,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #bdee  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #ab1 #bjba,ms4 
,sewell 7= h]self & ,mr4 ,bu*anan7      
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 ( #bjba or ! ,,tria ,act ( 
#bjba4  #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 #bjbb1
 & ! date by :i* ! ,secret>y ( ,heal? & 
,human ,s]vices has collect$ at lea/ #h 
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 & ins]t+ 2 &2 &
  7iii7 by add+ at ! end ! foll[+ new   
subclause3  7,v7 acc\nt = ! role t ea*  
type ( ,,pac provid] may play dur+      
public heal? em]g5cies1 tak+ into acc\nt

 ! value ( ea* su* type ( provid] dur+ !
 ,,covid-#ai public heal? em]g5cy1 su* z
 ! p]c5t ( pati5t populations s]v$ by   
ea* su* type ( provid] ) or recov]+ f   
,,covid-#ai1 z well z ! acuity levels ( 
su* populations4  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