,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #haac  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bc1 #bjbd,mr4 
,griffi? introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
require report+ on c]ta9 direct$ paym5ts
 "u ! ,m$icaid program4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,transp>5cy  
into ,/ate ,direct$ ,paym5ts ,act (     
#bjbd4  #b4 ,/ate direct$ paym5t report+
 requirem5ts ,section #aijc ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #acif;b7  
is am5d$ by add+ at ! end ! foll[+ new  
subsection3  7cc7 ,/ate direct$ paym5t  
report+ requirem5ts  7#a7 ,collection & 
availability ( direct$ paym5t data  7,a7
 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbf1
 ! ,secret>y %all e/abli% a sy/em = ea* 
,/ate to submit a report1 at int]vals z 
det]m9$ appropriate by ! ,secret>y1 on  
direct$ paym5t data1 z a requirem5t = a 
,/ate plan or a ,/ate plan am5dm5t t    
w\ld provide = a direct$ paym5t         

arrangem5t4  7,b7 ,requirem5ts ,ea*     
report submitt$ by a ,/ate 9 accordance 
) ! requirem5t e/abli%$ "u subp>agraph  
7,a7 %all include ! foll[+3 7i7 ,an     
explanation ( h[ direct$ paym5ts made "u
 ! ,/ate plan or a ,/ate plan am5dm5t w 
result 9 paym5ts t are consi/5t )       
section #aijb7;a77#cj77;,a71 includ+    
/&>ds ) respect to effici5cy1 economy1  
quality ( c>e1 & access1 along ) ! /at$ 
purpose & int5d$ effects ( ! direct$    
paym5t4  7ii7 ,! crit]ia us$ to det]m9e 
:i* provid]s are eligible to receive !  
direct$ paym5t4  7iii7 ,a compreh5sive  
description ( ! me?odology us$ to       
calculate ! am\nt (1 & di/ribute1 !     
direct$ paym5t to ea* eligible provid]1 
includ+-- 7,i7 data on ! am\nt ( !      
direct$ paym5t made to ea* eligible     
provid]1 if kn[n1 or1 if ! total am\nt  
is di/ribut$ us+ a =mula bas$ on data f 
#a or m fiscal ye>s1 data on ! total    
am\nt ( ! direct$ paym5ts = ! fiscal ye>
 or ye>s available to all provid]s      
eligible to receive a direct$ paym5t2   

7,,ii7 if applicable1 ! specific crit]ia
 ) respect to ,m$icaid s]vice1          
utilization1 or co/ data to be us$ z !  
basis = calculations reg>d+ ! am\nt or  
di/ribution ( ! direct$ paym5t2 &       
7,,iii7 ! tim+ ( ! direct$ paym5t made  
to ea* eligible provid]4  7iv7 ,an      
analysis ( h[ total ,m$icaid paym5ts    
made to an eligible provid]1 includ+ !  
direct$ paym5t1 comp>e relative to !    
upp] paym5t limit = su* provid] & !     
av]age comm]cial rate = ! s]vices to :i*
 ! paym5t relates4  7v7 ,! net paym5t   
rate to a provid] receiv+ a direct$     
paym5t t is inclusive ( base paym5t     
rates1 supplem5tal paym5ts 7z def9$ 9   
subsection 7bb771 & any su* direct$     
paym5ts4  7,c7 ,public availability ,!  
,secret>y %all make all reports & relat$
 data submitt$ "u ?is p>agraph publicly 
available on ! website ( ! ,c5t]s =     
,m$ic>e  ,m$icaid ,s]vices on a timely  
basis4  7#b7 ,def9itions ,9 ?is         
subsection3 7,a7 ,direct$ paym5t        
arrangem5t ,! t]m direct$ paym5t        

arrangem5t means a contract arrangem5t  
betwe5 a ,/ate & a manag$ c>e           
organization1 prepaid ambulatory heal?  
plan1 or prepaid inpati5t heal? plan t  
directs ! exp5ditures ( su* manag$ c>e  
organization1 prepaid ambulatory heal?  
plan1 or prepaid inpati5t heal? plan 9 a
 mann] all[able "u section #dch4f (     
title #db1 ,code ( ,f$]al ,regulations  
7or any successor regulation74  7,b7    
,direct$ paym5t ,! t]m direct$ paym5t   
means a paym5t to a provid] made        
pursuant to a direct$ paym5t arrangem5t4
  7,c7 ,prepaid ambulatory heal? plan2  
prepaid inpati5t heal? plan ,! t]ms     
prepaid ambulatory heal? plan & prepaid 
inpati5t heal? plan h ! mean+ giv5 ea*  
su* t]m 9 section #dch4b ( title #db1   
,code ( ,f$]al ,regulations 7or any     
successor regulation74  4