,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #cbcg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #aa1 #bjbc,mr4   
,joyce ( ,p5nsylvania 7= himself & ,mr4 
,s>banes7 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   
require ea* (f-campus outpati5t dep>tm5t
 ( a provid] to include a unique        
id5tifi] on claims = items & s]vices1 & 
to require provid]s ) a dep>tm5t ( a    
provid] to submit to ! ,c5t]s = ,m$ic>e 
,m$icaid ,s]vices an atte/ation )       
respect to ea* su* dep>tm5t4  #a4       
,requir+ a sep>ate id5tification numb] &
 an atte/ation = ea* (f-campus outpati5t
 dep>tm5t ( a provid] ,section #ahcc7t7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciel7t77 is am5d$ by add+ at

 ! end ! foll[+ new p>agraph3  7#bc7    
,use ( unique heal? id5tifi]s2          
atte/ation  7,a7 ,9 g5]al ,no paym5t may
 be made "u ?is subsection 7or "u an    
applicable paym5t sy/em pursuant to     
p>agraph 7#ba77 = items & s]vices       
furni%$ on or aft] ,janu>y #a1 #bjbf1 by
 an (f-campus outpati5t dep>tm5t ( a    
provid] 7z def9$ 9 subp>agraph 7,c77    
unless-- 7i7 su* dep>tm5t has obta9$1 & 
su* items & s]vices are bill$ "u1 a     
unique heal? id5tifi] 7z e/abli%$       
pursuant to /&>ds describ$ 9 section    
#aagc7;b77 t is sep>ate f su* id5tifi] =
 su* provid]2 &  7ii7 su* provid] has   
submitt$ to ! ,secret>y1 dur+ ! #b-ye>  
p]iod end+ on ! date su* items & s]vices
 are s furni%$1 an atte/ation t su*     
dep>tm5t is compliant ) ! requirem5ts   
describ$ 9 section #dac4fe ( title #db1 
,code ( ,f$]al ,regulations 7or a       
successor regulation74  7,b7 ,process = 
submission & review ,n lat] ?an #a ye>  
aft] ! date ( enactm5t ( ?is p>agraph1 !
 ,secret>y %all1 ?r\gh notice & comm5t  

rulemak+1 e/abli% a process = ea*       
provid] ) an (f-campus outpati5t        
dep>tm5t ( a provid] to submit an       
atte/ation pursuant to subp>agraph      
7,a77ii71 & = ! ,secret>y to review ea* 
su* atte/ation & det]m9e1 ?r\gh site    
visits or ?r\gh remote audits 7z det]m9$
 appropriate by ! ,secret>y71 :e!r su*  
dep>tm5t is compliant ) ! requirem5ts   
describ$ 9 su* subp>agraph4  7,c7       
,(f-campus outpati5t dep>tm5t ( a       
provid] def9$ ,= purposes ( ?is         
p>agraph1 ! t]m (f-campus outpati5t     
dep>tm5t ( a provid] means a dep>tm5t ( 
a provid] 7z def9$ 9 section #dac4fe (  
title #db1 ,code ( ,f$]al ,regulations1 
or any successor regulation7 t is n     
locat$-- 7i7 on ! campus 7z def9$ 9 su* 
section7 ( su* provid]2 or  7ii7 )9 !   
di/ance 7describ$ 9 su* def9ition (     
campus7 f a remote location ( a hospital
 facility 7z def9$ 9 su* section74  4