except pursuant to closure plan 7#a7 ,prohibition ,a hospital %all n close any unit or dep>tm5t z "p ( a g5]al hospital clos+ or a significant impact unit clos+ except pursuant to a writt5 closure plan t has be5 approv$ by ! ,secret>y ) respect to su* unit or dep>tm5t4 7#b7 ,approval /&>d ,! ,secret>y %all approve a closure plan ) respect to ! clos+ ( a unit or dep>tm5t only if ! ,secret>y det]m9es t ! closure plan adequately addresses-- 7,a7 cont9uity ( pati5t c>e2 & 7,b7 ! heal? & safety ne$s ( ! community s]v$ by ! unit or dep>tm5t4 7#c7 ,modification ,! ,secret>y may condition approval "u p>agraph 7#b7 on ! agreem5t by ! hospital to modify ! closure plan to include su* conditions z ! ,secret>y det]m9es to be necess>y meet ! approval /&>d ( p>agraph 7#b74 7#d7 ,notification to ,congress ,! ,secret>y %all promptly provide writt5 notice to ! ,congress ^u receiv+1 approv+1 reject+1 or requir+ a modification to a closure plan "u ?is section4 7c7 ,closure plans 7#a7 ,initial closure plan ,a hospital seek+ to c>ry out a g5]al hospital clos+ or a significant impact unit clos+ %all submit to ! ,secret>y-- 7,a7 n lat] ?an #abj days be=e ! anticipat$ date ( ! clos+1 an initial closure plan2 & 7,b7 n less ?an e #b weeks !reaft]1 ?r\gh ! completion ( ! propos$ clos+1 updates on ! progress ( ! hospital 9-- 7i7 f9aliz+ ! closure plan2 & 7ii7 implem5t+ ! clos+4 7#b7 ,meet+s1 discussions1 & docum5ts ,^u receipt ( a closure plan f a hospital1 ! ,secret>y may1 = ! purpose ( evaluat+ ! propos$ plan & ov]see+ ! implem5tation ( ! plan1 require-- 7,a7 att5dance at meet+s1 & involvem5t 9 discussions1 by executive /aff & adm9i/rators ( ! hospital2 & 7,b7 provision by ! hospital to ! ,secret>y ( relevant in=mation & docum5ts4 7#c7 ,cont5ts ( closure plan ,a closure plan "u ?is section %all address ! foll[+3 7,a7 ,! reasons = ! clos+4 7,b7 ,any plans = ! clos+ ( all major dep>tm5ts & units ( ! hospital1 includ+ ) respect to-- 7i7 cont9uity ( pati5t c>e 9 ea* dep>tm5t & unit2 & 7ii7 ! transf] ( pati5ts to o!r facilities4 7,c7 ,plans ) respect to specializ$ programs or gr\ps ( pati5ts p>ticul>ly vuln]able to int]ruptions 9 m$ical c>e1 su* z canc] *emo!rapy or pr5atal c>e4 7,d7 ,any plans = ! closure ( an em]g5cy dep>tm5t1 includ+ div]sion to o!r hospital em]g5cy dep>tm5ts & ! int]face ) em]g5cy m$ical s]vices4 7,e7 ,writt5 agreem5ts ) o!r heal? c>e provid]s to accept responsibility = cont9u+ ! c>e ( pati5ts receiv+ ongo+ c>e at ! hospital4 7,f7 ,plans =-- 7i7 h[ all m$ical records 7includ+ pap] & electronic records7 w be ma9ta9$ ?r\gh\t & aft] ! clos+2 & 7ii7 h[ ^? m$ical records w be made available to =m] pati5ts & ! physicians :o provide c>e = su* pati5ts4 7,g7 ,plans = ! ma9t5ance1 transf]1 & disposal ( ph>maceuticals1 *emicals1 haz>d\s sub/ances1 & o!r simil> mat]ials locat$ at ! unit or dep>tm5t subject to ! clos+4 7,h7 ,! anticipat$ timel9e = clos+ ! units or dep>tm5ts subject to ! clos+4 7,i7 ,a communications & engagem5t plan ) respect to ! affect$ community1 includ+ plans = a public meet+ to be held 9 ! affect$ community4 7,j7 ,*anges 9 ! hospital's gov]n+ body1 adm9i/ration1 & m$ical /aff lead]%ip z ! closure is implem5t$4 7,k7 ,a plan reg>d+ ! hospital's ef=ts to assi/ affect$ work]s & /ud5ts )-- 7i7 f9d+ suitable employm5t & educational opportunities2 & 7ii7 cont9uation ( insurance4 7,l7 ,plans to address ! effects on b>ga9+ = repres5t$ employees4 7,m7 ,an assurance t exi/+ agreem5ts betwe5 ! hospital & its employees1 & agreem5ts subject to collective b>ga9+ ) an organization t repres5ts hospital employees1 w be honor$4 7,n7 ,plans ) respect to ma9ta9+ ongo+ hospital security4 7,o7 ,plans = sup]vis+ compliance )1 & updates (1 ! closure plan4 7d7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ z creat+ obligations = ! ,f$]al ,gov]nm5t to relieve1 dis*>ge1 p]=m1 indemnify1 or assume liability = any obligation or responsibility ( a hospital or any ( its (fic]s1 directors1 or affiliates4 7e7 ,violations 7#a7 ,det]m9ation ( violation ,if ! ,secret>y det]m9es t a hospital has violat$ or is violat+ any provision ( ?is section1 ! ,secret>y may in/itute an action 9 a ,f$]al c\rt ( compet5t jurisdiction to compel compliance ) ?is section4 7#b7 ,judicial rem$ies ,if a c\rt f9ds1 pursuant to an action in/itut$ pursuant to p>agraph 7#a71 t a hospital has violat$ or is violat+ any provision ( ?is section1 ! c\rt may-- 7,a7 enjo9 ! hospital f c>ry+ out any action 9 fur!rance ( clos+ a unit or dep>tm5t until ! hospital has giv5 prop] notice & o!rwise compli$ ) ?is section2 7,b7 appo9t a special ma/] or tempor>y manag] to ensure t ! hospital submits a closure plan 9 accordance ) ?is section & complies ) su* closure plan2 & 7,c7 grant su* o!r & fur!r relief z ! c\rt may deem j1 prop]1 & equitable "u ! circum/ances4 4 7b7 ,applicability ,! am5dm5t made by subsection 7a7 applies ) respect to any clos+ t occurs aft] ! date ( enactm5t ( ?is ,act4