,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cbbj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,janu>y #ba1 #bjbj,mr4 
,portman introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to cl>ify t 
! provision ( home & community-bas$     
s]vices is n prohibit$ 9 an acute c>e   
hospital1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,ensur+ 
,access to ,direct ,support             
,pr(essionals ,act4  #b4 ,provid+ home &
 community-bas$ s]vices 9 acute c>e     
hospitals ,section #aijb7;h7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acif;a7h77 is am5d$--  7#a7 by ins]t+  
7#a7 aft] 7h72  7#b7 by ins]t+ 1 home & 
community-bas$ s]vices provid$ "u       
subsection 7c71 7d71 or 7i7 ( section   
#aiae or "u a waiv] "u section #aaae1   
self-direct$ p]sonal assi/ance s]vices  
provid$ pursuant to a writt5 plan ( c>e 
"u section #aiae7;j71 & home &          
community-bas$ att5dant s]vices &       

supports "u section #aiae7k7 be=e !     
p]iod2 &  7#c7 by add+ at ! end !       
foll[+3  7#b7 ,no?+ 9 ?is title1 title  
,,xviii1 or title ,,xi %all be con/ru$ z
 prohibit+ receipt ( any c>e or s]vices 
specifi$ 9 p>agraph 7#a7 9 an acute c>e 
hospital t are--  7,a7 id5tifi$ 9 an    
individual's p]son-c5t]$ plan ( s]vices 
& supports 7or comp>able plan ( c>e72   
7,b7 provid$ to meet ne$s ( ! individual
 t are n met ?r\gh ! provision (        
hospital s]vices2  7,c7 n a sub/itute = 
s]vices t ! hospital is obligat$ to     
provide ?r\gh its conditions (          
p>ticipation or "u ,f$]al or ,/ate law2 
&  7,d7 design$ to ensure smoo?         
transitions betwe5 acute c>e sett+s &   
home & community-bas$ sett+s1 & to      
pres]ve ! individual's functions4  4