,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bdcc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #bd1 #bjbe ,mr4  
,cotton 7= himself1 ,mr4 ,scott (       
,florida1 ,ms4 ,lummis1 & ,mrs4         
,hyde-,smi?7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to      
require provid]s to disclose policies   
reg>d+ ! m9imum ge/ational age at :i*   
life-sav+ c>e w be provid$ to an infant 
9 ! case ( a premature bir?4  #a4  ,%ort
 title  ,?is ,act may be cit$ z !       
,neonatal ,c>e ,transp>5cy ,act ( #bjbe4
  #b4  ,f9d+s  ,congress f9ds z foll[s3 
7#a7 ,diff]5t hospitals h v>y+          
capacities to resuscitate premature     
babies4  7#b7 ,!re are p>5ts ( premature
 babies :o h arriv$ at level #c & level 
#d neonatal int5sive c>e units expect+  
m$ical int]v5tion1 only to f9d t        
life-sav+ treatm5t is n (f]$ = babies   
born be=e a c]ta9 ge/ational po9t4  7#c7
 ,"s hospitals 9 ! ,unit$ ,/ates        

univ]sally =go int5sive c>e = babies    
born be=e #bb weeks ge/ation1 :ile o!rs 
provide su* c>e to ne>ly all babies born
 alive4  7#d7 ,data indicates t neonatal
 outcomes are be/ = premature babies :5 
! baby is born at a c5t] t consi/5tly   
int]v5es ) life-sav+ treatm5t4  7#e7    
,p>5ts des]ve a new level ( ob/etric &  
neonatal transp>5cy to ensure m$ical    
excell5ce 9 circum/ances ( extreme      
prematurity & p>5tal cons5t to ! c\rse (
 treatm5t4  #c4  ,disclosure requirem5ts
  7a7  ,hospital requirem5t  ,ea*       
hospital %all publicly disclose ! policy
 ( su* hospital reg>d+ ! provision (    
life-sav+ c>e to an infant 9 ! case ( a 
premature bir?1 includ+--  7#a7 :e!r !re
 is a m9imum ge/ational age at :i*      
life-sav+ c>e w be provid$ to an infant 
9 ! case ( a premature bir?2  7#b7 :e!r 
! decision to provide life-sav+ c>e to  
an infant 9 ! case ( a premature bir? is
 made on a case-by-case basis2 &  7#c7 !
 process by :i* ! hospital1 9 ! case ( a
 premature bir? or expect$ premature    

bir?1 w\ld transf] ! infant & "m to !   
ne>e/ facility ) a neonatal int5sive c>e
 unit t w\ld provide life-sav+ c>e to ! 
infant1 if ! hospital does n h !        
capacity to provide life-sav+ c>e to su*
 infant4  7b7  ,practition] requirem5t  
,ea* ob/etrician1 or o!r heal? c>e      
practition] :o provides ob/etric s]vices
 to pati5ts1 %all1 at ! fir/ pr5atal    
visit ( a pati5t1 disclose to ! pati5t !
 policy ( any hospital at :i* !         
ob/etrician or practition] has admitt+  
privileges reg>d+ ! provision (         
life-sav+ c>e to an infant 9 ! case ( a 
premature bir?1 includ+--  7#a7 :e!r !re
 is a m9imum ge/ational age at :i*      
life-sav+ c>e w be provid$ to an infant 
9 ! case ( a premature bir?2  7#b7 :e!r 
! decision to provide life-sav+ c>e to  
an infant 9 ! case ( a premature bir? is
 made on a case-by-case basis2 &  7#c7 !
 process by :i* ! hospital1 9 ! case ( a
 premature bir? or expect$ premature    
bir?1 w\ld arrange = ! transf] ! infant 
& "m to ! ne>e/ facility ) a neonatal   

int5sive c>e unit t w\ld provide        
life-sav+ c>e to ! infant1 if ! facility
 9 :i* ! practition] is provid+ s]vices 
does n h ! capacity to provide life-sav+
 c>e to su* infant4  #d4  ,hospital     
disclosures reg>d+ c>e = premature bir?s
  ,section #ahff7;a77#a7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acie;cc7a77#a77 is am5d$--  7#a7 by    
mov+ subp>agraphs 7,w7 & 7,x7 #b ems to 
! left2  7#b7 9 subp>agraph 7,x71 by    
/rik+ & at ! end2  7#c7 9 subp>agraph   
7,y71 by /rik+ ! p]iod at ! end & ins]t+
 1 &2 &  7#d7 by ins]t+ aft] subp>agraph
 7,y7 ! foll[+ new subp>agraph3  7,z7   
beg9n+ on or aft] ,janu>y #a1 #bjbf1 9 !
 case ( a hospital1 to--  7i7 satisfy ! 
disclosure requirem5t "u section #c7;a7 
( ! ,neonatal ,c>e ,transp>5cy ,act (   
#bjbe2 &  7ii7 require ea* practition] t
 provides ob/etric s]vices at su*       
hospital to satisfy ! disclosure        
requirem5t "u section #c7;b7 ( su* ,act4
  4  #e4  ,prohibit+ ,f$]al ,m$icaid &  
,,*ip fund+ = hospitals & ob/etrics     

provid]s t d n satisfy disclosure       
requirem5ts  7a7  ,9 g5]al  ,section    
#aijc7;i7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;b7i77 is am5d$--   
7#a7 9 p>agraph 7#bf71 by /rik+ 2 or &  
ins]t+ a semicolon2  7#b7 9 p>agraph    
7#bg71 by /rik+ ! p]iod at ! end &      
ins]t+ 2 or2  7#c7 by ins]t+ aft]       
p>agraph 7#bg7 ! foll[+ new p>agraph3   
7#bh7 ) respect to any am\nts exp5d$ =  
c>e or s]vices furni%$ "u ! plan by a   
hospital or by a heal? c>e provid] :o   
provides ob/etric s]vices to individuals
 :o are eligible = m$ical assi/ance "u !
 plan unless su* hospital or provid]    
satisfies ! disclosure requirem5ts      
describ$ 9 section #c ( ,neonatal ,c>e  
,transp>5cy ,act ( #bjbe4  2 &  7#d7 9 !
 ?ird s5t5ce1 by /rik+ & 7#ah7 & ins]t+ 
7#ah71 & 7#bh74  7b7  ,application to   
,,*ip  ,section #bajg7;e77#a77,o7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acig;gg7e77#a77,o77 is am5d$ by /rik+ &
 7#ag7 & ins]t+ 7#ag71 & 7#bh74  7c7    
,effective date  ,! am5dm5ts made by ?is

 subsection %all take effect on ! date t
 is #ahj days aft] ! date ( enactm5t (  
?is ,act4