,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #eicb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #i1 #bjba,ms4
 ,ku/] 7= h]self & ,mr4 ,emm]7 introduc$
 ! foll[+ bill2 :i* 0 ref]r$ to !       
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = 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 titles ,,xviii & ,,xix
 ( ! ,social ,security ,act to provide =
 ! improvem5t ( pati5t safety & to r$uce
 ! incid5ce ( injury & dea? f           
opioid-induc$ respiratory depression "u 
! ,m$ic>e & ,m$icaid programs4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,inpati5t ,opioid ,safety ,act ( #bjba4 
#b4 ,prev5t+ opioid-induc$ respiratory  
depression & dea?s "u ! ,m$ic>e &       
,m$icaid programs ?r\gh requir$ monitor+
  7a7 ,m$ic>e ,section #ahff7;a77#a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acie;cc7a77#a77 is am5d$-- 7#a7 9      

subp>agraph 7,x71 by /rik+ & at ! end2  
7#b7 9 subp>agraph 7,y77ii77,v71 by     
/rik+ ! p]iod & ins]t+ 2 &2 &  7#c7 by  
ins]t+ aft] subp>agraph 7,y7 ! foll[+   
new subp>agraph3  7,z7 9 ! case ( a     
hospital or critical access hospital & )
 respect to an individual :o is furni%$1
 on or aft] ,july #a1 #bjbb1 any opioid 
7reg>dless ( r\te ( adm9i/ration7 :ile  
an inpati5t ( su* hospital or critical  
access hospital1 to furni% to su*       
individual1 dur+ ! p]iod beg9n+ at ! "t 
su* opioid is furni%$ & end+ #ab h\rs   
lat] 7or1 if e>li]1 ! "t su* individual 
is dis*>g$71 cont9u\s physiologic       
electronic monitor+ ?r\gh a monitor t-- 
7i7 measures ! adequacy ( ! respiration 
( su* individual to detect opioid-induc$
 respiratory depression ne$+ int]v5tion2
  7ii7 c be configur$ to manage excess  
false al>ms2 &  7iii7 records &         
transmits in=mation on blood oxyg5ation 
or v5tilation ( su* individual1  unless1
 be=e furni%+ su* opioid1 a physician or
 practition] 7z def9$ 9 section         

#ahdb7;b77#ah77;,c77 treat+ su*         
individual det]m9es t su* monitor+ is   
contra9dicat$ & records su* det]m9ation 
9 ! treatm5t records ( su* individual4  
4  7b7 ,m$icaid ,section #aijb7;a7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77-- 7#a7 9 p>agraph 7#hf71 by 
/rik+ & at ! end2  7#b7 9 p>agraph      
7#hg71 by /rik+ ! p]iod & ins]t+ 2 &2 & 
7#c7 by ins]t+ aft] p>agraph 7#hg7 !    
foll[+ new p>agraph3  7#hh7 provide t no
 hospital is eligible to receive paym5ts
 "u su* plan unless su* hospital        
furni%es cont9u\s physiologic electronic
 monitor+ 9 accordance ) ! provisions ( 
section #ahff7;a77#a77,z74  4