,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #hhbf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,novemb] #cj1         
#bjbj,ms4 ,sewell ( ,alabama 7= h]self1 
,mr4 ,pascrell1 & ,mr4 ,suozzi7         
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 ! ,,impact ,act (     
#bjad to reset data collection & !      
developm5t ( a paym5t sy/em te*nical    
prototype = po/-acute c>e provid]s "u ! 
,m$ic>e program to take into acc\nt !   
effects ( ,,covid-#ai4  #a4 ,%ort title 
,?is ,act may be cit$ z ,! ,resett+ !   
,impact ,act 7,,tria7 ( #bjbj4  #b4     
,resett+ data collection & ! developm5t 
( a paym5t sy/em te*nical prototype =   
po/-acute c>e provid]s "u ! ,m$ic>e     
program to take into acc\nt ! effects ( 
,,covid-#ai  7a7 ,9 g5]al ,section      

#b7;b77#b7 ( ! ,,impact ,act ( #bjad    
7,public ,law #aac-ahe7 is am5d$-- 7#a7 
9 subp>agraph 7,a7-- 7,a7 9 ! matt]     
prec$+ clause 7i71 by /rik+ ,n lat] ?an 
& all t foll[s ?r\gh subsection 7a71 &  
ins]t+ ,n e>li] ?an ! date t is #b ye>s 
aft] ! lat] ( ,janu>y #a1 #bjba1 & !    
date by :i* ! ,secret>y ( ,heal? &      
,human ,s]vices has collect$ at lea/ #ab
 specifi$ cal5d> qu>t]s 7z def9$ 9      
subp>agraph 7,c77 ( /&>diz$ pati5t      
assessm5t data "u subsection 7b7 (      
section #ahii;,b ( ! ,social ,security  
,act1 ( data on quality measures "u     
subsection 7c7 ( su* section1 & (       
res\rce use & claims data "u subsection 
7d7 ( su* section f ea* ( ! ,,pac paym5t
 sy/ems 7z def9$ 9 subsection           
7a77#b77;,d7 ( su* section712  7,b7 9   
clause 7i7-- 7i7 9 subclause 7,,iii71 by
 /rik+ & at ! end2  7ii7 9 subclause    
7,,iv71 by /rik+ ! p]iod at ! end &     
ins]t+ a semicolon2 &  7iii7 by add+ at 
! end ! foll[+ new subclauses3  7,v7    
ensure t paym5ts "u ! sy/em w\ld be     

suffici5t to support ! res\rces ne$$ to 
provide quality pati5t c>e1 includ+ )   
respect to items & s]vices ne$$ by !    
highe/-acuity pati5ts1 includ+ ^? ) or  
recov]+ f m$ically-complex occurr5ces ( 
,,covid-#ai & ^? ) major or extreme     
sev]ity ( illness 7z def9$ by ! ,all    
,pati5ts ,ref9$ ,diagnosis ,relat$      
,gr\ps 7,,apr-,,drg7 pati5t             
classification sy/em71 to ensure t su*  
individuals reta9 access to c>e 9       
relevant ,,pac provid] sett+s2  7,,vi7  
take into acc\nt1 to ! greate/ ext5t    
possible1 ! mo/ rec5tly available ,,pac 
provid] data describ$ 9 any (           
subsections 7b7 ?r\gh 7d7 ( section     
#ahii;,b ( su* ,act2 &  7,,vii7 tak+    
into acc\nt ! impact assessm5t describ$ 
9 clause 7vi71 ensure t paym5t & access 
to c>e "u ! sy/em w\ld be adequate = ea*
 ,,pac provid] sett+ dur+ a p&emic (    
simil> scope & impact z t ( ,,covid-#ai4
  2  7,c7 9 clause 7iv71 by /rik+ & at !
 end2  7,d7 9 clause 7v7 by /rik+ !     
p]iod at ! end & ins]t+ 2 &2 &  7,e7 by 

add+ at ! end ! foll[+ new clause3  7vi7
 an impact assessm5t t-- 7,i7 evaluates 
! capabilities & limitations ( ea* ,,pac
 provid] sett+ ) respect to quality (   
c>e1 pati5t safety1 & conta9m5t (       
infecti\s disease dur+ ! em]g5cy p]iod  
describ$ 9 section #aace7;g77#a77;,b7 ( 
! ,social ,security ,act2  7,,ii7       
reviews & comp>es ! relative            
capabilities ( ea* ,,pac provid] sett+ 9
 meet+ ! cl9ical ne$s ( individuals )   
,,covid-#ai & ! ne$s ( ref]r+ acute-c>e 
hospitals1 includ+ a specific assessm5t 
( su* capabilities ) respect to         
individuals ) high-acuity ,,covid-#ai   
cases1 includ+ su* individuals requir+  
v5tilator s]vices & su* individuals )   
major & extreme levels ( sev]ity (      
illness 7z def9$ "u ! ,,apr-,d,r,gs     
pati5t classification sy/em7 &          
individuals requir+ int5sive m$ical     
rehabilitation1 !rapy1 & rehabilitation 
nurs+ c>e2  7,,iii7 evaluates ! relative
 abilities ( ea* ,,pac provid] sett+ to 
prev5t1 mitigate1 & conta9 !            

intra-facility & community spread (     
,,covid-#ai2  7,,iv7 specifies ! types (
 adju/m5ts 9 cl9ical capacity1 infection
 control protocols1 isolation space1    
physical plant1 p]sonnel1 access to     
p]sonal protective equipm5t1 & o!r      
*anges by ea* ,,pac provid] sett+ ne$$  
to safely mitigate ! spread ( future    
p&emics t are simil> 9 scope & impact to
 t ( ,,covid-#ai2 &  7,v7 is made       
publicly available at lea/ #f mon?s be=e
 ! date on :i* ! report "u ?is          
subp>agraph is submitt$ to ,congress4  2
 &  7#b7 by add+ at ! end ! foll[+ new  
subp>agraph3  7,c7 ,specifi$ cal5d>     
qu>t] def9$ ,= purposes ( subp>agraph   
7,a71 ! t]m specifi$ cal5d> qu>t] means 
a cal5d> qu>t]-- 7i7 beg9n+ aft] !      
prospective paym5t sy/em = home heal?   
ag5cies "u section #ahie ( ! ,social    
,security ,act has incorporat$ !        
,pati5t-,driv5 ,gr\p+s ,model 7z        
describ$ at #hc ,f$4 ,reg4 #efddf et    
seq472  7ii7 beg9n+ aft] ! prospective  
paym5t sy/em = skill$ nurs+ facilities  

"u section #ahhh7;e7 ( su* ,act has     
incorporat$ ! ,pati5t-,driv5 ,paym5t    
,model 7z describ$ 9 #hc ,f$4 ,reg4     
#ciafb et seq472 &  7iii7 no portion (  
:i* occurs dur+ a nationwide public     
heal? em]g5cy decl>$ by ! ,secret>y     
pursuant to section #cai ( ! ,public    
,heal? ,s]vice ,act ) respect to :i* any
 waiv] has be5 effectuat$ by ! ,secret>y
 pursuant to section #aace ( ! ,social  
,security ,act4  4  7b7 ,effective date 
,! am5dm5ts made by subsection 7a7 %all 
take effect z if includ$ 9 ! enactm5t ( 
! ,,impact ,act ( #bjad 7,public ,law   
#aac-ahe74