,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajgca  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,octob] #e1 #bjbf,ms4 
,davids ( ,kansas introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means  ,a ,,bill  ,to adju/ !  
co/ pass-?r\gh = c]tifi$ regi/]$ nurse  
ane/heti/s "u ! ,m$ic>e program4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,rural ,surg]y ,su/a9ability ,act (     
#bjbf4  #b4 ,adju/+ ! co/ pass-?r\gh =  
c]tifi$ regi/]$ nurse ane/heti/s "u !   
,m$ic>e program  7a7 ,9 g5]al ,section  
#icbj7k7 ( ! ,omnibus ,budget           
,reconciliation ,act ( #aihf1 z add$ by 
section #fjh7;c7 ( ! ,family ,support   
,act ( #aihh & z am5d$ by section #facb 
( ! ,omnibus ,budget ,reconciliation    
,act ( #aihi1 is am5d$--  7#a7 9        
p>agraph 7#b7-- 7,a7 by /rik+ #ejj &    
ins]t+ #a1bej2 &  7,b7 by add+ at ! end 
! foll[+ new s5t5ce3 ,! prec$+ s5t5ce   
%all n apply to a hospital = a ye> 9 !  
case su* hospital has an active labor & 
deliv]y unit dur+ su* ye>44  7#b7 by    

add+ at ! end ! foll[+ new p>agraphs3   
7#d7 ,! ,secret>y %all1 n less frequ5tly
 ?an once e #b ye>s & 9 consultation ) !
 ,am]ican ,association ( ,nurse         
,ane/heti/s1 review ! limit on ! volume 
( surgical proc$ures applicable "u      
p>agraph 7#b7 & ! limit on ! total numb]
 ( h\rs ( s]vice furni%$ by ane/heti/s  
"u section #dab4aac7;c77#b77;i77,b7 (   
title #db1 ,code ( ,f$]al ,regulations  
7or a successor regulation71 & update   
su* limits to reflect any g5]al increase
 9 ! frequ5cy ( furni%+ su* proc$ures1  
includ+ any su* increase attributable to
 new proc$ures4  7#e7 ,not)/&+ p>agraph 
7#c71 9 apply+ any limit on paym5t =    
s]vices furni%$ dur+ a ye> payable on a 
reasonable co/ basis pursuant to ?is    
subsection1 ! ,secret>y %all set su*    
limit at an am\nt equal to ! limit on   
su* paym5t t w\ld h appli$ to su*       
s]vices if furni%$ 9 ! prec$+ ye>1      
increas$ by ! p]c5tage increase 9 !     
,,mei 7z def9$ 9 section #ahdb7;i77#c7 (
 ! ,social ,security ,act7 = su* ye>4   

7#f7 ,! ,secret>y %all revise section   
#dab4aac7;c77#b77;i77,b7 ( title #db1   
,code ( ,f$]al ,regulations 7or a       
successor regulation71 to ensure t1 =   
#bjbg & ea* subsequ5t ye>1 no limit on !
 total numb] ( h\rs ( s]vice furni%$ by 
ane/heti/s applies 9 ! case ( a hospital
 t has an active labor & deliv]y unit   
dur+ su* ye>4  4  7b7 ,revision ( numb] 
( h\rs limit ,! ,secret>y ( ,heal? &    
,human ,s]vices %all revise ! limit on !
 total numb] ( h\rs ( s]vice furni%$ by 
ane/heti/s applicable "u section        
#dab4aac7;c77#b77;i77,b7 ( title #db1   
,code ( ,f$]al ,regulation1 = s]vices   
furni%$ on or aft] ,janu>y #a1 #bjbg1 9 
a mann] t reflects ! increase 9 ! limit 
on ! volume ( surgical proc$ures provid$
 "u ! am5dm5t made by subsection        
7a77#a74  7c7 ,report ,n lat] ?an #a ye>
 aft] ! date ( ! enactm5t ( ?is ,act1 ! 
,m$ic>e ,paym5t ,advisory ,commission   
%all submit to ,congress a report on--  
7#a7 includ+ on-call c]tifi$ regi/]$    
nurse ane/heti/ s]vices z s]vices       

payable pursuant to section #icbj7k7 ( !
 ,omnibus ,budget ,reconciliation ,act (
 #aihf2 &  7#b7 pot5tial su/a9able      
paym5t modifications = s]vices payable  
pursuant to su* section4  7d7 ,effective
 date ,! am5dm5ts made by subsection 7a7
 %all apply ) respect to s]vices furni%$
 on or aft] ,janu>y #a1 #bjbg4