,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #aibd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #f1 #bjbe,mr4    
,h]n ( ,oklahoma 7= himself1 ,mr4 ,boyle
 ( ,p5nsylvania1 ,mr4 ,joyce (          
,p5nsylvania1 ,mrs4 ,mill] ( ,we/       
,virg9ia1 ,mr4 ,smuck]1 & ,ms4 ,t5ney7  
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 new 
crit]ion = ! nonapplication (           
site-neutral paym5ts to long-t]m c>e    
hospitals "u ! ,m$ic>e program4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,secur+ ,access to ,c>e = ,s5iors 9     
,critical ,condition ,act ( #bjbe4  #b4 
,e/abli%+ a new crit]ion = !            
nonapplication ( site-neutral paym5ts to
 long-t]m c>e hospitals "u ! ,m$ic>e    
program ,section #ahhf7m77#f77;,a7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7m77#f77;,a77 is am5d$--  7#a7 9 
clause 7ii77,i71 by /rik+ or ! v5tilator
 crit]ion "u clause 7iv7 & ins]t+ 1 !   

v5tilator crit]ion "u clause 7iv71 or ! 
high acuity crit]ion describ$ 9 clause  
7v72 &  7#b7 by add+ at ! end ! foll[+  
new clause3  7v7 ,high acuity crit]ion  
,! crit]ion specifi$ 9 ?is clause 79 ?is
 p>agraph ref]r$ to z ! high acuity     
crit]ion7 = a dis*>ge f a long-t]m c>e  
hospital 9 a fiscal ye> is t-- 7,i7 !   
dis*>ge 0 assign$ to a                  
,m$ic>e-,sev]ity-,long-,t]m-,c>e-,diagno
sis-,relat$-,gr\p 7,,ms-,,ltc-,,drg7 ) a
 relative weight = su* fiscal ye> t 0   
equal to or great] ?an #j4h2 &  7,,ii7 !
 dis*>ge occurr$ on or aft] ,octob] #a1 
#bjbf4  4