,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #hgdi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #ad1 #bjbd,mr4  
,kelly ( ,p5nsylvania introduc$ ! foll[+
 bill2 :i* 0 ref]r$ to ! ,committee on  
,ways & ,means  ,a ,,bill  ,to am5d     
title ,,xviii ( ! ,social ,security ,act
 to promote prep>$ness & ,m$ic>e        
b5efici>y access to saf]1 m accurate    
/]ile intrav5\s drug prep>ations ?r\gh  
automat$ hospital infra/ructure4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,saf] ,comp\nd+ 9 ,hospitals ,act (     
#bjbd4  #b4 ,promot+ prep>$ness & m$ic>e
 b5efici>y access to saf]1 m accurate   
/]ile intrav5\s drug prep>ations ?r\gh  
automat$ hospital infra/ructure ,section
 #ahhf7;d77#e7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acieww7d77#e77 is  
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,n7 7i7 ,subject to      
clause 7iv71 9 ! case ( a subsection 7d7
 hospital & ) respect to a dis*>ge ( an 
individual occurr+ on or aft] ,octob]   
#a1 #bjbe1 & be=e ,octob] #a1 #bjca1 :o 

0 furni%$ a /]ile intrav5\s treatm5t    
prep>$ ) clos$ sy/em automation device  
te*nology 7z def9$ 9 clause 7v77 by su* 
hospital 9 compliance ) all applicable  
requirem5ts & regulations ( ! ,food &   
,drug ,adm9i/ration1 ! ,secret>y %all   
provide an additional paym5t to su*     
hospital ( #dj = ea* su* treatm5t s     
furni%$4  7ii7 ,! ,secret>y %all e/abli%
 a me?od to id5tify /]ile intrav5\s     
treatm5ts prep>$ ) clos$ sy/em          
automation device te*nology ?r\gh ! use 
( ,,icd #aj ,,pcs codes1 diagnosis      
codes1 condition codes1 or su* o!r means
 z det]m9$ appropriate by ! ,secret>y4  
7iii7 ,! ,secret>y %all make su*        
adju/m5ts to paym5ts "u ?is subsection z
 ! ,secret>y det]m9es necess>y to ensure
 t aggregate exp5ditures "u ?is         
subsection ) respect to a fiscal ye> )  
application ( ?is subp>agraph are       
e/imat$ to be equal to su* exp5ditures  
"u ?is subsection ) respect to su* ye>  
)\t application ( ?is subp>agraph4  7iv7
 ,aggregate paym5ts made "u ?is         

subp>agraph ) respect to dis*>ges       
occurr+ dur+ a fiscal ye> may n exce$   
#dj1jjj1jjj4  7v7 ,= purposes ( ?is     
subp>agraph1 ! t]m clos$ sy/em          
automation device te*nology means       
equipm5t t is cle>$ or approv$ by !     
,food & ,drug ,adm9i/ration & t-- 7,i7  
aseptically comp\nds ready-to-adm9i/]   
comp\nd$ /]ile prep>ations )\t direct   
human manipulation2  7,,ii7 creates1    
monitors1 & assures an uncompromis$     
,,iso #e environm5t1 ) cont9u\s         
isolation ( its int]ior f ! ext]nal     
environm5t2  7,,iii7 demon/rates        
unidirectional air )9 ! comp\nd+ *amb] &
 load+ area or areas2  7,,iv7           
incorporates b>code v]ification ( all   
drug +r$i5ts1 :i* are compris$ solely ( 
f9i%$ /]ile drug products approv$ by !  
,food & ,drug ,adm9i/ration2  7,v7      
assures drug dose accuracy & control us+
 gravimetric 7or comp>able7 analysis2   
7,,vi7 provides photographic evid5ce (  
all supply conta9]s2  7,,vii7 applies   
labels to comp\nd$ /]ile prep>ations )9 

,,iso #e environm5t2  7,,viii7 ma9ta9s  
detail$ comp\nd+1 clean+1 & o!r         
op]ational records2 &  7,,ix7 is        
develop$1 manufactur$1 & s]vic$ z a     
ph>macy comp\nd+ device or sy/em p]     
guidance promulgat$ by ! ,food & ,drug  
,adm9i/ration4  4