,i #aai? ,,congress #b;d ,session ,h4 ,r4 #hibc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #bj1 #bjbf,ms4 ,ca/or ( ,florida 7= h]self & ,mr4 ,bu*anan7 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 e/abli% a #b-ye> demon/ration program = hospitals to provide outpati5t obs]vation s]vices to ,m$ic>e b5efici>ies at home4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,at ,home ,obs]vation & ,m$ical ,evaluation ,s]vices ,act ( #bjbf or ! ,at ,,home ,s]vices ,act 4 #b4 ,demon/ration program = hospitals to provide outpati5t obs]vation s]vices to ,m$ic>e b5efici>ies at home ,title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 is am5d$ by ins]t+ aft] section #ahff;,g ! foll[+ new section3 #ahff;,h4 ,demon/ration program = hospitals to provide outpati5t obs]vation s]vices at home 7a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section1 ! ,secret>y %all implem5t a #b-ye> demon/ration program 79 ?is section ref]r$ to z ! ,program7 = hospitals to provide outpati5t obs]vation s]vices to eligible b5efici>ies 9 ! homes ( su* b5efici>ies4 ,9 implem5t+ su* ,program1 ! ,secret>y %all grant waiv]s & flexibilities 7z describ$ 9 subsection 7b77 to an individual hospital t submits a reque/ = su* waiv]s & flexibilities & meets specifi$ crit]ia 7z describ$ 9 subsection 7c77 9 ord] to p>ticipate 9 ! ,program4 7b7 ,waiv]s & flexibilities ,= ! purposes ( subsection 7a71 ! waiv]s & flexibilities describ$ 9 ?is p>agraph are ! foll[+ waiv]s & flexibilities t are made available to individual hospitals "u ! ,acute ,hospital ,c>e at ,home initiative ( ! ,secret>y dur+ ! p]iod describ$ 9 section #ahff;,g7a77#a73 7#a7 ,subject to subsection 7c77#b71 waiv] ( ! requirem5ts to provide #bd-;h\r nurs+ s]vices on premises & = ! imm$iate availability ( a regi/]$ nurse "u section #dhb4bc7;b7 ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation71 & ! waiv]s ( ! physical environm5t & ,life ,safety ,code requirem5ts "u section #dhb4da ( title #db1 ,code ( ,f$]al ,regulations 7or any successor regulation74 7#b7 ,waiv] ( ! teleheal? requirem5ts "u clause 7i7 ( section #ahcd7m77#d77;,c71 z am5d$ by section #daac7;a7 ( ! ,heal? ,ext5d]s1 ,improv+ ,access to ,m$ic>e1 ,m$icaid1 & ,,*ip1 & ,/r5g!n+ ,public ,heal? ,act ( #bjbb1 su* t ! orig9at+ sites describ$ 9 clause 7ii7 ( su* section %all include ! home or tempor>y resid5ce ( ! individual4 7#c7 ,o!r waiv]s & flexibilities t1 z ( ! date ( enactm5t ( ?is section1 7 9 place = su* initiative dur+ su* em]g5cy p]iod4 7c7 ,specifi$ crit]ia ,= purposes ( subsection 7a71 ! specifi$ crit]ia = grant+ su* waiv]s & flexibilities to individual hospitals are3 7#a7 ,! hospital & any o!r entities provid+ s]vices "u arrangem5ts ) ! hospital %all ensure t ! /&>d ( c>e to treat an eligible b5efici>y at home is ! same z ! /&>d ( c>e to treat su* b5efici>y z an inpati5t ( ! hospital4 7#b7 ,! hospital %all meet all pati5t safety /&>ds det]m9$ appropriate by ! ,secret>y1 9 addition to ^? t o!rwise apply to ! hospital1 except ^? = :i* ! waiv]s & flexibilities "u ?is subsection apply4 7#c7 ,! hospital %all provide to ! ,secret>y1 at a "t1 =m & mann] det]m9$ by ! ,secret>y1 any data & in=mation ! ,secret>y det]m9es necess>y to d ! foll[+3 7,a7 ,monitor ! quality ( c>e furni%$1 & to ! ext5t practicable ensure ! safety (1 eligible b5efici>ies & analyze co/s ( su* c>e4 7,b7 ,und]take ! /udy describ$ 9 subsection 7e74 7#d7 ,! hospital meets su* o!r requirem5ts & conditions z ! ,secret>y det]m9es appropriate4 7d7 ,t]m9ation ,! ,secret>y may t]m9ate a hospital f p>ticipation 9 ! ,program 7& ! waiv]s & flexibilities applicable to su* hospital7 if ! ,secret>y det]m9es t ! hospital no long] meets ! crit]ia describ$ 9 subsection 7c74 7e7 ,/udy & report 7#a7 ,9 g5]al ,! ,secret>y %all conduct a /udy to-- 7,a7 analyze1 to ! ext5t practicable1 ! crit]ia e/abli%$ by hospitals to det]m9e :i* b5efici>ies may be furni%$ s]vices "u ! ,program2 & 7,b7 analyze & comp>e1 to ! ext5t practicable-- 7i7 ! quality ( c>e furni%$ to b5efici>ies ) simil> conditions & *>act]i/ics 9 ! hospital sett+ & ?r\gh ! ,program1 includ+ heal? outcomes1 hospital readmission rates1 hospital mortality rates1 l5g? ( /ay1 infection rates1 & pati5t exp]i5ce ( c>e2 7ii7 cl9ical conditions treat$ & diagnosis-relat$ gr\ps ( dis*>ges f ! hospital sett+ & "u ! ,program2 7iii7 co/s incurr$ by furni%+ c>e 9 ! hospital sett+ & ?r\gh ! ,program2 7iv7 ! quantity1 mix & int5sity ( su* s]vices 7su* z 9-p]son visits & virtual contacts ) pati5ts7 furni%$ "u ! ,program & furni%$ 9 ! hospital sett+2 & 7v7 socioeconomic in=mation on b5efici>ies treat$ "u ! ,program1 includ+ racial & e?nic data1 income1 & :e!r su* b5efici>ies are dually eligible = b5efits "u ?is title & title ,,xix4 7#b7 ,report ,n lat] ?an #a ye> aft] ! completion ( ! ,program1 ! ,secret>y %all po/ on a website ( ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices a report on ! /udy conduct$ "u p>agraph 7#a74 7f7 ,implem5tation ,not)/&+ any o!r provision ( law1 ! ,secret>y may implem5t ?is section by program in/ruction or o!rwise4 7g7 ,publicly available in=mation ,! ,secret>y %all1 z feasible1 make ! in=mation collect$ "u subsections 7c77#c7 & 7e77#a7 available on ! ,m$ic>e4gov ,int]net website 7or a successor website74 4