{
  "legislationId": "119_HR_8271",
  "lastUpdate": "2026-04-18T11:24:06.037Z",
  "history": [
    {
      "timestamp": "2026-04-18T11:24:06.037Z",
      "source_url": "https://www.congress.gov/119/bills/hr8271/BILLS-119hr8271ih.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8271 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8271 To amend title XVIII of the Social Security Act to require that hospitals report intensive care unit bed availability in real time as a condition of participation under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES April 14, 2026 Mr. Obernolte (for himself and Mrs. Dingell) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to require that hospitals report intensive care unit bed availability in real time as a condition of participation under the Medicare program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Improving Care Utilization through Bed Exchange and Data Sharing Act of 2026'' or the ``ICU Bed Act of 2026''. SEC. 2. REQUIRING HOSPITALS TO REPORT BED AVAILABILITY IN REAL TIME AS A MEDICARE CONDITION OF PARTICIPATION. (a) In General.--Section 1866 of the Social Security Act (42 U.S.C. 1395cc) is amended-- (1) in subsection (a)(1)-- (A) in subparagraph (X), by striking ``and'' at the end; (B) in subparagraph (Y), by striking the period at the end and inserting ``, and''; and (C) by inserting after subparagraph (Y) the following new subparagraph: ``(Z) beginning 1 year after the date of the enactment of this subparagraph, in the case of a hospital, critical access hospital, or rural emergency hospital, to comply with the real- time intensive care unit bed availability requirements described in subsection (l).''; and (2) by adding at the end the following new subsection: ``(l) Real-Time Intensive Care Unit Bed Availability Reporting Requirements.-- ``(1) In general.--For purposes of subsection (a)(1)(Z), the real-time intensive care unit bed availability requirements described in this subsection are, with respect to a hospital, critical access hospital, or rural emergency hospital, that such hospital-- ``(A) participate in a shared data reporting system that provides information in real time regarding the number of intensive care unit beds available at such hospital to each hospital, critical access hospital, and rural emergency hospital participating under this title that is located in the same region established by the Secretary under paragraph (2) as such hospital; and ``(B) maintain a shared strategy with each such hospital located in such region to efficiently transfer patients between such hospitals in the case that such a hospital reaches or nears intensive care unit bed capacity. ``(2) Regions.--The Secretary shall establish regions with respect to which a hospital, critical access hospital, or rural emergency hospital shall meet the requirements under paragraph (1). In establishing such regions, the Secretary shall take into account-- ``(A) the geography and population of a region; and ``(B) the time it takes to travel between such hospitals in a region.''. (b) Partnership for State and Regional Hospital Preparedness.-- Section 319C-2 of the Public Health Service Act (42 U.S.C. 247d-3b) is amended-- (1) in subsection (c), by inserting ``, including for activities to prepare for the efficient transfer of patients between hospitals and other health care facilities to prevent overcapacity at such facilities during a public health emergency, and'' before ``with respect to''; and (2) in subsection (j)(1), by inserting ``and each of fiscal years 2026 through 2031'' after ``through 2023''. <all>\n\nSUMMARY TO EVALUATE:\nTitle: ICU Bed Act of 2026: Real-Time Hospital Capacity Reporting\nSummary: Hospitals will be required to report available intensive care unit (ICU) beds in real-time to a shared system. This ensures patients in critical condition are quickly directed to facilities with available space, improving emergency response.\nKey Points: Hospitals must report ICU bed availability in real-time through a shared data system., Facilities within the same region must coordinate to transfer patients efficiently when capacity is reached., Compliance is a mandatory condition for hospitals to participate in the Medicare program., The law aims to prevent hospital overcrowding and ensure timely care during health emergencies.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": true,\n  \"issue\": \"none\"\n}"
    },
    {
      "timestamp": "2026-04-18T11:15:40.348Z",
