,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #gead  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #i1 #bjbj,mr4   
,rodney ,davis ( ,ill9ois 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 am5d title ,,xviii ( !     
,social ,security ,act to require1 z a  
condition ( p>ticipation "u ! ,m$ic>e   
program1 ea* hospital to adopt &        
implem5t evid5ce-bas$ sepsis protocols1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,gabby's ,law ,act 
4  #b4 ,requirem5t z condition (        
p>ticipation "u ,m$ic>e program =       
hospitals to adopt & implem5t           
evid5ce-bas$ sepsis protocols  7a7 ,9   
g5]al ,section #ahff7;a77#a7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acie;cc7a77#a77 is am5d$-- 7#a7 9      

subp>agraph 7,w71 by mov+ ! m>g9 ( su*  
subp>agraph #b ems to ! left2  7#b7 9   
subp>agraph 7,x7-- 7,a7 by mov+ ! m>g9 (
 su* subp>agraph #b ems to ! left2 &    
7,b7 by /rik+ & at ! end2  7#c7 9       
subp>agraph 7,y77ii77,v71 by /rik+ !    
p]iod at ! end & ins]t+ 1 &2 &  7#d7 by 
ins]t+ aft] subp>agraph 7,y7 ! foll[+   
new subp>agraph3  7,z7 beg9n+ on ! date 
t is "o ye> aft] ! date ( ! enactm5t (  
?is subp>agraph1 9 ! case ( a hospital--
 7i7 to adopt1 implem5t1 & p]iodically  
update evid5ce-bas$ sepsis protocols 7z 
def9$ 9 section #ahfa7kkk772 &  7ii7 to 
ensure t pr(essional /aff ( ! hospital )
 direct pati5t c>e responsibilities &1 z
 det]m9$ appropriate by ! hospital1 /aff
 ( ! hospital ) indirect pati5t c>e     
responsibilities 7includ+ laboratory &  
ph>macy /aff7 p]iodically receive tra9+ 
7:i* %all be updat$ 9 accordance ) any  
sub/antial update made "u clause 7i7 to 
! evid5ce-bas$ sepsis protocols ( !     
hospital7 to implem5t su* evid5ce-bas$  
sepsis protocols4  4  7b7 ,evid5ce-,bas$

 sepsis protocols def9$ ,section #ahfa (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciex7 is am5d$ by add+ at ! end !    
foll[+ new subsection3  7kkk7           
,evid5ce-,bas$ sepsis protocols ,! t]m  
evid5ce-bas$ sepsis protocols means1 )  
respect to a hospital1 protocols bas$ on
 g5]ally accept$ /&>ds ( c>e = ! e>ly   
recognition & treatm5t ( individuals )  
sepsis1 sev]e sepsis1 or septic %ock & t
 include ea* ( ! foll[+3 7#a7 ,a process
 = id5tify+ 7includ+ ?r\gh scre5+s7 &   
provid+ treatm5t = adults ) sepsis1     
sev]e sepsis1 or septic %ock1 tak+ into 
acc\nt :e!r su* treatm5t is be+ provid$ 
z an inpati5t hospital s]vice or 9 !    
em]g5cy dep>tm5t ( ! hospital4  7#b7 ,a 
process = id5tify+ 7includ+ ?r\gh       
scre5+s7 & provid+ treatm5t = *ildr5 )  
sepsis1 sev]e sepsis1 or septic %ock1   
tak+ into acc\nt :e!r su* treatm5t is   
be+ provid$ z an inpati5t hospital      
s]vice or 9 ! em]g5cy dep>tm5t ( !      
hospital4  7#c7 ,a process & explicit   
crit]ia = exclud+ c]ta9 individuals1 su*

 z an individual ) an exclusion>y       
cl9ical condition 7z specifi$ by !      
hospital7 or an individual :o has elect$
 palliative c>e1 f ! process describ$ 9 
p>agraph 7#a7 or 7#b74  7#d7 ,guidel9es 
= hemodynamic support ) explicit        
physiologic & treatm5t goals1 a         
me?odology = invasive & non-invasive    
hemodynamic monitor+1 & timeframe goals4
  7#e7 ,) respect to *ildr5 7includ+    
infants71 guidel9es = fluid             
resuscitation consi/5t ) any            
evid5ce-bas$ guidel9es = sev]e sepsis & 
septic %ock t h def9$ !rapeutic goals = 
*ildr54  7#f7 ,a process = id5tify+ !   
infecti\s s\rce ( ! sepsis1 sev]e       
sepsis1 or septic %ock & deliv]+ e>ly   
broad spectrum antibiotics ) timely     
reevaluation to adju/ treatm5t 9 a mann]
 t t>gets any id5tifi$ infecti\s s\rce4 
7#g7 ,crit]ia = use1 bas$ on accept$    
evid5ce ( vasoactive ag5ts4  4