,i  #aahth ,,congress  #b;d ,session    
,h4 ,r4 #gcig  ,,in ,,the ,,house ,,of  
,,representatives  ,february #ae1       
#bjbd,mrs4 ,trahan 7for herself and ,mr4
 ,valadao7 introduced the following     
bill2 which was referred to the         
,committee on ,ways and ,means1 and in  
addition to the ,committee on ,energy   
and ,commerce1 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 establish 
a definition of essential health system 
in statute4  #a4 ,establishing a        
definition of essential health system in
 statute ,section #ahfa of the ,social  
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 amended by adding at the end the       
following new subsection3  7nnn7        
,essential health system ,the term      
essential health system means a         
hospital--  7#a7 that is a subsection   

7d7 hospital 7as defined in section     
#ahhf7;d77#a77;,b772  7#b7 that is a    
non-,federal governmental or private    
nonprofit hospital2 and  7#c7 that--    
7,a7 meets the requirements of a        
,medicaid deemed disproportionate share 
hospital 7as described in section       
#aibc7;b77#a772  7,b7 has a ,medicare   
disproportionate patient percentage of  
at least #ce percent 7as defined in     
section #ahhf7;d77#e77;,f77vi772 or     
7,c7 has a ,medicare disproportionate   
share hospital uncompensated care       
payment factor of #j4jjje or more1 7as  
defined in section #ahhf7r77#b77;,c774  
4