      "source_url": "https://www.congress.gov/119/bills/hr8271/BILLS-119hr8271ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8271 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8271 To amend title XVIII of the Social Security Act to require that hospitals report intensive care unit bed availability in real time as a condition of participation under the Medicare program. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES April 14, 2026 Mr. Obernolte (for himself and Mrs. Dingell) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to require that hospitals report intensive care unit bed availability in real time as a condition of participation under the Medicare program. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Improving Care Utilization through Bed Exchange and Data Sharing Act of 2026'' or the ``ICU Bed Act of 2026''. SEC. 2. REQUIRING HOSPITALS TO REPORT BED AVAILABILITY IN REAL TIME AS A MEDICARE CONDITION OF PARTICIPATION. (a) In General.--Section 1866 of the Social Security Act (42 U.S.C. 1395cc) is amended-- (1) in subsection (a)(1)-- (A) in subparagraph (X), by striking ``and'' at the end; (B) in subparagraph (Y), by striking the period at the end and inserting ``, and''; and (C) by inserting after subparagraph (Y) the following new subparagraph: ``(Z) beginning 1 year after the date of the enactment of this subparagraph, in the case of a hospital, critical access hospital, or rural emergency hospital, to comply with the real- time intensive care unit bed availability requirements described in subsection (l).''; and (2) by adding at the end the following new subsection: ``(l) Real-Time Intensive Care Unit Bed Availability Reporting Requirements.-- ``(1) In general.--For purposes of subsection (a)(1)(Z), the real-time intensive care unit bed availability requirements described in this subsection are, with respect to a hospital, critical access hospital, or rural emergency hospital, that such hospital-- ``(A) participate in a shared data reporting system that provides information in real time regarding the number of intensive care unit beds available at such hospital to each hospital, critical access hospital, and rural emergency hospital participating under this title that is located in the same region established by the Secretary under paragraph (2) as such hospital; and ``(B) maintain a shared strategy with each such hospital located in such region to efficiently transfer patients between such hospitals in the case that such a hospital reaches or nears intensive care unit bed capacity. ``(2) Regions.--The Secretary shall establish regions with respect to which a hospital, critical access hospital, or rural emergency hospital shall meet the requirements under paragraph (1). In establishing such regions, the Secretary shall take into account-- ``(A) the geography and population of a region; and ``(B) the time it takes to travel between such hospitals in a region.''. (b) Partnership for State and Regional Hospital Preparedness.-- Section 319C-2 of the Public Health Service Act (42 U.S.C. 247d-3b) is amended-- (1) in subsection (c), by inserting ``, including for activities to prepare for the efficient transfer of patients between hospitals and other health care facilities to prevent overcapacity at such facilities during a public health emergency, and'' before ``with respect to''; and (2) in subsection (j)(1), by inserting ``and each of fiscal years 2026 through 2031'' after ``through 2023''. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o dostępności łóżek na OIOM w czasie rzeczywistym (2026)\",\n  \"pl_summary\": \"Szpitale będą miały obowiązek raportowania liczby wolnych łóżek na oddziałach intensywnej terapii w czasie rzeczywistym. Dzięki temu pacjenci w stanie krytycznym szybciej trafią do placówek z wolnymi miejscami, co zwiększy ich bezpieczeństwo.\",\n  \"pl_key_points\": [\n    \"Szpitale muszą udostępniać dane o wolnych łóżkach na OIOM w specjalnym systemie informatycznym.\",\n    \"Placówki w tym samym regionie będą współpracować, aby sprawnie przekazywać pacjentów, gdy zabraknie miejsc.\",\n    \"Raportowanie danych staje się obowiązkowym warunkiem uczestnictwa szpitali w programie Medicare.\",\n    \"Nowe przepisy mają zapobiegać przepełnieniu szpitali i usprawnić pomoc w sytuacjach kryzysowych.\"\n  ],\n  \"eng_ai_title\": \"ICU Bed Act of 2026: Real-Time Hospital Capacity Reporting\",\n  \"eng_summary\": \"Hospitals will be required to report available intensive care unit (ICU) beds in real-time to a shared system. This ensures patients in critical condition are quickly directed to facilities with available space, improving emergency response.\",\n  \"eng_key_points\": [\n    \"Hospitals must report ICU bed availability in real-time through a shared data system.\",\n    \"Facilities within the same region must coordinate to transfer patients efficiently when capacity is reached.\",\n    \"Compliance is a mandatory condition for hospitals to participate in the Medicare program.\",\n    \"The law aims to prevent hospital overcrowding and ensure timely care during health emergencies.