,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #egbg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,janu>y #cj1 #bjbj,mr4 ,ru% 7= himself1 ,mr4 ,?ompson ( ,mississippi1 ,mrs4 ,watson ,coleman1 & ,ms4 ,b>ragn7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means1 & 9 addition to ! ,committee on ,en]gy & ,comm]ce1 = 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 provide = a /udy by ! ,national ,academy ( ,m$ic9e on ambulance div]sions1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,rese>* ,empirical ,solutions to ,end ,ambulance ,rev]sals f ,clos$ ,hospitals ,act ( #bjbj or ! ,,rese>* ,act ( #bjbj4 #b4 ,/udy on ambulance div]sions 7a7 ,/udy ,! ,secret>y ( ,heal? & ,human ,s]vices %all seek to ent] into an agreem5t ) ! ,national ,academy ( ,m$ic9e "u :i* ! ,national ,academy agrees to conduct a /udy on ambulance div]sions1 includ+-- 7#a7 :e!r ! numb] ( su* div]sions h increas$ ov] ! la/ #aj ye>s1 includ+ :e!r ! numb] ( su* div]sions h increas$ at ! national1 regional1 ,/ate1 & local level2 7#b7 :at /eps1 if any1 h be5 tak5 to r$uce ! numb] ( su* div]sions2 7#c7 :e!r su* div]sions disproportionately impact m$ically und]s]v$ communities 7z def9$ 9 section #gii;,b ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #biep772 & 7#d7 :at actions ! ,f$]al ,gov]nm5t %\ld take-- 7,a7 to r$uce ! numb] ( ambulance div]sions2 & 7,b7 to improve ! heal? & safety ( pati5ts affect$ by ambulance div]sions4 7b7 ,consultation ,! agreem5t "u subsection 7a7 %all require ! /udy "u su* agreem5t to be conduct$ 9 consultation )-- 7#a7 ! ,assi/ant ,secret>y = ,plann+ & ,evaluation ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 7#b7 ! ,assi/ant ,secret>y = ,prep>$ness & ,response ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7#c7 ! ,director ( ! ,(fice ( ,em]g5cy ,c>e ,rese>* ( ! ,national ,in/itutes ( ,heal?4 7c7 ,report ,! agreem5t "u subsection 7a7 %all provide =-- 7#a7 ! submission to ! congressional committees ( jurisdiction1 n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ?is ,act1 ( a report on ! results ( ! /udy "u su* agreem5t2 & 7#b7 ! inclusion 9 su* report ( recomm5dations on actions ! ,f$]al ,gov]nm5t %\ld take-- 7,a7 to mitigate ! occurr5ce ( ambulance div]sions2 & 7,b7 to improve ! heal? & safety ( pati5ts affect$ by ambulance div]sions4 7d7 ,def9ition ,9 ?is section1 ! t]m ambulance div]sion means ! tempor>y closure ( a hospital em]g5cy dep>tm5t to incom+ ambulances4 #c4 ,hospital report+ requirem5t 7a7 ,report+ requirem5t ,a hospital %all report to ! ,secret>y ( ,heal? & ,human ,s]vices1 9 ! case ! hospital implem5ts an ambulance div]sion on or aft] ,janu>y #a1 #bjba-- 7#a7 h[ long ! div]sion 0 9 effect2 7#b7 ! reason = ! div]sion2 & 7#c7 ! numb] ( ambulance calls ! hospital div]t$ :ile ! div]sion 0 9 effect4 7b7 ,en=cem5t 7#a7 ,hospitals ,section #ahhf7;d77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#e77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,m7 7i7 7,i7 ,9 ! case t ! ,secret>y det]m9es1 ) respect to a cal5d> qu>t] occurr+ 9 ! p]iod beg9n+ ) #bjba & end+ ) #bjbd1 t a hospital