,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #gec  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #ab1 #bjai,mr4    
,br[n 7= himself1 ,mr4 ,:iteh\se1 ,mrs4 
,capito1 ,ms4 ,coll9s1 ,mr4 ,k+1 ,mrs4  
,%ahe51 ,mr4 ,re$1 ,mr4 ,leahy1 ,mr4    
,blum5?al1 ,mr4 ,coons1 ,ms4 ,hassan1   
,ms4 ,h>ris1 ,mr4 ,pet]s1 ,ms4 ,klobu*>1
 ,mr4 ,c>d91 ,ms4 ,smi?1 ,mr4 ,m>key1   
,ms4 ,/ab5[1 & ,ms4 ,w>r57 introduc$ !  
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to c\nt a p]iod ( receipt
 ( outpati5t obs]vation s]vices 9 a     
hospital t[>d satisfy+ ! #c-;day        
inpati5t hospital requirem5t = cov]age (
 skill$ nurs+ facility s]vices "u       
,m$ic>e4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,improv+ ,access to ,m$ic>e 
,cov]age ,act ( #bjai4  #b4 ,c\nt+ a    
p]iod ( receipt ( outpati5t obs]vation  
s]vices 9 a hospital t[>d ! #c-;day     
inpati5t hospital requirem5t = cov]age (
 skill$ nurs+ facility s]vices "u       

,m$ic>e  7a7 ,9 g5]al ,section #ahfa7;i7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciex7i77 is am5d$ by add+ at
 ! end ! foll[+3 ,= purposes ( ?is      
subsection1 an individual receiv+       
outpati5t obs]vation s]vices %all be    
deem$ to be an inpati5t dur+ su* p]iod1 
& ! date su* individual ceases receiv+  
su* s]vices %all be deem$ ! hospital    
dis*>ge date 7unless su* individual is  
admitt$ z a hospital inpati5t at ! end (
 su* p]iod744  7b7 ,effective date ,!   
am5dm5t made by subsection 7a7 %all     
apply to receipt ( outpati5t obs]vation 
s]vices beg9n+ on or aft] ,janu>y #a1   
#bjai1 b applies to a p]iod (           
po/-hospital ext5d$ c>e s]vices t 0     
complet$ be=e ! date ( ! enactm5t ( ?is 
,act only if an adm9i/rative appeal is  
or has be5 made ) respect to su* s]vices
 n lat] ?an #ij days aft] ! date ( !    
enactm5t ( ?is ,act4 ,not)/&+ any o!r   
provision ( law1 ! ,secret>y ( ,heal? & 
,human ,s]vices may implem5t su* am5dm5t
 ?r\gh an int]im f9al regulation1       

program in/ruction1 or o!rwise4