Stanford Law Library 3 6105 063 995 240 COMMITTEE ON WAYS AND MEANS E. CLAY SHAW, JR., Florida JIM RAMSTAD, Minnesota ROB PORTMAN, Ohio PHIL ENGLISH, Pennsylvania KENNY C. HULSHOF, Missouri THOMAS M. REYNOLDS, New York CHARLES B. RANGEL, New York FORTNEY PETE STARK, California SANDER M. LEVIN, Michigan BENJAMIN L. CARDIN, Maryland JIM MCDERMOTT, Washington JOHN LEWIS, Georgia RICHARD E. NEAL, Massachusetts EARL POMEROY, North Dakota ALLISON H. GILES, Chief of Staff SUBCOMMITTEE ON HEALTH NANCY L. JOHNSON, Connecticut, Chairman JIM MCCRERY, Louisiana JIM RAMSTAD, Minnesota FORTNEY PETE STARK, California JOHN LEWIS, Georgia LLOYD DOGGETT, Texas MIKE THOMPSON, California RAHM EMANUEL, Ilinois Pursuant to clause 2(e)(4) of Rule XI of the Rules of the House, public hearing records of the Committee on Ways and Means are also published in electronic form. The printed hearing record remains the official version. Because electronic submissions are used to prepare both printed and electronic versions of the hearing record, the process of converting between various electronic formats may introduce unintentional errors or omissions. Such occurrences are inherent in the current publication process and should diminish as the process is further refined. ii CONTENTS 2 Medicare Payment Advisory Commission, Glenn M. Hackbarth, Chairman Centers for Medicare and Medicaid Services, Center for Medicare Manage- Saint David's Healthcare Partnership, Jon Foster American Medical Association, William G. Plested III, M.D. Cedars-Sinai Medical Center, William W. Brien, M.D. Bettis, Richard, Texas Hospital Association, Austin, Texas, letter Calkins, D.J., Guadalupe Valley Hospital Board of Managers, Seguin, Texas, Castle, James, Ohio Hospital Association, Columbus, Ohio, letter Coyle, Carmela, American Hospital Association, statement Dauphiné, Damien, North Texas hospital, Lewisville, Texas, letter Fetter, Trevor, Tenet Healthcare Corporation, Dallas, Texas, statement Jones, Steven, Little Rock, Arkansas, statement Kerrigan, Karen, Small Business & Entrepreneurship Council, statement Orient, Jane, Association of American Physicians & Surgeons, Tucson, Ari- Grant, James, American Surgical Hospital Association, San Diego, statement Johnston, Jr., Ben, Focus on Therapeutic Outcomes, Knoxville, Tennessee, iii |