1Amend Bill, page 1, lines 9 through 16, by striking out all
2of said lines

3Amend Bill, page 2, line 1, by striking out "3" and inserting

4 2

5Amend Bill, page 2, lines 2 and 3, by striking out all of 
6line 2 and "section, a" in line 3 and inserting

7 (a) Written notice.--Upon the first face-to-face contact
8with the patient or the patient's legal representative and
9before the first service delivery, a hospital shall provide a
10written notice in plain language that describes:

11(1) the patient's classification as being on outpatient
12status and not inpatient status; and

13(2) the impact the outpatient status classification will
14have on the prior three-day inpatient stay required for
15Medicare coverage of skilled-nursing facility services as
16outlined under 42 CFR 409.30(a)(1) (relating to basic
17requirements).

18(b) Hospital duties.--Upon the determination of the 
19patient's observation status, a

20Amend Bill, page 2, lines 10 through 18, by striking out "if 
21all of the" in line 10 and all of lines 11 through 18 and 
22inserting

23. The hospital shall provide notification upon a change in
24the patient's status.

25Amend Bill, page 2, line 19, by striking out "(b)" and 
26inserting

27 (c)

28Amend Bill, page 2, line 19, by striking out "(a)" and
29inserting

1 (b)

2Amend Bill, page 2, line 21, by striking out "(a)" and 
3inserting

4 (b)

5Amend Bill, page 2, lines 21 and 22, by striking out "rights 
6of appeal in regard to outpatient status" and inserting

7 right to appeal the status determined under subsection
8(b)

9Amend Bill, page 2, line 23, by striking out "(c)" and 
10inserting

11 (d)

12Amend Bill, page 2, line 23, by inserting after "notice"

13 advising the patient of the patient's outpatient status

14Amend Bill, page 2, line 27, by striking out "4" and 
15inserting

16 3

17Amend Bill, page 2, line 28, by striking out "provide 
18training to" and inserting

19 train

20Amend Bill, page 2, line 28, by striking out "that" and
21inserting

22 who

23Amend Bill, page 2, line 29, by striking out the comma after
24"status" and inserting

25 under section 2(b), a

26Amend Bill, page 3, line 4, by striking out "5" and inserting

27 4

28Amend Bill, page 3, line 9, by striking out "3" and inserting

29 2

30Amend Bill, page 3, lines 15 and 16, by striking out all of
31said lines and inserting

32This act shall take effect as follows:

1(1) Section 2 shall take effect in 90 days.

2(2) This section shall take effect immediately.

3(3) The remainder of this act shall take effect July 1,
42014, or immediately, whichever is later.