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1 (December 6, 2017)

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                     115TH CONGRESS                                    J REPT. 115-445
                        1st Session    HOUSE OF REPRESENTATIVES              Part 1





                    AMENDING TITLE XVIII OF THE SOCIAL SECURITY ACT TO REDUCE THE
                      VOLUME OF FUTURE ELECTRONIC HEALTH RECORD-RELATED SIGNIFI-
                      CANT HARDSHIP REQUESTS


                                     DECEMBER 6, 2017.-Ordered to be printed



                        Mr. WALDEN, from the Committee on Energy and Commerce,
                                          submitted the following


                                              REPORT

                                            [To accompany H.R. 3120]

                              [Including cost estimate of the Congressional Budget Office]

                      The Committee on Energy and Commerce, to whom was referred
                    the bill (H.R. 3120) to amend title XVIII of the Social Security Act
                    to reduce the volume of future electronic health record-related sig-
                    nificant hardship requests, having considered the same, report fa-
                    vorably thereon without amendment and recommend that the bill
                    do pass.

                                                 CONTENTS
                                                                                     Page
                    Purpose and Sum m ary  ...........................................................................................  1
                    Background and Need for  Legislation  ...................................................................  2
                    C om m ittee  A ction  ...................................................................................................  2
                    C om m ittee  V otes  ......................................................................................................  3
                    Oversight Findings and  Recommendations     ..........................................................  3
                    New Budget Authority, Entitlement Authority, and Tax Expenditures .............     3
                    Congressional Budget Office  Estimate   ...................................................................  3
                    Federal M andates  Statem ent  .................................................................................  4
                    Statement of General Performance Goals and Objectives ....................................  4
                    Duplication  of Federal Program s  ...........................................................................  4
                    Com m ittee  Cost  Estim ate  .......................................................................................  4
                    Earmark, Limited Tax Benefits, and Limited Tariff Benefits .............................  4
                    Disclosure  of Directed  Rule  M akings  ....................................................................  4
                    Advisory Com m ittee  Statem ent  .............................................................................  4
                    Applicability  to  Legislative  Branch  .......................................................................  4
                    Section-by-Section  Analysis of the  Legislation  ......................................................  4
                    Changes in Existing Law Made by the Bill, as Reported ....................................  5
                    Exchange of Letters with Additional Committees of Referral ............................. 216

                                          PURPOSE AND SUMMARY

                      H.R. 3120 was introduced on June 29, 2017, by Rep. Michael C.
                    Burgess, M.D. (R-TX). H.R. 3120 would remove a requirement that
                        79-006

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