Commission determines to be necessary to carry out its 
duties. 
(e) USE OF MAILS.—The Commission may use the 
United States mails in the same manner and under the 
same conditions as Federal agencies, and shall, for pur-
poses of the frank, be considered a commission of Con-
gress as described in section 3215 of title 39, United 
States Code. 
(f) OBTAINING
INFORMATION.—The Commission 
may secure directly from any Federal agency information 
necessary to enable it to carry out its duties, if the infor-
mation may be disclosed under section 552 of title 5, 
United States Code. Upon request of the Chairperson of 
the Commission, the head of such agency shall furnish 
such information to the Commission. 
(g) ADMINISTRATIVE SUPPORT SERVICES.—Upon 
the request of the Commission, the Administrator of Gen-
eral Services shall provide to the Commission on a reim-
bursable basis such administrative support services as the 
Commission may request. 
(h) ACCEPTANCE OF DONATIONS.—The Commission 
may accept, use, and dispose of gifts and donations of 
services or property. 
(i) PRINTING.—For purposes of costs relating to 
printing and binding, including the costs of personnel de-
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tailed from the Government Printing Office, the Commis-
sion shall be deemed to be a committee of the Congress. 
SEC. 106. REPORT ON WAYS TO PROMOTE THE EFFECTIVE 
DELIVERY OF EMERGENCY MEDICAL SERV-
ICES. 
Not later than the date that is 18 months after the 
date of the enactment of this Act, the Commission shall 
submit to Congress and the Secretary of Health and 
Human Services a report containing its findings and rec-
ommendations described in section 102(a), including rec-
ommendations to remove any identified barriers to the ef-
fective delivery of emergency medical services in the 
United States and detailed recommendations for appro-
priate legislative initiatives to remove such barriers. 
SEC. 107. TERMINATION. 
The Commission shall terminate 30 days after the 
date of submission of the report required in section 106. 
SEC. 108. AUTHORIZATION OF APPROPRIATIONS. 
There are authorized to be appropriated such sums 
as may be necessary to carry out this title. 
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TITLE 
II—ADDITIONAL 
PAY-
MENTS FOR CERTAIN PHYSI-
CIANS’ SERVICES 
SEC. 201. ADDITIONAL PAYMENTS FOR CERTAIN PHYSI-
CIANS’ SERVICES. 
(a) IN GENERAL.—Section 1833 of the Social Secu-
rity Act (42 U.S.C. 1395l) is amended by adding at the 
end the following new subsection: 
‘‘(x) ADDITIONAL PAYMENT FOR PHYSICIANS’ SERV-
ICES FURNISHED PURSUANT TO EMTALA.—In the case 
of physicians’ services furnished in the emergency depart-
ment of a hospital (as defined in subsection (e)(5) of sec-
tion 1867) pursuant to such section to an individual cov-
ered under the insurance program established under this 
part, in addition to the amount of payment that will other-
wise be made for such services under this part, there shall 
also be paid to the physician or other person involved (or 
in the cases described in subparagraph (A) of section 
1842(b)(6), to an employer or other entity involved) from 
the Federal Supplementary Trust Fund an amount equal 
to 10 percent of the payment amount for the services 
under this part (determined without regard to any addi-
tional amounts paid under subsection (m) or (u)).’’. 
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(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to services furnished on or after 
the date of the enactment of this Act. 
TITLE III—CENTERS FOR MEDI-
CARE & MEDICAID SERVICES 
WORKING 
GROUP 
TO 
IM-
PROVE EMERGENCY CARE EF-
FICIENCY 
SEC. 301. CENTERS FOR MEDICARE & MEDICAID SERVICES 
WORKING GROUP TO IMPROVE EMERGENCY 
CARE EFFICIENCY. 
(a) WORKING GROUP.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Administrator 
of the Centers for Medicare & Medicaid Services, 
shall convene a working group (in this section re-
ferred to as the ‘‘CMS working group’’) that in-
cludes experts in emergency care, inpatient critical 
care, hospital operations management, nursing, and 
other relevant disciplines. The members of the CMS 
working group shall be appointed by the Adminis-
trator. 
(2) DUTIES.— 
(A) 
DEVELOPMENT
OF
STANDARDS, 
GUIDELINES, MEASURES, AND
INCENTIVES.— 
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The CMS working group shall develop boarding 
and diversion standards, guidelines, measures, 
and incentives for hospitals, and, with respect 
to the development of measures, the CMS work-
ing group shall consider measures developed or 
under development by other entities. The CMS 
working group shall send any measures devel-
oped under this subparagraph to the entity with 
a contract under section 1890(a) of the Social 
Security Act (42 U.S.C. 1395aaa(a)) for con-
sideration, and shall take into account whether 
such measures have been recommended or 
adopted for use by a relevant quality alliance 
identified by the Secretary (such as the Hos-
pital Quality Alliance). 
(B) IDENTIFICATION OF BARRIERS.—The 
CMS working group shall identify barriers con-
tributing to delays in timely processing of pa-
tients requiring admission as an inpatient of a 
hospital who initially sought care through the 
emergency department of the hospital. 
(C) IDENTIFICATION
OF
BEST
PRAC-
TICES.—The CMS working group shall identify 
best practices to improve patient flow within 
hospitals. In order to carry out the preceding 
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