,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bahf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bb1 #bjbc,ms4   
,ros5 7= h]self1 ,mr4 ,b>rasso1 & ,ms4  
,baldw97 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to require ! ,c5t] 
= ,m$ic>e & ,m$icaid ,innovation to te/ 
all[+ blood transfusions to be paid     
sep>ately f ! ,m$ic>e hospice           
all-inclusive p] diem paym5t4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,improv+ ,access to ,transfusion ,c>e = 
,hospice ,pati5ts ,act ( #bjbc4  #b4    
,c5t] = ,m$ic>e & ,m$icaid ,innovation  
te/+ ( all[+ blood transfusions to be   
paid sep>ately f ! ,m$ic>e hospice      
all-inclusive p] diem paym5t ,section   
#aaae;,a ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acae;a7 is am5d$-- 7#a7 9   
subsection 7b77#b77;,a71 by add+ at !   
end ! foll[+ new s5t5ce3 8,! models     
select$ "u ?is subp>agraph %all include 
! te/+ ( ! model describ$ 9 subsection  
7h7402 &  7#b7 by add+ at ! end ! foll[+

 new subsection3  7h7 ,te/+ ( all[+     
blood transfusions ,to be paid sep>ately
 f ! ,m$ic>e hospice all-,inclusive p]  
diem paym5t  7#a7 ,9 g5]al ,n lat] ?an  
#a ye> aft] ! date ( enactm5t ( ?is     
subsection1 ! ,,cmi %all e/abli% &      
implem5t a model "u :i* blood           
transfusions furni%$ to an individual   
receiv+ hospice c>e are paid sep>ately f
 ! hospice all-inclusive p] diem paym5t 
"u section #ahad7;i74 ,! sep>ate paym5t 
am\nt = su* blood transfusion %all be ! 
am\nt t w\ld o!rwise apply "u title     
,,xviii if ! transfusion 0 n furni%$ z  
"p ( hospice c>e4  7#b7 ,requirem5ts =  
evaluation ,9 conduct+ any evaluation ( 
! model describ$ 9 p>agraph 7#a7        
pursuant to subsection 7b77#d71 ! ,,cmi 
%all ensure x comp>es p>ticipants "u !  
model ) simil> pati5ts outside ( ! model
 ) respect to ! foll[+ metrics3 7,a7 ,! 
numb] ( *emo!rapy s]vices furni%$ 9 !   
la/ #ad days ( life4  7,b7 ,hospital    
utilization 9 ! la/ #cj days ( life1    
includ+ em]g5cy dep>tm5t visits1        

9-pati5t & obs]vation /atus /ays        
7includ+ ! l5g? ( ! /ays71 & int5sive   
c>e unit 7,,icu7 days4  7,c7 ,h[ _m days
 receiv+ hospice c>e be=e ! end ( life4 
7,d7 ,! numb] ( pati5ts receiv+ hospice 
c>e :o receiv$ a transfusion comp>$ to  
pati5ts ) simil> diagnoses n receiv+    
hospice c>e4  7,e7 ,! av]age frequ5cy ( 
transfusion = pati5ts receiv+ hospice   
c>e comp>$ to pati5ts n receiv+ hospice 
c>e4  7,f7 ,! numb] ( transfusions =    
pati5ts receiv+ hospice c>e comp>$ to   
pati5ts n receiv+ hospice c>e4  7,g7    
,o!r areas det]m9$ appropriate by !     
,,cmi4  4