,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #cdag  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ag1 #bjbc,mr4   
,h]n 7= himself & ,ms4 ,ku/]7 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 ensure fair bill+ practices
 = items & s]vices furni%$ by (f-campus 
outpati5t dep>tm5ts ( a provid]4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,facilitat+ ,acc\ntability ,9           
,reimbursem5ts ,act or ! ,,fair ,act4   
#b4 ,ensur+ fair bill+ practices = items
 & s]vices furni%$ by (f-campus         
outpati5t dep>tm5ts ( a provid]  7a7    
,sep>ate ,n,p,is = (f-,campus outpati5t 
dep>tm5ts ( a provid]  7#a7 ,9 g5]al    
,section #aagc7;b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acbj;d-#b7;b77 is 
am5d$ by add+ at ! end ! foll[+ new     

p>agraph3  7#c7 ,ensur+ sep>ate ,n,p,is 
= (f-campus outpati5t dep>tm5ts ( a     
provid] ,! /&>ds specifi$ "u p>agraph   
7#a7 %all ensure t1 n lat] ?an ,janu>y  
#a1 #bjbe1 ea* (f-campus outpati5t      
dep>tm5t ( a provid] 7z def9$ 9 section 
#ahcc7t77#ba77;,b77 is assign$ a sep>ate
 unique heal? id5tifi] f su* provid]4  4
  7#b7 ,treatm5t ( c]ta9 dep>tm5ts z    
subp>ts ( a hospital ,n lat] ?an ,janu>y
 #a1 #bjbe1 ! ,secret>y ( ,heal? &      
,human ,s]vices %all revise sections    
#afb4djh & #afb4daj ( title #de1 ,code (
 ,f$]al ,regulations1 to ensure t ea*   
(f-campus outpati5t dep>tm5t ( a provid]
 7z def9$ 9 section #ahcc7t77#ba77;,b7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciel7t77#ba77;,b777 is treat$ z a    
subp>t 7z describ$ 9 su* sections7 ( su*
 provid] & assign$ a unique heal?       
id5tifi] pursuant to section            
#aagc7;b77#c7 ( su* ,act 7z add$ by     
p>agraph 7#a774  7b7 ,(f-,campus        
dep>tm5ts ( a provid] bill+ requirem5ts 
7#a7 ,m$ic>e  7,a7 ,9 g5]al ,section    

#ahff7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;cc7a77#a77 is     
am5d$-- 7i7 9 subp>agraph 7,x71 by /rik+
 & at ! end2  7ii7 9 subp>agraph        
7,y77ii77,v71 by /rik+ ! p]iod & ins]t+ 
1 &2 &  7iii7 by ins]t+ aft] subp>agraph
 7,y7 ! foll[+ new subp>agraph3  7,z7 9 
! case ( a hospital ) an (f-campus      
outpati5t dep>tm5t ( a provid] 7z def9$ 
9 section #ahcc7t77#ba77;,b771 ) respect
 to items & s]vices furni%$ at su*      
dep>tm5t ( a provid] on or aft] ,janu>y 
#a1 #bjbe1 to bill "u ?is title 7includ+
 "u "p ,c ( ?is title7 = su* items &    
s]vices us+ ! unique heal? id5tifi]     
e/abli%$ = su* dep>tm5t ( a provid]     
pursuant to section #aagc7;b77#c7 on a  
,,hipaa ,x#ab #hcg,p transaction or     
,,cms #aejj =m 7or a successor          
transaction or =m74  4  7,b7 ,compliance
 reviews ,9 conduct+ any regul> reviews 
( (f-campus outpati5t dep>tm5ts ( a     
provid] 7z def9$ 9 section              
#ahcc7t77#ba77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    

#aciel7t77#ba77;,b777 = purposes (      
det]m9+ :e!r su* dep>tm5ts are compliant
 ) ! requirem5ts ( section #dac4fe (    
title #db1 ,code ( ,f$]al ,regulations  
7or any successor regulation71 !        
,secret>y ( ,heal? & ,human ,s]vices    
%all prioritize review+ su* dep>tm5ts t1
 prior to bill+ = cov]$ ,,opd s]vices 7z
 def9$ 9 section #ahcc7t7 ( su* ,act    
7#db ,u4,s4,c4 #aciel7t777 "u "p ,b (   
title ,,xviii ( su* ,act 7#db ,u4,s4,c4 
#acie;j et seq471 7 furni%+ items &     
s]vices bill$ solely by individual      
practition]s or gr\p practices "u su* "p
 & t are n locat$ 9 a rural area 7z     
def9$ 9 section #ahhf7;d77#b77;,d7 ( su*
 ,act 7#db ,u4,s4,c4                    
#acieww7d77#b77;,d7774  7#b7 ,o!r       
provid]s ,"p ,e ( title ,,xxvii ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#aca et seq47 is am5d$
 by add+ at ! end ! foll[+ new section3 
#bgii;,b-#aj4 ,bill+ requirem5ts =      
(f-campus dep>tm5ts ( a provid] ,a heal?
 c>e provid] may n1 ) respect to items &

 s]vices furni%$ to an individual at an 
(f-campus outpati5t dep>tm5t ( a provid]
 7z def9$ 9 section #ahcc7t77#ba77;,b7 (
 ! ,social ,security ,act71 submit a    
claim = su* items & s]vices to a gr\p   
heal? plan or heal? insurance issu]1 &  
may n hold su* individual liable = su*  
items & s]vices1 unless su* items &     
s]vices are bill$-- 7#a7 us+ ! sep>ate  
unique heal? id5tifi] e/abli%$ = su*    
dep>tm5t pursuant to section            
#aagc7;b77#c7 ( su* ,act2 &  7#b7 on a  
,,hipaa ,x#ab #hcg,p transaction or     
,,cms #aejj =m 7or a successor          
transaction or =m74  4  7#c7 ,effective 
date ,! am5dm5t made by p>agraph 7#a7   
%all apply ) respect to claims submitt$ 
= items & s]vices furni%$ on or aft]    
,janu>y #a1 #bjbe4