,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bihi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #h1 #bjbe,mr4  
,m>key 7= himself1 ,mr4 ,blum5?al1 &    
,mr4 ,s&]s7 introduc$ ! foll[+ bill2 :i*
 0 read twice & ref]r$ to ! ,committee  
on ,f9ance  ,a ,,bill  ,to prohibit     
c]ta9 sales or leases ( real prop]ty = a
 heal? c>e entity if ! t]ms ( su* a sale
 or lease w\ld lead to long-t]m weak5$  
f9ancial /atus ( ! heal? c>e entity or  
place ! public heal? at risk1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,/op ,m$ical ,pr(ite]+ &   
,!ft ,act or ! ,/op ,,mpt ,act4  #b4    
,limitation on ! use ( real e/ate       
inve/m5t tru/s 9 heal? c>e  7a7 ,9 g5]al
  7#a7 ,prohibition ,no heal? c>e entity
 or cov]$ firm may ent] into agreem5t to
 sell to1 or lease f1 a real e/ate      
inve/m5t tru/ 7z def9$ 9 section #hef ( 
! ,int]nal ,rev5ue ,code ( #aihf7 an    
int]e/ 9 real prop]ty if ! t]ms ( su*   
sale or lease w\ld lead to long-t]m     
weak5$ f9ancial /atus ( ! heal? c>e     

entity or place ! public heal? at risk4 
7#b7 ,review ( sale or lease t]ms  7,a7 
,9 g5]al ,! ,secret>y ( ,heal? & ,human 
,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y7 %all require ea* heal? c>e   
entity1 or ! cov]$ firm t owns su* heal?
 c>e entity1 seek+ to ent] into an      
agreem5t describ$ 9 p>agraph 7#a7 to    
submit to ! ,secret>y = review ! t]ms ( 
! sale or lease1 z applicable4  7,b7    
,/&>d ,9 conduct+ a review ( a sale or  
lease "u subp>agraph 7,a71 ! ,secret>y  
%all det]m9e :e!r ! t]ms ( su* sale or  
lease w\ld lead to long-t]m weak5$      
f9ancial /atus ( ! heal? c>e entity or  
place ! public heal? at risk4  7,c7     
,consultation ,! ,secret>y may consult )
 ! relevant ,/ate attorney g5]al 9      
conduct+ a review "u subp>agraph 7,a74  
7#c7 ,litigation au?ority ,except z     
provid$ 9 section #eah ( title #bh1     
,unit$ ,/ates ,code 7relat+ to          
litigation be=e ! ,supreme ,c\rt71      
attorneys designat$ by ! ,secret>y may  
appe> = ! ,dep>tm5t ( ,heal? & ,human   

,s]vices & repres5t ! ,dep>tm5t 9 any   
civil action br\ght 9 connection ) a    
violation ( p>agraph 7#a74  7b7         
,en=cem5t  7#a7 ,/ate en=cem5t  7,a7    
,/ate au?ority ,ea* ,/ate may require a 
p]son subject to ! requirem5ts ( ?is    
section to satisfy su* requirem5ts      
applicable to ! p]son4  7,b7 ,failure to
 implem5t requirem5ts ,9 ! case ( a     
,/ate t fails to sub/antially en=ce !   
requirem5ts ( ?is section ) respect to  
applicable p]sons 9 ! ,/ate1 ! ,secret>y
 %all en=ce ! requirem5ts ( ?is section 
"u p>agraph 7#b7 to ! ext5t t su*       
requirem5ts relate to actions prohibit$ 
"u ?is section occurr+ 9 su* ,/ate4     
7#b7 ,secret>ial en=cem5t au?ority ,if a
 p]son is f\nd by ! ,secret>y to be 9   
violation ( ?is section1 ! ,secret>y may
 apply a civil monet>y p5alty ) respect 
to su* p]son 9 an am\nt n to exce$      
#aj1jjj p] violation4  7#c7 ,cont9u$    
applicability ( ,/ate law ,?is section  
%all n be con/ru$ to sup]s$e any        
provision ( ,/ate law t e/abli%es1      

implem5ts1 or cont9ues 9 effect any     
requirem5t or prohibition except to !   
ext5t t su* requirem5t or prohibition   
prev5ts ! application ( a requirem5t or 
prohibition ( ?is section4  7c7         
,def9itions ,9 ?is section3 7#a7        
,affiliate ,! t]m affiliate means-- 7,a7
 a p]son t directly or indirectly owns1 
controls1 or holds ) p[] to vote1 #bj   
p]c5t or m ( ! out/&+ vot+ securities ( 
ano!r entity1 o!r ?an a p]son t holds   
su* securities-- 7i7 9 a fiduci>y or    
ag5cy capacity )\t sole discretion>y p[]
 to vote su* securities2 or  7ii7 solely
 to secure a debt1 if su* entity has n 9
 fact ex]cis$ su* p[] to vote2  7,b7 a  
corporation #bj p]c5t or m ( ^: out/&+  
vot+ securities are directly or         
indirectly own$1 controll$1 or held )   
p[] to vote1 by ano!r entity 7ref]r$ to 
9 ?is subp>agraph z a cov]$ entity71 or 
by an entity t directly or indirectly   
owns1 controls1 or holds ) p[] to vote1 
#bj p]c5t or m ( ! out/&+ vot+          
securities ( ! cov]$ entity1 o!r ?an an 

