,,ii  #aaith ,,congress  #ast ,session  
,s4 #bdig  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #bi1     
#bjbe ,ms4 ,hassan 7for herself and ,mr4
 ,marshall7 introduced the following    
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xviii of the ,social
 ,security ,act to require a separate   
identification number and an attestation
 for each off-campus outpatient         
department of a provider4  #a4  ,short  
title  ,this ,act may be cited as the   
,fair ,billing ,act4  #b4  ,requiring a 
separate identification number and an   
attestation for each off-campus         
outpatient department of a provider  7a7
  ,in general  ,section #ahcc7t7 of the 
,social ,security ,act 7#db ,u4,s4,c4   
#aciel7t77 is amended by adding at the  
end the following new paragraph3  7#bc7 
,use of unique health identifiers2      
attestation  7,a7  ,in general  ,no     
payment may be made under this          
subsection 7or under an applicable      

payment system pursuant to paragraph    
7#ba77 for items and services furnished 
on or after ,january #a1 #bjbf1 by an   
off-campus outpatient department of a   
provider 7as defined in subparagraph    
7,c77 unless--  7i7 such department has 
obtained1 and such items and services   
are billed under1 a standard unique     
health identifier for health care       
providers 7as described in section      
#aagc7;b77 that is separate from such   
identifier for such provider2  7ii7 such
 provider has submitted to the          
,secretary1 during the #b-year period   
ending on the date such items and       
services are so furnished1 an initial   
provider-based status attestation that  
such department is compliant with the   
requirements described in section       
#dac4fe of title #db1 ,code of ,federal 
,regulations 7or a successor            
regulation72 and  7iii7 after such      
provider has submitted an attestation   
under clause 7ii71 such provider has    
submitted a subsequent attestation      

within the timeframe specified by the   
,secretary4  7,b7  ,process for         
submission and review  ,not later than  
#a year after the date of enactment of  
this paragraph1 the ,secretary shall1   
through notice and comment rulemaking1  
establish a process for each provider   
with an off-campus outpatient department
 of a provider to submit an initial and 
subsequent attestation pursuant to      
clauses 7ii7 and 7iii71 respectively1 of
 subparagraph 7,a71 and for the         
,secretary to review each such          
attestation and determine1 through site 
visits1 remote audits1 or other means   
7as determined appropriate by the       
,secretary71 whether such department is 
compliant with the requirements         
described in such subparagraph4  7,c7   
,off-campus outpatient department of a  
provider defined  ,for purposes of this 
paragraph1 the term off-campus          
outpatient department of a provider     
means a department of a provider 7as    
defined in section #dac4fe of title #db1

 ,code of ,federal ,regulations1 or any 
successor regulation7 that is not       
located--  7i7 on the campus 7as defined
 in such section7 of such provider2 or  
7ii7 within the distance 7described in  
such definition of campus7 from a remote
 location of a hospital facility 7as    
defined in such section74  4  7b7  ,,hhs
 ,,oig analysis  ,not later than        
,january #a1 #bjcj1 the ,inspector      
,general of the ,department of ,health  
and ,human ,services shall submit to    
,congress--  7#a7 an analysis of the    
process established by the ,secretary of
 ,health and ,human ,services to conduct
 the reviews and determinations         
described in section #ahcc7t77#bc77;,b7 
of the ,social ,security ,act1 as added 
by subsection 7a7 of this section2 and  
7#b7 recommendations based on such      
analysis1 as the ,inspector ,general    
determines appropriate4