,i #aai? ,,congress #a/ ,session ,h4 ,r4 #ecdg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #ae1 #bjbe,mr4 ,bu*anan 7= himself1 ,mr4 ,panetta1 ,mr4 ,cr5%aw1 & ,mr4 ,la,hood7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means1 & 9 addition to ! ,committee on ,en]gy & ,comm]ce1 = 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 to ensure ! availability ( appropriate collection types = quality report+ "u ! ,m$ic>e ,%>$ ,sav+s ,program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,heal? ,c>e ,effici5cy ,?r\gh ,flexibility ,act4 #b4 ,ensur+ availability ( appropriate collection types = quality report+ "u ! ,m$ic>e ,%>$ ,sav+s ,program ,section #ahii7;b77#c77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;jjj7b77#c77;,b77 is am5d$-- 7#a7 by /rik+ ,an ,,aco %all submit & ins]t+ ! foll[+3 7i7 ,9 g5]al ,an ,,aco %all submit 2 & 7#b7 by add+ at ! end ! foll[+ new clauses3 7ii7 ,requir$ availability ( collection types = c]ta9 ye>s ,= p]=mance ye>s #bjbe ?r\gh #bjbi1 ! ,secret>y %all ensure t ! foll[+ collection types 7z describ$ 9 section #dad4acje ( title #db1 ,code ( ,f$]al ,regulations 7or a successor regulation77 are available ) respect to ea* measure describ$ 9 subp>agraph 7,a77i7 requir$ to be report$ by an ,,aco "u ?is p>agraph3 7,i7 ,electronic cl9ical quality measures4 7,,ii7 ,,mips cl9ical quality measures4 7,,iii7 ,m$ic>e ,cl9ical ,quality ,measures = ,acc\ntable ,c>e ,organizations ,p>ticipat+ 9 ! ,m$ic>e ,%>$ ,sav+s ,program4 7iii7 ,cl>ification on application ( data complet5ess requirem5ts 9 c]ta9 cases 7,i7 ,9 g5]al ,9 det]m9+ :e!r data submitt$ by an ,,aco ) respect to a measure describ$ 9 subp>agraph 7,a77i7 = a p]=mance ye> beg9n+ on or aft] ,janu>y #a1 #bjbe1 satisfies ! data complet5ess requirem5ts applicable to su* measure "u section #dad4acdj ( title #db1 ,code ( ,f$]al ,regulations 7or a successor regulation7 7z appli$ pursuant to section #dbe4eab ( title #db1 ,code ( ,f$]al ,regulations 7or a successor regulation771 ! ,secret>y may n f9d su* data to be unrepres5tative ( su* ,,aco's p]=mance = su* ye> 7z describ$ 9 p>agraph 7e7 ( su* section #dad4acdj7 bas$ solely on ! fact t su* data excludes applicable data f #a or m ,,aco p>ticipants 9 su* ,,aco if-- 7aa7 su* data submitt$ by ! ,,aco o!rwise complies ) ! data complet5ess requirem5ts ( su* section #dad4acdj2 & 7bb7 su* ,,aco demon/rates to ! satisfaction ( ! ,secret>y t su* ,,aco p>ticipant 0 unable to collect su* data ?r\gh ! collection type 7z describ$ 9 clause 7ii77 select$ by ! ,,aco = ! submission ( su* data4 7,,ii7 ,def9ition ,9 ?is clause1 ! t]m ,,aco p>ticipant has ! mean+ giv5 su* t]m 9 section #dbe4bj ( title #db1 ,code ( ,f$]al ,regulations 7or a successor regulation74 7,,iii7 ,implem5tation ,! ,secret>y may implem5t ?is clause by program in/ruction or o!rwise4 4 #c4 ,pilot program = digital quality measure report+ ,section #ahii7;b77#c77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;jjj7b77#c77;,b771 z am5d$ by section #b1 is fur!r am5d$ by add+ at ! end ! foll[+ new clause3 7iv7 ,pilot program = digital quality measure report+ 7,i7 ,9 g5]al ,= ea* ( p]=mance ye>s #bjbh ?r\gh #bjcb1 ! ,secret>y %all e/abli% a digital quality measure report+ pilot program 79 ?is clause ref]r$ to z ! program7 "u :i* ,a,c,os select$ "u subclause 7,,ii7 = su* p]=mance ye> report quality measures specifi$ by ! ,secret>y "u subclause 7,,iii7 = su* p]=mance ye> ?r\gh a digital quality measure collection type specifi$ by ! ,secret>y4 7,,ii7 ,selection ,! ,secret>y %all select ,a,c,os to p>ticipate 9 ! program = a p]=mance ye> f among ,a,c,os t submit an application at su* "t & 9 su* =m & mann] z specifi$ by ! ,secret>y4 7,,iii7 ,specification ( quality measures ,= ea* p]=mance ye> ( ! program1 ! ,secret>y %all specify #b measures describ$ 9 subp>agraph 7,a77i7 o!rwise requir$ to be report$ by ,a,c,os = su* p]=mance ye> = :i* an ,,aco select$ "u subclause 7,,ii7 %all submit data ?r\gh ! collection type specifi$ 9 subclause 7,i74 7,,iv7 ,waiv] ( requirem5t to report o!r measures ,! ,secret>y may n require an ,,aco select$ "u subclause 7,,ii7 = a p]=mance ye> to report data on any measure describ$ 9 subp>agraph 7,a7 o!rwise requir$ to be report$ by an ,,aco "u ?is p>agraph = su* p]=mance ye>1 o!r ?an su* a measure specifi$ "u subclause 7,,iii7 = su* p]=mance ye>4 7,v7 ,disreg>d ( data = c]ta9 measures ,! ,secret>y may n take into acc\nt any data = a measure specifi$ "u subclause 7,,iii7 = a p]=mance ye> submitt$ by an ,,aco select$ "u subclause 7,,ii7 = su* p]=mance ye>1 or any data = a measure ) respect to :i* su* ,,aco is n requir$ to report data = su* p]=mance ye> "u subclause 7,,iv71 9 det]m9+-- 7aa7 :e!r su* ,,aco has met quality p]=mance /&>ds e/abli%$ by ! ,secret>y "u subp>agraph 7,c7 = su* p]=mance ye>2 or 7bb7 any score = ! quality p]=mance category 7z describ$ 9 section #ahdh7q77#b77;,a77i77 = an ,,aco p>ticipant 7z def9$ 9 clause 7iii77,,ii77 9 su* ,,aco = su* p]=mance ye>4 7,,vi7 ,te*nical assi/ance ,! ,secret>y %all provide su* te*nical assi/ance to ,a,c,os select$ to p>ticipate 9 ! program z is practicable4 7,,vii7 ,provision ( in=mation ,n lat] ?an ,decemb] #ca1 #bjcb1 ! ,secret>y %all publicly po/ 7or include z "p ( annual rulemak+ = ?is section7 ! foll[+3 7aa7 ,an analysis ( ! program4 7bb7 ,any recomm5dations = increas+ submissions ( data = measures describ$ 9 subp>agraph 7,a77i7 ?r\gh ! collection type specifi$ 9 subclause 7,i74 7cc7 ,a propos$ timel9e = requir+ su* measures to be submitt$ ?r\gh su* collection type4 4