,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #gcig  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #ae1         
#bjbd,mrs4 ,trahan 7= h]self & ,mr4     
,valadao7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,ways &      
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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   
e/abli% a def9ition ( ess5tial heal?    
sy/em 9 /atute4  #a4 ,e/abli%+ a        
def9ition ( ess5tial heal? sy/em 9      
/atute ,section #ahfa ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 am5d$ by add+ at ! end ! foll[+ new    
subsection3  7nnn7 ,ess5tial heal? sy/em
 ,! t]m ess5tial heal? sy/em means a    
hospital--  7#a7 t is a subsection 7d7  
hospital 7z def9$ 9 section             
#ahhf7;d77#a77;,b772  7#b7 t is a       
non-,f$]al gov]nm5tal or private        

nonpr(it hospital2 &  7#c7 t-- 7,a7     
meets ! requirem5ts ( a ,m$icaid deem$  
disproportionate %>e hospital 7z        
describ$ 9 section #aibc7;b77#a772  7,b7
 has a ,m$ic>e disproportionate pati5t  
p]c5tage ( at lea/ #ce p]c5t 7z def9$ 9 
section #ahhf7;d77#e77;,f77vi772 or     
7,c7 has a ,m$ic>e disproportionate %>e 
hospital uncomp5sat$ c>e paym5t factor (
 #j4jjje or m1 7z def9$ 9 section       
#ahhf7r77#b77;,c774  4