,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hbga  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #ad1 #bjbf,mr4 
,ob]nolte 7= himself & ,mrs4 ,d+ell7    
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 to require t     
hospitals report int5sive c>e unit b$   
availability 9 real "t z a condition (  
p>ticipation "u ! ,m$ic>e program4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,improv+ ,c>e ,utilization ?r\gh ,b$    
,ex*ange & ,data ,%>+ ,act ( #bjbf or ! 
,,icu ,b$ ,act ( #bjbf4  #b4 ,requir+   
hospitals to report b$ availability 9   
real "t z a ,m$ic>e condition (         
p>ticipation  7a7 ,9 g5]al ,section     
#ahff ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acie;cc7 is am5d$--  7#a7 9  

subsection 7a77#a7-- 7,a7 9 subp>agraph 
7,x71 by /rik+ & at ! end2  7,b7 9      
subp>agraph 7,y71 by /rik+ ! p]iod at ! 
end & ins]t+ 1 &2 &  7,c7 by ins]t+ aft]
 subp>agraph 7,y7 ! foll[+ new          
subp>agraph3  7,z7 beg9n+ #a ye> aft] ! 
date ( ! enactm5t ( ?is subp>agraph1 9 !
 case ( a hospital1 critical access     
hospital1 or rural em]g5cy hospital1 to 
comply ) ! real-"t int5sive c>e unit b$ 
availability requirem5ts describ$ 9     
subsection 7l74  2 &  7#b7 by add+ at ! 
end ! foll[+ new subsection3  7l7       
,real-,"t int5sive c>e unit b$          
availability report+ requirem5ts  7#a7  
,9 g5]al  ,= purposes ( subsection      
7a77#a77,z71 ! real-"t int5sive c>e unit
 b$ availability requirem5ts describ$ 9 
?is subsection are1 ) respect to a      
hospital1 critical access hospital1 or  
rural em]g5cy hospital1 t su* hospital--
  7,a7 p>ticipate 9 a %>$ data report+  
sy/em t provides in=mation 9 real "t    
reg>d+ ! numb] ( int5sive c>e unit b$s  
available at su* hospital to ea*        

hospital1 critical access hospital1 &   
rural em]g5cy hospital p>ticipat+ "u ?is
 title t is locat$ 9 ! same region      
e/abli%$ by ! ,secret>y "u p>agraph 7#b7
 z su* hospital2 &  7,b7 ma9ta9 a %>$   
/rategy ) ea* su* hospital locat$ 9 su* 
region to effici5tly transf] pati5ts    
betwe5 su* hospitals 9 ! case t su* a   
hospital rea*es or ne>s int5sive c>e    
unit b$ capacity4  7#b7  ,regions  ,!   
,secret>y %all e/abli% regions ) respect
 to :i* a hospital1 critical access     
hospital1 or rural em]g5cy hospital %all
 meet ! requirem5ts "u p>agraph 7#a74 ,9
 e/abli%+ su* regions1 ! ,secret>y %all 
take into acc\nt--  7,a7 ! geography &  
population ( a region2 &  7,b7 ! "t x   
takes to travel betwe5 su* hospitals 9 a
 region4  4  7b7 ,p>tn]%ip = ,/ate &    
regional hospital prep>$ness ,section   
#cai;,c-#b ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bdg;d-#c;b7 is     
am5d$-- 7#a7 9 subsection 7c71 by ins]t+
 1 includ+ = activities to prep>e = !   
effici5t transf] ( pati5ts betwe5       

hospitals & o!r heal? c>e facilities to 
prev5t ov]capacity at su* facilities    
dur+ a public heal? em]g5cy1 & be=e )   
respect to2 &  7#b7 9 subsection        
7j77#a71 by ins]t+ & ea* ( fiscal ye>s  
#bjbf ?r\gh #bjca aft] ?r\gh #bjbc4