,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajcaa  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,septemb] #h1         
#bjbf,mr4 ,edw>ds introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means  ,a ,,bill  ,to am5d     
title ,,xviii ( ! ,social ,security ,act
 to e/abli% a civil monet>y p5alty =    
c]ta9 hospitals fail+ to comply ) c]ta9 
requirem5ts :]e su* failure imm$iately  
jeop>dizes ! heal? or safety ( pati5ts4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,heal? ,c>e ,acc\ntability ,mission   
,act ( #bjbf4  #b4 ,e/abli%+ a civil    
monet>y p5alty = c]ta9 hospitals fail+  
to comply ) c]ta9 requirem5ts :]e su*   
failure imm$iately jeop>dizes ! heal? or
 safety ( pati5ts ,section #ahff7;b7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acie;cc7b77 is am5d$ by add+ at ! end !
 foll[+ new p>agraph3  7#e7  7,a7 ,9 !  
case t ! ,secret>y makes a det]m9ation  
describ$ 9 subp>agraph 7,a7 or 7,b7 (   
p>agraph 7#b7 ) respect to a specifi$   
hospital & f9ds t ! failure t is !      

subject ( su* det]m9ation imm$iately    
jeop>dizes ! heal? or safety (          
individuals receiv+ items & s]vices f   
su* hospital1 ! ,secret>y may1 9 ! case 
! ,secret>y has previ\sly made su* a    
det]m9ation & f9d+ ) respect to su*     
hospital dur+ ! #b-ye> p]iod end+ on !  
date ( ! det]m9ation & f9d+ at issue1 9 
addition to or 9 lieu ( any action      
au?oriz$ "u p>agraph 7#b71 impose a     
civil monet>y p5alty 9 an am\nt n to    
exce$ #aj1jjj = ea* day dur+ :i* su*    
failure 0 ongo+4  7,b7 ,! ,secret>y %all
 make available on a public website ( ! 
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices 9 a 
c5traliz$ mann] ea* det]m9ation describ$
 9 subp>agraph 7,a7 ) respect to :i* !  
,secret>y has made a f9d+ describ$ 9 su*
 subp>agraph4  7,c7 ,! provisions (     
section #aabh;,a 7o!r ?an subsections   
7a7 & 7b7 ( su* section7 %all apply to a
 civil monet>y p5alty "u subp>agraph    
7,a7 9 ! same mann] z su* provisions    
apply to a p5alty or proce$+ "u section 
#aabh;,a7a74  7,d7 ,= purposes ( ?is    

p>agraph1 ! t]m specifi$ hospital means 
a hospital1 critical access hospital1 or
 rural em]g5cy hospital ) an agreem5t "u
 ?is section 7o!r ?an su* a hospital1   
critical access hospital1 or rural      
em]g5cy hospital t is a nonpr(it        
entity74  4