,,ii  #aaith ,,congress  #ast ,session  
,s4 #bdcc  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #bd1     
#bjbe ,mr4 ,cotton 7for himself1 ,mr4   
,scott of ,florida1 ,ms4 ,lummis1 and   
,mrs4 ,hyde-,smith7 introduced the      
following bill2 which was read twice and
 referred to the ,committee on ,health1 
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to require providers to        
disclose policies regarding the minimum 
gestational age at which life-saving    
care will be provided to an infant in   
the case of a premature birth4  #a4     
,short title  ,this ,act may be cited as
 the ,neonatal ,care ,transparency ,act 
of #bjbe4  #b4  ,findings  ,congress    
finds as follows3 7#a7 ,different       
hospitals have varying capacities to    
resuscitate premature babies4  7#b7     
,there are parents of premature babies  
who have arrived at level #c and level  
#d neonatal intensive care units        
expecting medical intervention1 only to 
find that life-saving treatment is not  

offered for babies born before a certain
 gestational point4  7#c7 ,some         
hospitals in the ,united ,states        
universally forgo intensive care for    
babies born before #bb weeks gestation1 
while others provide such care to nearly
 all babies born alive4  7#d7 ,data     
indicates that neonatal outcomes are    
best for premature babies when the baby 
is born at a center that consistently   
intervenes with life-saving treatment4  
7#e7 ,parents deserve a new level of    
obstetric and neonatal transparency to  
ensure medical excellence in            
circumstances of extreme prematurity and
 parental consent to the course of      
treatment4  #c4  ,disclosure            
requirements  7a7  ,hospital requirement
  ,each hospital shall publicly disclose
 the policy of such hospital regarding  
the provision of life-saving care to an 
infant in the case of a premature birth1
 including--  7#a7 whether there is a   
minimum gestational age at which        
life-saving care will be provided to an 

infant in the case of a premature birth2
  7#b7 whether the decision to provide  
life-saving care to an infant in the    
case of a premature birth is made on a  
case-by-case basis2 and  7#c7 the       
process by which the hospital1 in the   
case of a premature birth or expected   
premature birth1 would transfer the     
infant and mother to the nearest        
facility with a neonatal intensive care 
unit that would provide life-saving care
 to the infant1 if the hospital does not
 have the capacity to provide           
life-saving care to such infant4  7b7   
,practitioner requirement  ,each        
obstetrician1 or other health care      
practitioner who provides obstetric     
services to patients1 shall1 at the     
first prenatal visit of a patient1      
disclose to the patient the policy of   
any hospital at which the obstetrician  
or practitioner has admitting privileges
 regarding the provision of life-saving 
care to an infant in the case of a      
premature birth1 including--  7#a7      

whether there is a minimum gestational  
age at which life-saving care will be   
provided to an infant in the case of a  
premature birth2  7#b7 whether the      
decision to provide life-saving care to 
an infant in the case of a premature    
birth is made on a case-by-case basis2  
and  7#c7 the process by which the      
hospital1 in the case of a premature    
birth or expected premature birth1 would
 arrange for the transfer the infant and
 mother to the nearest facility with a  
neonatal intensive care unit that would 
provide life-saving care to the infant1 
if the facility in which the            
practitioner is providing services does 
not have the capacity to provide        
life-saving care to such infant4  #d4   
,hospital disclosures regarding care for
 premature births  ,section             
#ahff7;a77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acie;cc7a77#a77 is 
amended--  7#a7 by moving subparagraphs 
7,w7 and 7,x7 #b ems to the left2  7#b7 
in subparagraph 7,x71 by striking and at

 the end2  7#c7 in subparagraph 7,y71 by
 striking the period at the end and     
inserting 1 and2 and  7#d7 by inserting 
after subparagraph 7,y7 the following   
new subparagraph3  7,z7 beginning on or 
after ,january #a1 #bjbf1 in the case of
 a hospital1 to--  7i7 satisfy the      
disclosure requirement under section    
#c7;a7 of the ,neonatal ,care           
,transparency ,act of #bjbe2 and  7ii7  
require each practitioner that provides 
obstetric services at such hospital to  
satisfy the disclosure requirement under
 section #c7;b7 of such ,act4  4  #e4   
,prohibiting ,federal ,medicaid and     
,,chip funding for hospitals and        
obstetrics providers that do not satisfy
 disclosure requirements  7a7  ,in      
general  ,section #aijc7;i7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7i77 is amended--  7#a7 in       
paragraph 7#bf71 by striking 2 or and   
inserting a semicolon2  7#b7 in         
paragraph 7#bg71 by striking the period 
at the end and inserting 2 or2  7#c7 by 

inserting after paragraph 7#bg7 the     
following new paragraph3  7#bh7 with    
respect to any amounts expended for care
 or services furnished under the plan by
 a hospital or by a health care provider
 who provides obstetric services to     
individuals who are eligible for medical
 assistance under the plan unless such  
hospital or provider satisfies the      
disclosure requirements described in    
section #c of ,neonatal ,care           
,transparency ,act of #bjbe4  2 and     
7#d7 in the third sentence1 by striking 
and 7#ah7 and inserting 7#ah71 and      
7#bh74  7b7  ,application to ,,chip     
,section #bajg7;e77#a77,o7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#acig;gg7e77#a77,o77 is amended by      
striking and 7#ag7 and inserting 7#ag71 
and 7#bh74  7c7  ,effective date  ,the  
amendments made by this subsection shall
 take effect on the date that is #ahj   
days after the date of enactment of this
 ,act4