\"\n  ],\n  \"de_ai_title\": \"Gesetz über die Echtzeit-Verfügbarkeit von Intensivbetten (2026)\",\n  \"de_summary\": \"Krankenhäuser müssen die Verfügbarkeit von Intensivbetten in Echtzeit melden. Dies ermöglicht eine schnellere Verlegung von Patienten in kritischem Zustand und verhindert die Überlastung einzelner Kliniken.\",\n  \"de_key_points\": [\n    \"Verpflichtende Echtzeit-Meldung freier Intensivbetten in einem gemeinsamen Datensystem.\",\n    \"Regionale Zusammenarbeit der Krankenhäuser zur effizienten Patientenverlegung bei Kapazitätsengpässen.\",\n    \"Die Einhaltung dieser Regeln ist Voraussetzung für die Teilnahme am Medicare-Programm.\",\n    \"Verlängerung der staatlichen Finanzierung für die Notfallvorsorge von Krankenhäusern bis 2031.\"\n  ],\n  \"fr_ai_title\": \"Loi de 2026 sur le signalement en temps réel des lits de soins intensifs\",\n  \"fr_summary\": \"Les hôpitaux devront signaler en temps réel la disponibilité des lits de soins intensifs. Cela permettra de transférer les patients plus rapidement vers les places disponibles et d'éviter la saturation des services d'urgence.\",\n  \"fr_key_points\": [\n    \"Obligation de rapporter les lits de soins intensifs disponibles via un système de données partagé.\",\n    \"Coordination régionale entre hôpitaux pour transférer les patients en cas de saturation d'un établissement.\",\n    \"Le respect de ces exigences devient une condition pour que les hôpitaux participent au programme Medicare.\",\n    \"Mesures visant à prévenir l'encombrement hospitalier lors de crises sanitaires.\"\n  ],\n  \"es_ai_title\": \"Ley de Disponibilidad de Camas de UCI en Tiempo Real de 2026\",\n  \"es_summary\": \"Los hospitales deberán informar en tiempo real sobre la disponibilidad de camas en las unidades de cuidados intensivos. Esto facilitará el traslado rápido de pacientes críticos a centros con espacio disponible, mejorando la atención de emergencia.\",\n  \"es_key_points\": [\n    \"Obligación de informar sobre camas de UCI disponibles mediante un sistema de datos compartido.\",\n    \"Estrategia regional entre hospitales para trasladar pacientes de manera eficiente cuando se alcance el límite de capacidad.\",\n    \"El cumplimiento es obligatorio para que los hospitales puedan participar en el programa Medicare.\",\n    \"Se extiende el financiamiento para la preparación de hospitales ante emergencias hasta el año 2031.\"\n  ],\n  \"it_ai_title\": \"Legge del 2026 sulla disponibilità in tempo reale dei posti letto in terapia intensiva\",\n  \"it_summary\": \"Gli ospedali dovranno comunicare in tempo reale la disponibilità di posti letto in terapia intensiva. Ciò consentirà trasferimenti più rapidi dei pazienti e preverrà il sovraffollamento delle strutture durante le emergenze sanitarie.\",\n  \"it_key_points\": [\n    \"Obbligo di segnalare i posti letto in terapia intensiva disponibili tramite un sistema dati condiviso.\",\n    \"Collaborazione regionale tra ospedali per il trasferimento efficiente dei pazienti in caso di saturazione.\",\n    \"Il rispetto dei requisiti è una condizione necessaria per la partecipazione degli ospedali al programma Medicare.\",\n    \"Proroga dei finanziamenti per la preparazione alle emergenze ospedaliere fino al 2031.\"\n  ],\n  \"nl_ai_title\": \"Wet op realtime rapportage van IC-bedden van 2026\",\n  \"nl_summary\": \"Ziekenhuizen worden verplicht om de beschikbaarheid van intensive care-bedden in realtime te rapporteren. Dit zorgt ervoor dat patiënten in kritieke toestand sneller naar locaties met vrije plekken kunnen worden gebracht.\",\n  \"nl_key_points\": [\n    \"Verplichte realtime rapportage van beschikbare IC-bedden via een gedeeld informatiesysteem.\",\n    \"Regionale samenwerking tussen ziekenhuizen voor een vlotte overdracht van patiënten bij drukte.\",\n    \"Naleving van deze regels is een voorwaarde voor ziekenhuizen om deel te nemen aan Medicare.\",\n    \"Verlenging van de financiering voor de paraatheid van ziekenhuizen bij noodsituaties tot en met 2031.\"\n  ],\n  \"pt_ai_title\": \"Lei de 2026 sobre a Disponibilidade de Camas de UCI em Tempo Real\",\n  \"pt_summary\": \"Os hospitais serão obrigados a comunicar em tempo real a disponibilidade de camas em unidades de cuidados intensivos. Isto garante que doentes críticos sejam rapidamente encaminhados para locais com vagas, aumentando a segurança.\",\n  \"pt_key_points\": [\n    \"Obrigação de reportar camas de UCI disponíveis através de um sistema de dados partilhado.\",\n    \"Estratégia regional entre hospitais para transferir doentes de forma eficiente em caso de lotação esgotada.\",\n    \"O cumprimento destas regras passa a ser uma condição para os hospitais participarem no programa Medicare.\",\n    \"Prolongamento do financiamento para a preparação de hospitais em situações de emergência até 2031.\"\n  ],\n  \"category\": [\"Health\"]\n}"
    }
  ]
}