§2. Requiring a separate identification number and an attestation for each off-campus outpatient department of a provider
This section prohibits Medicare payments under the hospital outpatient prospective payment system (OPPS) (or applicable payment systems under paragraph (21)) for items and services furnished by an off-campus outpatient department (OPD) of a provider on or after January 1, 2026, unless (1) the OPD uses a separate standard unique health identifier from the provider, (2) the provider has submitted an initial attestation of compliance with provider-based status requirements (42 CFR 413.65) during the prior two-year period, and (3) the provider has submitted a subsequent attestation within the Secretary's specified timeframe. (As background, provider-based off-campus OPDs—those not on a hospital's main campus or within specified distances from a remote hospital location—may receive higher OPPS payments than physician offices or non-provider-based clinics; these requirements aim to verify compliance and prevent improper billing.) It directs the Secretary of Health and Human Services, through notice-and-comment rulemaking completed within one year of enactment, to establish processes for attestation submission and compliance review (via site visits, audits, or other means). It further requires the HHS Office of Inspector General to analyze that process and submit recommendations to Congress by January 1, 2030.