,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #hgc  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #ca1 #bjbe,mr4
 ,mc,cormick introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,arm$   
,s]vices  ,a ,,bill  ,to am5d title #aj1
 ,unit$ ,/ates ,code1 to modify ! rate (
 pay = c>e or s]vices provid$ "u !      
,,tric>e program bas$ on ! location at  
:i* su* c>e or s]vices 7 provid$4  #a4  
,,tric>e reimbursem5t rates  7a7 ,rates 
,section #ajig;b7a7 ( title #aj1 ,unit$ 
,/ates ,code1 is am5d$-- 7#a7 9 p>agraph
 7#a71 by ins]t+ & p>agraph 7#c77;,a7   
aft] ,subject to p>agraph 7#b72 &  7#b7 
9 p>agraph 7#c71 by /rik+ ,9 e/abli%+ & 
ins]t+ ! foll[+3  7,a7 7i7 ,except z    
provid$ by p>agraph 7#a71 if ! ,secret>y
 may det]m9e among m ?an "o reimbursem5t
 rate to pay a heal? c>e provid] = c>e  
or s]vices provid$ "u ! ,,tric>e        
program1 ! ,secret>y %all pay ! l[e/    
rate au?oriz$ = su* c>e or s]vices4     
7ii7 ,! ,secret>y %all e/abli%          
reimbursem5t rates = c>e or s]vices paid

 to heal? c>e provid]s "u ! ,,tric>e    
program t are specific ) respect to !   
foll[+ locations at :i* ! c>e or s]vices
 7 provid$ 7reg>dless ( ! location ( !  
headqu>t]s ( ! heal? c>e provid]73 7,i7 
,an inpati5t hospital4  7,,ii7 ,an      
on-campus hospital outpati5t dep>tm5t4  
7,,iii7 ,an (f-campus hospital outpati5t
 dep>tm5t4  7,,iv7 ,an ambulatory       
surgical c5t]4  7,v7 ,! (fice ( a       
physician4  7iii7 ,! ,secret>y %all     
ensure t a claim = reimbursem5t includes
 a unique1 geographically specific      
national provid] id5tifi] code t        
id5tifies ! location ( ! provid] z      
describ$ 9 clause 7ii74  7,b7 ,9        
e/abli%+  4  7b7 ,effective date ,!     
am5dm5ts made by subsection 7a7 %all    
take effect on ,janu>y #a1 #bjbf4