,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #ifeh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #ba1         
#bjbb,mr4 ,h]n introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,ways & 
,means  ,a ,,bill  ,to am5d title       
,,xviii ( ! ,social ,security ,act to   
e/abli% a new crit]ion = !              
nonapplication ( site-neutral paym5ts to
 long-t]m c>e hospitals "u ! ,m$ic>e    
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,secur+ ,access to ,c>e =   
,s5iors 9 ,critical ,condition ,act (   
#bjbb4  #b4 ,e/abli%+ a new crit]ion = !
 nonapplication ( site-neutral paym5ts  
to long-t]m c>e hospitals "u ! ,m$ic>e  
program ,section #ahhf7m77#f77;,a7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7m77#f77;,a77 is am5d$-- 7#a7 by 
/rik+ or ! v5tilator crit]ion "u clause 
7iv7 & ins]t+ 1 ! v5tilator crit]ion "u 
clause 7iv71 or ! high acuity crit]ion  
describ$ 9 clause 7v72 &  7#b7 by add+  
at ! end ! foll[+ new clause3  7v7 ,high
 acuity crit]ion  7,i7 ,9 g5]al ,!      

crit]ion specifi$ 9 ?is clause 79 ?is   
p>agraph ref]r$ to z ! high acuity      
crit]ion7 = a dis*>ge f a long-t]m c>e  
hospital 9 a fiscal ye> is t-- 7aa7 !   
individual dis*>g$ _h a prim>y diagnosis
 assign$ to a                           
,m$ic>e-,sev]ity-,long-,t]m-,c>e-,diagno
sis-,relat$-,gr\p 7,,ms-,,ltc-,,drg7 ) a
 relative weight = su* fiscal ye> t 0   
equal to or great] ?an ! specifi$ am\nt 
= su* fiscal ye>2 &  7bb7 ! dis*>ge     
occurr$ on or aft] ,octob] #a1 #bjbe4   
7,,ii7 ,specifi$ am\nt def9$ ,= purposes
 ( subclause 7,i71 ! t]m specifi$ am\nt 
means1 ) respect to a fiscal ye>1 an    
am\nt equal to ! #hj? p]c5tile ( !      
relative weights =                      
,m$ic>e-,sev]ity-,long-,t]m-,c>e-,diagno
sis-,relat$-,gr\ps t 7 assign$ to prim>y
 diagnoses = all dis*>ges occurr+ 9 !   
prec$+ fiscal ye>4  4