,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #hhij  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #ai1        
#bjbb,mr4 ,ruiz 7= himself1 ,mr4        
,buc%on1 ,mr4 ,bey]1 & ,mr4 ,murphy (   
,nor? ,c>ol9a7 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 title      
,,xviii ( ! ,social ,security ,act to   
e/abli% exceptions = c]ta9 physician    
wellness programs1 & = o!r purposes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,physician ,wellness ,program ,act (  
#bjbb4  #b4 ,exception = physician      
wellness programs  7a7 ,exception =     
physician wellness programs  7#a7 ,9    
g5]al ,section #ahgg7;e7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acienn7e77 is am5d$ by add+ at ! end ! 
foll[+3  7#i7 ,physician wellness       

programs ,a bona fide m5tal heal? or    
behavioral heal? improvem5t or ma9t5ance
 program (f]$ to a physician by an      
entity1 if-- 7,a7 su* program-- 7i7     
consi/s ( c\nsel+1 m5tal heal? s]vices1 
a suicide prev5tion program1 or a       
sub/ance use disord] prev5tion &        
treatm5t program2  7ii7 is made         
available to a physician = ! prim>y     
purpose ( prev5t+ suicide1 improv+ m5tal
 heal? & resili5cy1 or provid+ tra9+ 9  
appropriate /rategies to promote ! m5tal
 heal? & resili5cy ( su* physician2     
7iii7 is set out 9 a writt5 policy1     
approv$ 9 advance ( ! op]ation ( !      
program by ! gov]n+ body ( ! entity     
provid+ su* program1 t includes-- 7,i7 a
 description ( ! cont5t & duration ( !  
program2  7,,ii7 a description ( !      
evid5ce-bas$ support = ! design ( !     
program2  7,,iii7 ! e/imat$ co/ ( !     
program2  7,,iv7 ! p]sonnel 7includ+ !  
qualifications ( su* p]sonnel7 implem5t+
 ! program2 &  7,v7 ! me?od by :i* su*  
entity w evaluate ! use & success ( !   

program2  7iv7 is (f]$ by an entity ) a 
=mal m$ical /aff to all physicians :o   
practice 9 ! geographic area s]v$ by su*
 entity1 includ+ physicians :o hold bona
 fide appo9tm5ts to ! m$ical /aff ( su* 
entity or o!rwise h cl9ical privileges  
at su* entity2  7v7 is (f]$ to all su*  
physicians on ! same t]ms & conditions &
 )\t reg>d to ! volume or value (       
ref]rals or o!r bus9ess g5]at$ by a     
physician = su* entity2  7vi7 is        
evid5ce-bas$ & conduct$ by a qualifi$   
heal? pr(essional2 &  7vii7 meets su*   
o!r requirem5ts ! ,secret>y may impose  
by regulation z ne$$ to protect aga9/   
program or pati5t abuse2  7,b7 su*      
entity is-- 7i7 a hospital2  7ii7 an    
ambulatory surgical c5t]2  7iii7 a      
community heal? c5t]2  7iv7 a rural     
em]g5cy hospital2  7v7 a rural heal?    
cl9ic2  7vi7 a skill$ nurs+ facility2 or
  7vii7 a simil> entity1 z det]m9$ by ! 
,secret>y2 &  7,c7 nei!r ! provision (  
su* program1 nor ! value ( su* program1 
are cont+5t ^u ! numb] or value (       

ref]rals made by a physician to su*     
entity4  4  7#b7 ,regulation ,n lat] ?an
 #a ye> aft] ! date ( enactm5t ( ?is    
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all promulgate su* regulations
 z are necess>y to c>ry out ! am5dm5t   
made by p>agraph 7#a74  7b7 ,exception  
"u ! anti-,kickback /atute ,section     
#aabh;,b7b77#c7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acbj;a-#g;b7b77#c77
 is am5d$-- 7#a7 9 subp>agraph 7,j71 by 
/rik+ & at ! end2  7#b7 9 subp>agraph   
7,k71 by /rik+ ! p]iod at ! end & ins]t+
 2 &2 &  7#c7 by add+ at ! end ! foll[+3
  7,l7 a bona fide m5tal heal? or       
behavioral heal? improvem5t or ma9t5ance
 program1 if-- 7i7 su* program-- 7,i7   
consi/s ( c\nsel+1 m5tal heal? s]vices1 
a suicide prev5tion program1 or a       
sub/ance use disord] prev5tion &        
treatm5t program2  7,,ii7 is made       
available to a physician & o!r cl9icians
 = ! prim>y purpose ( prev5t+ suicide1  
improv+ m5tal heal? & resili5cy1 or     
provid+ tra9+ 9 appropriate /rategies to

 promote ! m5tal heal? & resili5cy ( su*
 physician2  7,,iii7 is set out 9 a     
writt5 policy1 approv$ 9 advance ( !    
op]ation ( ! program by ! gov]n+ body ( 
! entity provid+ su* program1 t         
includes-- 7aa7 a description ( ! cont5t
 & duration ( ! program2  7bb7 a        
description ( ! evid5ce-bas$ support = !
 design ( ! program2  7cc7 ! e/imat$ co/
 ( ! program2  7dd7 ! p]sonnel 7includ+ 
! qualifications ( su* p]sonnel7        
implem5t+ ! program2 &  7ee7 ! me?od by 
:i* su* entity w evaluate ! use &       
success ( ! program2  7,,iv7 is (f]$ by 
an entity ) a =mal m$ical /aff to all   
physicians & o!r cl9icians :o practice 9
 ! geographic area s]v$ by su* entity1  
includ+ physicians :o hold bona fide    
appo9tm5ts to ! m$ical /aff ( su* entity
 or o!rwise h cl9ical privileges at su* 
entity2  7,v7 is (f]$ to all su*        
physicians & cl9icians on ! same t]ms & 
conditions & )\t reg>d to ! volume or   
value ( ref]rals or o!r bus9ess g5]at$  
by a physician or cl9ician = su* entity2

  7,,vi7 is evid5ce-bas$ & conduct$ by a
 qualifi$ heal? pr(essional2 &  7,,vii7 
meets su* o!r requirem5ts ! ,secret>y   
may impose by regulation z ne$$ to      
protect aga9/ program or pati5t abuse2  
7ii7 su* entity is-- 7,i7 a hospital2   
7,,ii7 an ambulatory surgical c5t]2     
7,,iii7 a community heal? c5t]2  7,,iv7 
a rural em]g5cy hospital2  7,v7 a skill$
 nurs+ facility2 or  7,,vi7 any simil>  
entity1 z det]m9$ by ! ,secret>y2 &     
7iii7 nei!r ! provision ( su* program1  
nor ! value ( su* program1 are cont+5t  
^u ! numb] or value ( ref]rals made by a
 physician or o!r cl9ician to su*       
entity4  4