,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #gfjf  ,,in ,,the ,,house ,,of  
,,representatives  ,july #ac1 #bjbj,mr4 
,williams 7for himself and ,ms4 ,johnson
 of ,texas7 introduced the following    
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to require the ,comptroller    
,general to submit to ,congress a report
 on the impact of the ,medicaid ,fiscal 
,accountability ,regulation1 to limit   
the authority for the ,secretary of     
,health and ,human ,services1 and for   
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,,mfar         
,transparency ,act4  #b4 ,reporting     
requirement relating to the ,medicaid   
,fiscal ,accountability ,regulation  7a7
 ,comptroller ,general report ,not later
 than #b years after the date of the    
enactment of this ,act1 the ,comptroller
 ,general shall submit to ,congress a   
report that-- 7#a7 identifies the       
reporting requirements that are         
necessary to ensure that ,states comply 

with laws and regulations with respect  
to the financing of the non-,federal    
share of expenditures under ,state plans
 under title ,,xix of the ,social       
,security ,act 7#db ,u4,s4,c4 #acif et  
seq472  7#b7 estimates the financial    
impact of the proposed rulemaking       
entitled1 ,medicaid ,program2 ,medicaid 
,fiscal ,accountability ,regulation     
published by the ,secretary of ,health  
and ,human ,services on ,november #ah1  
#bjai with respect to all health care   
facilities that receive supplemental or 
direct payments under such title ,,xix  
funded through intergovernmental        
transfers2  7#c7 evaluate the impact of 
the proposed rulemaking described in    
paragraph 7#b7 with respect to ,state   
and local budgets1 including the impact 
of tax increases that would be necessary
 to maintain current funding for        
hospitals and nursing homes that receive
 payments from intergovernmental        
transfers 7as of the date of enactment  
of this ,act72 and  7#d7 identifies the 

impact of the proposed rulemaking       
described in paragraph 7#b7 with respect
 to intergovernmental transfers of funds
 from units of government within a      
,state and provider taxes paid          
authorized under section #aijc7w7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif;b7w774  7b7 ,limitation of        
authority for the ,secretary of ,health 
and ,human ,services ,the ,secretary of 
,health and ,human ,services may not    
take any action 7through promulgation of
 regulation1 issuance of regulatory     
guidance1 or other administrative       
action71 unless the #aafth ,congress    
enacts a resolution that authorizes such
 action1 to finalize or otherwise       
implement provisions contained in the   
proposed rulemaking described in        
subsection 7a77#b74