,i #aah? ,,congress #a/ ,session ,h4 ,r4 #cbfb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #aa1 #bjbc,ms4 ,s*ak[sky 7= h]self & ,mr4 ,bilirakis7 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 ,,xi ( ! ,social ,security ,act to increase transp>5cy ( c]ta9 heal?-relat$ own]%ip in=mation4 #a4 ,m&atory report+ ) respect to c]ta9 heal?-relat$ own]%ip in=mation ,"p ,a ( title ,,xi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acja et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #aaej;,d4 ,m&atory report+ ) respect to c]ta9 heal?-relat$ own]%ip in=mation 7a7 ,m&atory report+ ) respect c]ta9 heal?-,relat$ own]%ip in=mation 7#a7 ,initial report ,n lat] ?an ,janu>y #a1 #bjbe 7or 9 ! case ( a specifi$ entity =m$ aft] ,janu>y #a1 #bjbe1 )9 #fj days ( becom+ a specifi$ entity71 ea* specifi$ entity 7z def9$ 9 subsection 7f77#e77 %all submit to ! ,secret>y1 9 a =m & mann] specifi$ by ! ,secret>y1 a report conta9+ ! foll[+ in=mation3 7,a7 ,data on m]g]s1 acquisitions1 & *anges 9 own]%ip ) respect to su* specifi$ entity = ! previ\s #a-ye> p]iod4 7,b7 ,9 ! case t a specifi$ entity is1 or includes1 a hospital1 ! additional in=mation describ$ 9 subsection 7b74 7,c7 ,z applicable1 ! "n1 address1 & bus9ess /ructure ( ! p>5t company ( su* specifi$ entity 7includ+ ! tax /atus ( su* p>5t company71 z ( ! date ( ! submission ( ?is report4 7,d7 ,any o!r in=mation ) respect to own]%ip ( a specifi$ entity1 z det]m9$ by ! ,secret>y4 7#b7 ,subsequ5t reports ,n lat] ?an #a ye> aft] submitt+ ! report "u p>agraph 7#a71 & annually !reaft]1 ea* specifi$ entity %all submit to ! ,secret>y an updat$ report1 includ+-- 7,a7 7i7 data on m]g]s1 acquisitions1 & *anges 9 own]%ip ) respect to su* entities = ! previ\s #a-ye> p]iod2 & 7ii7 any o!r in=mation ) respect to own]%ip ( a specifi$ entity1 z det]m9$ by ! ,secret>y2 & 7,b7 9 ! case t a specifi$ entity is1 or includes1 a hospital1 ! additional in=mation describ$ 9 subsection 7b74 7b7 ,additional in=mation submitt$ by c]ta9 specifi$ entities ,= purposes ( p>agraphs 7#a77;,b7 & 7#b77;,b7 ( subsection 7a71 ) respect to a specifi$ entity t is1 or includes1 a hospital1 ! in=mation describ$ 9 ?is subsection is ! foll[+ in=mation ) respect to ! previ\s #a-ye> p]iod3 7#a7 ,! bus9ess /ructure ( ! specifi$ entity1 includ+ ! bus9ess type & ! tax /atus ( su* entity4 7#b7 ,! av]age debt-to-e>n+s ratio ( ! specifi$ entity4 7#c7 ,! av]age am\nt ( debt incurr$-- 7,a7 by ! hospital2 & 7,b7 by ! entire specifi$ entity4 7#d7 ,in=mation ) respect to real e/ate leases & pur*ases = prop]ty us$1 or int5d$ to be us$1 to furni% or o!rwise support ! provision ( heal? c>e s]vices4 7#e7 ,9 ! case ( a non-pr(it hospital1 a subsidi>y ( a non-pr(it hospital1 or a #eja7;c77#c7 entity t %>es common own]%ip ) a non-pr(it hospital1 capital ga9s inve/m5ts 7disaggregat$ by ! type ( inve/m5t7 & any taxes paid on su* ga9s f su* inve/m5ts4 7#f7 ,z applicable1 in=mation ) respect to ! p>5t company ( su* specifi$ entity4 7c7 ,public report+ ,n lat] ?an ,janu>y #a1 #bjbg1 & annually !reaft]1 ! ,secret>y %all po/ on a publicly available website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices a report ) respect to ! previ\s #a-ye> p]iod1 includ+-- 7#a7 ! numb] ( specifi$ entities report+ = su* ye>1 disaggregat$ by ! bus9ess /ructure ( ea* specifi$ entity2 7#b7 ! numb] ( own]s ( ea* specifi$ entity2 7#c7 any *ange 9 own]%ip = ea* specifi$ entity2 7#d7 any *ange 9 ! tax /atus ( a specifi$ entity2 7#e7 an analysis ( tr5ds 9 horizontal & v]tical consolidation1 disaggregat$ by bus9ess /ructure & provid] type2 & 7#f7 z applicable1 ! "n1 address1 & bus9ess /ructure ( ! p>5t company ( su* specifi$ entity 7includ+ ! bus9ess type & ! tax /atus ( su* p>5t company74 7d7 ,audits ,! ,secret>y %all conduct an annual audit consi/+ ( a r&om sample ( specifi$ entities to v]ify compliance ) ! requirem5ts ( ?is section & ! accuracy ( in=mation submitt$ pursuant to ?is section4 7e7 ,p5alty = failure ,to report ,if a specifi$ entity fails to provide a complete report "u subsection 7a71 or submits a report conta9+ false in=mation1 su* entity %all be subject to a civil monet>y p5alty ( n m ?an #e1jjj1jjj = ea* su* report n provid$ or conta9+ false in=mation4 ,su* p5alty %all be impos$ & collect$ 9 ! same mann] z civil money p5alties "u subsection 7a7 ( section #aabh;,a are impos$ & collect$ "u t section4 7f7 ,inapplicability ( ,pap]work ,r$uction ,act ,*apt] #ce ( title #dd1 ,unit$ ,/ates ,code1 %all n apply to collections ( in=mation made "u ?is section4 7g7 ,def9itions ,9 ?is section3 7#a7 ,heal? plan ,! t]m heal? plan has ! mean+ giv5 su* t]m 9 section #aabh;,c7c74 7#b7 ,hospital ,! t]m hospital has ! mean+ giv5 su* t]m 9 section #ahfa7;e74 7#c7 ,indep5d5t free/&+ em]g5cy dep>tm5t ,! t]m indep5d5t free/&+ em]g5cy dep>tm5t has ! mean+ giv5 su* t]m 9 section #bgii;,a-#a7;a77#c77;,d7 ( ! ,public ,heal? ,s]vice ,act4 7#d7 ,private equity company ,! t]m private equity company means a publicly trad$ or non-publicly trad$ company t collects capital inve/m5ts f individuals or entities & pur*ases an own]%ip %>e ( a provid] ( s]vices 7z def9$ 9 section #ahfa7u774 7#e7 ,specifi$ entity ,! t]m specifi$ entity means-- 7,a7 a hospital2 7,b7 a physician-own$ physician practice ) m ?an #be physicians = a ye>2 7,c7 a physician practice own$ by a hospital1 a heal? plan1 a private equity company1 or a v5ture capital firm2 7,d7 an ambulatory surgical c5t] meet+ ! /&>ds specifi$ "u section #ahcb7;a77#b77;,f77i72 or 7,e7 an indep5d5t free/&+ em]g5cy dep>tm5t4 7#f7 ,v5ture capital fund ,! t]m v5ture capital fund has ! mean+ giv5 su* t]m 9 section #bge4bjc7l7-#a( title #ag1 ,code ( ,f$]al ,regulations4 4