,i #aai? ,,congress #a/ ,session ,h4 ,r4 #cjbc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #bd1 #bjbe,mrs4 ,sp>tz introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act & title ,,xxvii ( ! ,public ,heal? ,s]vice ,act to address incorrect bill+ by (f-campus hospital locations1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,prev5t+ ,hospital ,ov]bill+ ( ,m$ic>e ,act4 #b4 ,address+ incorrect bill+ by (f-campus hospital locations 7a7 ,promot+ ,m$ic>e site-,neutral paym5ts 7#a7 ,remov+ c]ta9 exceptions to ! def9ition ( an (f-campus outpati5t dep>tm5t ( a provid] 7,a7 ,9 g5]al ,section #ahcc7t77#ba77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7t77#ba77;,b77 is am5d$ to read z foll[s3 7,b7 ,(f-campus outpati5t dep>tm5t ( a provid] ,= purposes ( p>agraph 7#a77;,b77v7 & ?is p>agraph1 ! t]m (f-campus outpati5t dep>tm5t ( a provid] means a dep>tm5t ( a provid] 7z def9$ 9 section #dac4fe7;a77#b7 ( title #db ( ! ,code ( ,f$]al ,regulations1 z 9 effect z ( ! date ( ! enactm5t ( ! ,bip>tisan ,budget ,act ( #bjae7 t is n locat$-- 7i7 on ! campus 7z def9$ 9 su* section #dac4fe7;a77#b77 ( su* provid]2 or 7ii7 )9 ! di/ance 7describ$ 9 su* def9ition ( campus7 f a remote location ( a hospital facility 7z def9$ 9 su* section #dac4fe7;a77#b774 4 7,b7 ,effective date ,! am5dm5t made by subp>agraph 7,a7 %all apply ) respect to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjbf4 7#b7 ,remov+ site-neutral exception = (f-campus em]g5cy dep>tm5ts ,section #ahcc7t77#ba77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7t77#ba77;,a77 is am5d$ by ins]t+ be=e ,janu>y #a1 #bjbf aft] furni%$4 7#c7 ,cl>ify+ ,secret>ial au?ority to promote site-neutral paym5ts ,section #ahcc7t77#b77;,f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7t77#b77;,f77 is am5d$ by add+ at ! end ! foll[+ new s5t5ce3 ,su* me?od may include actions det]m9$ appropriate by ! ,secret>y to promote site-neutral paym5t policies to r$uce exp5ditures attributable to items & s]vices furni%$ "u ?is "p1 su* z actions to prev5t hospitals f bill+ = items & s]vices furni%$ at an (f-campus outpati5t dep>tm5t ( a provid] z if su* items & s]vices 7 furni%$ at su* hospital44 7b7 ,ensur+ sep>ate ,n,p,is = (f-,campus outpati5t dep>tm5ts ( a provid] 7#a7 ,9 g5]al ,section #aagc7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d-#b7;b77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#c7 ,ensur+ sep>ate ,n,p,is = (f-campus outpati5t dep>tm5ts ( a provid] ,! /&>ds specifi$ "u p>agraph 7#a7 %all ensure t1 n lat] ?an ,janu>y #a1 #bjbf1 ea* (f-campus outpati5t dep>tm5t ( a provid] 7z def9$ 9 section #ahcc7t77#ba77;,b77 is assign$ a sep>ate unique heal? id5tifi] f su* provid]4 4 7#b7 ,treatm5t ( c]ta9 dep>tm5ts z subp>ts ( a hospital ,n lat] ?an ,janu>y #a1 #bjbf1 ! ,secret>y ( ,heal? & ,human ,s]vices %all revise sections #afb4djh & #afb4daj ( title #de1 ,code ( ,f$]al ,regulations1 to ensure t ea* (f-campus outpati5t dep>tm5t ( a provid] 7z def9$ 9 section #ahcc7t77#ba77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7t77#ba77;,b777 is treat$ z a subp>t 7z describ$ 9 su* sections7 ( su* provid] & assign$ a unique heal? id5tifi] pursuant to section #aagc7;b77#c7 ( su* ,act 7z add$ by p>agraph 7#a774 7c7 ,(f-,campus dep>tm5ts ( a provid] bill+ requirem5ts 7#a7 ,m$ic>e ,section #ahff7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7a77#a77 is am5d$-- 7,a7 9 subp>agraph 7,x71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,y77ii77,v71 by /rik+ ! p]iod & ins]t+ 1 &2 & 7,c7 by ins]t+ aft] subp>agraph 7,y7 ! foll[+ new subp>agraph3 7,z7 9 ! case ( a hospital ) an (f-campus outpati5t dep>tm5t ( a provid] 7z def9$ 9 section #ahcc7t77#ba77;,b771 ) respect to items & s]vices furni%$ at su* dep>tm5t ( a provid] on or aft] ,janu>y #a1 #bjbf1 to bill "u ?is title 7includ+ "u "p ,c ( ?is title7 = su* items & s]vices us+ ! unique heal? id5tifi] e/abli%$ = su* dep>tm5t ( a provid] pursuant to section #aagc7;b77#c7 on a ,,hipaa ,x#ab #hcg,p transaction or ,,cms #aejj =m 7or a successor transaction or =m74 4 7#b7 ,o!r provid]s ,"p ,e ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aca et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #bgii;,b-#aj4 ,bill+ requirem5ts = (f-campus dep>tm5ts ( a provid] ,a heal? c>e provid] may n1 ) respect to items & s]vices furni%$ to an individual at an (f-campus outpati5t dep>tm5t ( a provid] 7z def9$ 9 section #ahcc7t77#ba77;,b7 ( ! ,social ,security ,act71 submit a claim = su* items & s]vices to a gr\p heal? plan or heal? insurance issu]1 & may n hold su* individual liable = su* items & s]vices1 unless su* items & s]vices are bill$-- 7#a7 us+ ! sep>ate unique heal? id5tifi] e/abli%$ = su* dep>tm5t pursuant to section #aagc7;b77#c7 ( su* ,act2 & 7#b7 on a ,,hipaa ,x#ab #hcg,p transaction or ,,cms #aejj =m 7or a successor transaction or =m74 4 7#c7 ,effective date ,! am5dm5t made by p>agraph 7#a7 %all apply ) respect to claims submitt$ = items & s]vices furni%$ on or aft] ,janu>y #a1 #bjbf4 7d7 ,,naic model ,act or regulation ,! ,secret>y ( ,heal? & ,human ,s]vices %all reque/ t1 n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,national ,association ( ,insurance ,commission]s e/abli% a model ,act or regulation design$ to address ! issue ( hospitals inappropriately bill+ = items & s]vices furni%$ at (f-campus outpati5t dep>tm5ts ( a provid] 7z def9$ 9 section #ahcc7t77#ba77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aicel7t77#ba77;,b777 by all[+ heal? insurance issu]s & gr\p heal? plans 7z su* t]ms are def9$ 9 section #bgia ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ia77 to reject su* claims unless su* dep>tm5t ( a provid] bills 9 accordance ) ! provisions ( section #bgii;,b-#aj ( su* ,act4 ,! ,secret>y %all reque/ t su* model ,act or regulation include requirem5ts simil> to ^? f\nd 9 ,colorado ,h\se ,bill #ah-abhb4