has compli$ ) ! provisions ( section #c7;a7 ( ! ,,rese>* ,act ( #bjbj ) respect to ea* ambulance div]sion 7if any7 t occurr$ dur+ su* qu>t]1 ! ,secret>y %all increase1 by ! p]c5tage specifi$ 9 subclause 7,,ii7 = su* qu>t]1 ! am\nt o!rwise payable to su* hospital "u p>agraph 7#a77;,a7 = dis*>ges occurr+ 9 ! succe$+ qu>t]4 7,,ii7 ,= purposes ( subclause 7,i71 ! p]c5tage specifi$ 9 ?is subclause is1 ) respect to a cal5d> qu>t] occurr+ 9-- 7aa7 #bjba or #bjbb1 #a p]c5t2 or 7bb7 #bjbc or #bjbd1 #j4e p]c5t4 7ii7 7,i7 ,9 ! case t ! ,secret>y det]m9es1 ) respect to a cal5d> qu>t] occurr+ 9 #bjbe or a subsequ5t ye>1 t a hospital has fail$ to report an ambulance div]sion occurr+ dur+ su* qu>t] to ! ,secret>y 9 accordance ) section #c7;a7 ( ! ,,rese>* ,act ( #bjbj1 ! ,secret>y %all r$uce1 by ! p]c5tage specifi$ 9 subclause 7,,ii7 = su* qu>t]1 ! am\nt o!rwise payable to su* hospital "u p>agraph 7#a77;,a7 = dis*>ges occurr+ 9 ! succe$+ qu>t]4 7,,ii7 ,= purposes ( subclause 7,i71 ! p]c5tage specifi$ 9 ?is subclause is1 ) respect to a cal5d> qu>t] occurr+ 9-- 7aa7 #bjbe1 #a p]c5t2 or 7bb7 #bjbf or a subsequ5t ye>1 #b p]c5t4 7iii7 ,9 ?is subp>agraph1 ! t]m ambulance div]sion has ! mean+ giv5 su* t]m 9 section #b ( ! ,,rese>* ,act ( #bjbj4 4 7#b7 ,critical access hospitals ,section #ahad7l7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;f7l77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#f7 7,a7 7i7 ,9 ! case t ! ,secret>y det]m9es1 ) respect to a cal5d> qu>t] occurr+ 9 ! p]iod beg9n+ ) #bjba & end+ ) #bjbd1 t a critical access hospital has compli$ ) ! provisions ( section #c7;a7 ( ! ,,rese>* ,act ( #bjbj ) respect to ea* ambulance div]sion 7if any7 t occurr$ dur+ su* qu>t]1 ! ,secret>y %all increase1 by ! p]c5tage specifi$ 9 clause 7ii7 = su* qu>t]1 ! am\nt o!rwise payable to su* hospital "u p>agraph 7#a7 = s]vices furni%$ dur+ ! succe$+ qu>t]4 7ii7 ,= purposes ( clause 7i71 ! p]c5tage specifi$ 9 ?is clause is1 ) respect to a cal5d> qu>t] occurr+ 9-- 7,i7 #bjba or #bjbb1 #a p]c5t2 or 7,,ii7 #bjbc or #bjbd1 #j4e p]c5t4 7,b7 7i7 ,9 ! case t ! ,secret>y det]m9es1 ) respect to a cal5d> qu>t] occurr+ 9 #bjbe or a subsequ5t ye>1 t a critical access hospital has fail$ to report an ambulance div]sion occurr+ dur+ su* qu>t] to ! ,secret>y 9 accordance ) section #c7;a7 ( ! ,,rese>* ,act ( #bjbj1 ! ,secret>y %all r$uce1 by ! p]c5tage specifi$ 9 clause 7ii7 = su* qu>t]1 ! am\nt o!rwise payable to su* hospital "u p>agraph 7#a7 = s]vices furni%$ dur+ ! succe$+ qu>t]4 7ii7 ,= purposes ( clause 7i71 ! p]c5tage specifi$ 9 ?is clause is1 ) respect to a cal5d> qu>t] occurr+ 9-- 7,i7 #bjbe1 #a p]c5t2 or 7,,ii7 #bjbf or a subsequ5t ye>1 #b p]c5t4 4 7c7 ,def9ition ,9 ?is section3 7#a7 ,! t]m ambulance div]sion has ! mean+ giv5 to su* t]m 9 section #b4 7#b7 ,! t]m hospital means a subsection 7d7 hospital 7z def9$ 9 section #ahhf7;d77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#a77;,b7771 or a critical access hospital 7z def9$ 9 section #ahfa7mm7 ( su* ,act 7#db ,u4,s4,c4 #aciex7mm7771 enroll$ "u section #ahff7;j7 ( su* ,act 7#db ,u4,s4,c4 #acib;cc7j774