entity t holds su* securities-- 7i7 9 a 
fiduci>y or ag5cy capacity )\t sole     
discretion>y p[] to vote su* securities2
 or  7ii7 solely to secure a debt1 if   
su* entity has n 9 fact ex]cis$ su* p[] 
to vote2  7,c7 a p]son ^: bus9ess is    
op]at$ "u a lease or op]at+ agreem5t by 
ano!r entity1 or p]son sub/antially all 
( ^: prop]ty is op]at$ "u an op]at+     
agreem5t ) t o!r entity2 or  7,d7 an    
entity t op]ates ! bus9ess or           
sub/antially all ( ! prop]ty ( ano!r    
entity "u a lease or op]at+ agreem5t4   
7#b7 ,corporation ,! t]m corporation    
means-- 7,a7 a jo9t-/ock company2  7,b7 
a company or p>tn]%ip association       
organiz$ "u a law t makes only ! capital
 subscrib$ or callable up to a specifi$ 
am\nt responsible = ! debts ( !         
association1 includ+ a limit$ p>tn]%ip &
 a limit$ liability company2  7,c7 a    
tru/2 or  7,d7 an association hav+ a p[]
 or privilege t a private corporation1 b
 n an individual or a p>tn]%ip1         
possesses4  7#c7 ,cov]$ firm ,! t]m     

cov]$ firm means a =-pr(it corporation t
 owns or is an affiliate ( a heal? c>e  
entity4  7#d7 ,heal? c>e entity ,! t]m  
heal? c>e entity means an entity t      
consi/s ( #a or m ( ! foll[+ heal? c>e  
provid]s3 7,a7 ,a hospital4  7,b7 ,a    
physician practice4  7,c7 ,a skill$     
nurs+ facility4  7,d7 ,a hospice        
facility4  7,e7 ,a m5tal or behavioral  
heal? c>e provid]4  7,f7 ,an opioid     
treatm5t program4  7,g7 ,a provid] (    
s]vices 7z def9$ 9 section #ahfa7u7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7u77 or a suppli] 7z def9$ 9      
section #ahfa7;d7 ( su* ,act 7#db       
,u4,s4,c4 #acie7;d7777 enroll$ 9 !      
,m$ic>e program4  7,h7 ,any o!r entity !
 ,secret>y det]m9es appropriate4  #c4   
,treatm5t ( r5ts f qualifi$ heal? c>e   
prop]ty  7a7 ,9 g5]al ,section          
#hef7;d77#b7 ( ! ,int]nal ,rev5ue ,code 
( #aihf is am5d$ by /rik+ & at ! end (  
subp>agraph 7,b71 by /rik+ ! p]iod &    
ins]t+ 1 & at ! end ( subp>agraph 7,c71 
& by add+ at ! end ! foll[+ new         

subp>agraph3  7,d7 not)/&+ p>agraphs    
7#d71 7#f71 & 7#h71 any am\nt receiv$ or
 accru$ directly or indirectly f        
qualifi$ heal? c>e prop]ty 7z def9$ 9   
subsection 7e77#f77;,d77i774  4  7b7    
,con=m+ am5dm5ts  7#a7 ,section         
#hef7;d77#h77;,b7 ( ! ,int]nal ,rev5ue  
,code ( #aihf is am5d$-- 7,a7 by /rik+  
or a qualifi$ heal? c>e prop]ty 7z def9$
 9 subsection 7e77#f77;,d77i771 &  7,b7 
by /rik+ qualifi$ heal? c>e prop]ty or4 
7#b7 ,section #hef7;d77#i7 ( su* ,code  
is am5d$-- 7,a7 by /rik+ or a qualifi$  
heal? c>e prop]ty 7z def9$ 9 subsection 
7e77#f77;,d77i77 9 subp>agraph 7,a71    
7,b7 by /rik+ or qualifi$ heal? c>e     
prop]ty ea* place x appe>s 9 subp>agraph
 7,a7 & 7,b71 &  7,c7 by /rik+ or       
qualifi$ heal? c>e prop]ties 9          
subp>agraph 7,a74  7c7 ,effective date  
,! am5dm5ts made by ?is section %all    
apply to taxable ye>s beg9n+ aft] ! date
 ( ! enactm5t ( ?is ,act4