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GOE09B95 S.L.C.
 AMENDMENT NO.
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Calendar No.
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Purpose: To modernize America’s health care system.
IN THE SENATE OF THE UNITED STATES—111th Cong., 1st Sess.
H. R. 3590
To amend the Internal Revenue Code of 1986 to modify the first-time homebuyers credit in the case of membersof the Armed Forces and certain other Federal employ-ees, and for other purposes.Referred to the Committee on
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andordered to be printedOrdered to lie on the table and to be printed A 
MENDMENT
intended to be proposed by 
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to the amendment (No. 2786)proposed by Mr. R
EID
  Viz:On page 1134, strike line 3 and insert the following:
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title).
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GOE09B95 S.L.C.
Subtitle G—Modernizing America’s
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Health Care System
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PART I—IMPROVING QUALITY AND VALUE
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THROUGH DELIVERY SYSTEM REFORM
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SEC. 3601. QUALITY REPORTING FOR PSYCHIATRIC HOS-
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PITALS.
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(a) I
N
G
ENERAL
.—Section 1886(s) of the Social Se-
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curity Act, as added by section 3401(f), is amended by 
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adding at the end the following new paragraph:
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‘‘(4) Q
UALITY REPORTING
.—
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‘‘(A) R
EDUCTION IN UPDATE FOR FAILURE
 
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TO REPORT
.—
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‘‘(i) I
N GENERAL
.—Under the system
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described in paragraph (1), for rate year
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2014 and each subsequent rate year, in the
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case of a psychiatric hospital or psychiatric
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 unit that does not submit data to the Sec-
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retary in accordance with subparagraph
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(C) with respect to such a rate year, any 
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annual update to a standard Federal rate
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for discharges for the hospital during the
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rate year, and after application of para-
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graph (2), shall be reduced by 2 percent-
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age points.
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GOE09B95 S.L.C.
‘‘(ii) S
PECIAL RULE
.—The application
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of this subparagraph may result in such
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annual update being less than 0.0 for a
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rate year, and may result in payment rates
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 under the system described in paragraph
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(1) for a rate year being less than such
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payment rates for the preceding rate year.
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‘‘(B) N
ONCUMULATIVE APPLICATION
.—
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 Any reduction under subparagraph (A) shall
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apply only with respect to the rate year involved
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and the Secretary shall not take into account
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such reduction in computing the payment
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amount under the system described in para-
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graph (1) for a subsequent rate year.
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‘‘(C) S
UBMISSION OF QUALITY DATA 
.—For
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rate year 2014 and each subsequent rate year,
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each psychiatric hospital and psychiatric unit
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shall submit to the Secretary data on quality 
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measures specified under subparagraph (D).
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Such data shall be submitted in a form and
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manner, and at a time, specified by the Sec-
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retary for purposes of this subparagraph.
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‘‘(D) Q
UALITY MEASURES
.—
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‘‘(i) I
N GENERAL
.—Subject to clause
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(ii), any measure specified by the Secretary 
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