,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bdig  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #bi1 #bjbe ,ms4  
,hassan 7= h]self & ,mr4 ,m>%all7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
require a sep>ate id5tification numb] & 
an atte/ation = ea* (f-campus outpati5t 
dep>tm5t ( a provid]4  #a4  ,%ort title 
,?is ,act may be cit$ z ! ,fair ,bill+  
,act4  #b4  ,requir+ a sep>ate          
id5tification numb] & an atte/ation =   
ea* (f-campus outpati5t dep>tm5t ( a    
provid]  7a7  ,9 g5]al  ,section        
#ahcc7t7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciel7t77 is am5d$ by add+  
at ! end ! foll[+ new p>agraph3  7#bc7  
,use ( unique heal? id5tifi]s2          
atte/ation  7,a7  ,9 g5]al  ,no paym5t  
may be made "u ?is subsection 7or "u an 
applicable paym5t sy/em pursuant to     
p>agraph 7#ba77 = items & s]vices       
furni%$ on or aft] ,janu>y #a1 #bjbf1 by

 an (f-campus outpati5t dep>tm5t ( a    
provid] 7z def9$ 9 subp>agraph 7,c77    
unless--  7i7 su* dep>tm5t has obta9$1 &
 su* items & s]vices are bill$ "u1 a    
/&>d unique heal? id5tifi] = heal? c>e  
provid]s 7z describ$ 9 section          
#aagc7;b77 t is sep>ate f su* id5tifi] =
 su* provid]2  7ii7 su* provid] has     
submitt$ to ! ,secret>y1 dur+ ! #b-ye>  
p]iod end+ on ! date su* items & s]vices
 are s furni%$1 an initial provid]-bas$ 
/atus atte/ation t su* dep>tm5t is      
compliant ) ! requirem5ts describ$ 9    
section #dac4fe ( title #db1 ,code (    
,f$]al ,regulations 7or a successor     
regulation72 &  7iii7 aft] su* provid]  
has submitt$ an atte/ation "u clause    
7ii71 su* provid] has submitt$ a        
subsequ5t atte/ation )9 ! timeframe     
specifi$ by ! ,secret>y4  7,b7  ,process
 = submission & review  ,n lat] ?an #a  
ye> aft] ! date ( enactm5t ( ?is        
p>agraph1 ! ,secret>y %all1 ?r\gh notice
 & comm5t rulemak+1 e/abli% a process = 
ea* provid] ) an (f-campus outpati5t    

dep>tm5t ( a provid] to submit an       
initial & subsequ5t atte/ation pursuant 
to clauses 7ii7 & 7iii71 respectively1 (
 subp>agraph 7,a71 & = ! ,secret>y to   
review ea* su* atte/ation & det]m9e1    
?r\gh site visits1 remote audits1 or o!r
 means 7z det]m9$ appropriate by !      
,secret>y71 :e!r su* dep>tm5t is        
compliant ) ! requirem5ts describ$ 9 su*
 subp>agraph4  7,c7  ,(f-campus         
outpati5t dep>tm5t ( a provid] def9$  ,=
 purposes ( ?is p>agraph1 ! t]m         
(f-campus outpati5t dep>tm5t ( a provid]
 means a dep>tm5t ( a provid] 7z def9$ 9
 section #dac4fe ( title #db1 ,code (   
,f$]al ,regulations1 or any successor   
regulation7 t is n locat$--  7i7 on !   
campus 7z def9$ 9 su* section7 ( su*    
provid]2 or  7ii7 )9 ! di/ance 7describ$
 9 su* def9ition ( campus7 f a remote   
location ( a hospital facility 7z def9$ 
9 su* section74  4  7b7  ,,hhs ,,oig    
analysis  ,n lat] ?an ,janu>y #a1 #bjcj1
 ! ,inspector ,g5]al ( ! ,dep>tm5t (    
,heal? & ,human ,s]vices %all submit to 

,congress--  7#a7 an analysis ( !       
process e/abli%$ by ! ,secret>y ( ,heal?
 & ,human ,s]vices to conduct ! reviews 
& det]m9ations describ$ 9 section       
#ahcc7t77#bc77;,b7 ( ! ,social ,security
 ,act1 z add$ by subsection 7a7 ( ?is   
section2 &  7#b7 recomm5dations bas$ on 
su* analysis1 z ! ,inspector ,g5]al     
det]m9es appropriate4