,i  #aahth ,,congress  #ast ,session    
,h4 ,r4 #cbcg  ,,in ,,the ,,house ,,of  
,,representatives  ,may #aa1 #bjbc,mr4  
,joyce of ,pennsylvania 7for himself and
 ,mr4 ,sarbanes7 introduced the         
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to require   
each off-campus outpatient department of
 a provider to include a unique         
identifier on claims for items and      
services1 and to require providers with 
a department of a provider to submit to 
the ,centers for ,medicare  ,medicaid   
,services an attestation with respect to
 each such department4  #a4 ,requiring a
 separate identification number and an  
attestation for each off-campus         

outpatient department of a provider     
,section #ahcc7t7 of the ,social        
,security ,act 7#db ,u4,s4,c4 #aciel7t77
 is amended by adding at the end the    
following new paragraph3  7#bc7 ,use of 
unique health identifiers2 attestation  
7,a7 ,in general ,no payment may be made
 under this subsection 7or under an     
applicable payment system pursuant to   
paragraph 7#ba77 for items and services 
furnished on or after ,january #a1      
#bjbf1 by an off-campus outpatient      
department of a provider 7as defined in 
subparagraph 7,c77 unless-- 7i7 such    
department has obtained1 and such items 
and services are billed under1 a unique 
health identifier 7as established       
pursuant to standards described in      
section #aagc7;b77 that is separate from
 such identifier for such provider2 and 
7ii7 such provider has submitted to the 
,secretary1 during the #b-year period   
ending on the date such items and       
services are so furnished1 an           
attestation that such department is     

compliant with the requirements         
described in section #dac4fe of title   
#db1 ,code of ,federal ,regulations 7or 
a successor regulation74  7,b7 ,process 
for submission and review ,not later    
than #a year after the date of enactment
 of this paragraph1 the ,secretary      
shall1 through notice and comment       
rulemaking1 establish a process for each
 provider with an off-campus outpatient 
department of a provider to submit an   
attestation pursuant to subparagraph    
7,a77ii71 and for the ,secretary to     
review each such attestation and        
determine1 through site visits or       
through remote audits 7as determined    
appropriate by the ,secretary71 whether 
such department is compliant with the   
requirements described in such          
subparagraph4  7,c7 ,off-campus         
outpatient department of a provider     
defined ,for purposes of this paragraph1
 the term off-campus outpatient         
department of a provider means a        
department of a provider 7as defined in 

section #dac4fe of title #db1 ,code of  
,federal ,regulations1 or any successor 
regulation7 that is not located-- 7i7 on
 the campus 7as defined in such section7
 of such provider2 or  7ii7 within the  
distance 7described in such definition  
of campus7 from a remote location of a  
hospital facility 7as defined in such   
section74  4