,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #ajjig  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,novemb] #a1 #bjbd,ms4
 ,van ,duyne 7= h]self & ,mr4 ,panetta7 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,ways & ,means  ,a     
,,bill  ,to am5d title ,,xviii ( !      
,social ,security ,act to adju/ !       
hospice program survey & en=cem5t       
proc$ures "u ! ,m$ic>e program4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,enhanc+ ,hospice ,ov]sight &           
,transp>5cy ,act4  #b4 ,adju/+ hospice  
program survey & en=cem5t proc$ures "u !
 ,m$ic>e program  7a7 ,special focus    
program ,section #ahbb7;b7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acie;i-#f7;b77 is am5d$-- 7#a7 9       
p>agraph 7#a71 by ins]t+ 1 beg9n+ n     
e>li] ?an ! date specifi$ 9 p>agraph    
7#c71 aft] %all2 &  7#b7 by add+ at !   
end ! foll[+ new p>agraphs3  7#c7 ,date 
specifi$ ,= purposes ( p>agraph 7#a71 ! 
date specifi$ 9 ?is p>agraph is-- 7,a7  
,janu>y #a1 #bjbg1 or  7,b7 ! date on   

:i* a ,/ate or local survey ag5cy1 or an
 approv$ accr$itation ag5cy1 has1 dur+ !
 mo/ rec5t #cf-mon? p]iod specifi$ 9    
subsection 7a71 conduct$ at lea/ #a     
survey "u su* subsection ) respect to   
ea* entity t is c]tifi$ z a hospice     
program 7z describ$ 9 su* subsection7 z 
( ! date ( ! enactm5t ( ! ,enhanc+      
,hospice ,ov]sight & ,transp>5cy ,act1  
:i*ev] is e>li]4  7#d7 ,fe$back reports 
,on or aft] ,janu>y #a1 #bjbg1 !        
,secret>y may publicly id5tify a hospice
 program t is select$ = su* special     
focus program z be+ s select$ if1 n lat]
 ?an #fj days be=e su* public           
id5tification1 ! ,secret>y provides a   
confid5tial fe$back report to su*       
hospice program t includes ! ,secret>y's
 rationale = su* selection4  4  7b7     
,increas+ paym5t r$uctions = failure ,to
 meet quality data report+ requirem5ts  
,section #ahad7;i77#e77;,a77i7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acie;f7i77#e77;,a77i77 is am5d$ by     
/rik+ by #b p]c5tage po9ts 7or1 = fiscal

 ye> #bjbd & ea* subsequ5t fiscal ye>1  
#d p]c5tage po9ts74 & ins]t+ by-- 7,i7 =
 fiscal ye>s #bjad ?r\gh #bjbc1 #b      
p]c5tage po9ts2  7,,ii7 = fiscal ye>s   
#bjbd ?r\gh #bjbf1 #d p]c5tage po9ts2 & 
7,,iii7 = fiscal ye> #bjbg & ea*        
subsequ5t fiscal ye>1 #aj p]c5tage      
po9ts4  4  7c7 ,increas+ public aw>5ess 
( failure ,to meet quality data report+ 
requirem5ts ,section #ahad7;i77#e77;,e7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acie;f7i77#e77;,e77 is am5d$ 
by ins]t+ ! failure ( a hospice program 
to submit su* data "u subp>agraph 7,c7 &
 aft] ,! ,secret>y %all report4