1Amend Bill, page 1, line 2, by striking out "billing 
2implications"

3Amend Bill, page 2, lines 2 through 10, by striking out
4"Within 90 days of the effective date of this" in line 2, all of
5lines 3 through 9 and "facility or home-based and community-
6based care" in line 10 and inserting

7 A hospital shall provide notice to a patient or patient's
8designee of the patient's outpatient status, and information
9that provides a general description of outpatient observation
10status,

11Amend Bill, page 2, lines 19 through 30; page 3, lines 1
12through 3, by striking out all of said lines on said pages and
13inserting

14(b) Contents.--A patient notice required under subsection
15(a) shall include a statement that:

16(1) outpatient observation status may impact coverage
17determinations made by the Federal Medicare Program or the
18patient's insurance company for hospital and posthospital
19payments;

20(2) final decisions related to outpatient observation
21status can be made after a patient is no longer a patient at
22the hospital and after a patient has received hospital
23services or other services; and

24(3) a patient should contact Medicare, Medicaid or any
25other insurance provider if the patient has specific
26questions about the coverage.

27(c) Information.--A hospital shall provide information to a
28patient concerning observation status as follows:

29(1) by written notice; and

30(2) by oral notice, which must include a summary of the
31notice provided under paragraph (1) or, at the request of the
32patient, the notice provided under paragraph (1).

1Section 4. Change in status.

2If, during or after a patient receives a hospital service, a
3patient's inpatient stay is later recategorized, a hospital
4shall not be responsible for a coverage implication or notice
5requirement under the act.

6Amend Bill, page 3, lines 15 and 16, by striking out "July 1, 
72014, or immediately, whichever is later" and inserting

8 in 180 days