“(ll) Essential health system.—The term ‘essential health system’ means a hospital—

“(1) (A) that is a subsection (d) hospital (as defined in section 1886(d)(1)(B));

“(B) that is a non-Federal governmental or private nonprofit hospital; and

“(C) that met one of the following three criteria in at least two of the three most recent fiscal years, demonstrating the hospital provides a high-volume of care to Medicaid and other low-income patients:

“(i) MEDICAID AND LOW-INCOME MEDICARE CRITERIA.—

“(I) The hospital had a Medicare disproportionate patient percentage of at least 35 percent (as defined in section 1886(d)(5)(F)(vi)).

“(ii) UNCOMPENSATED CARE CRITERIA.—

“(I) The hospital had a Medicare disproportionate share hospital uncompensated care payment factor of 0.0005 or more (as defined in section 1886(r)(2)(C)).

“(iii) STATE-ADJUSTED LOW-INCOME CARE CRITERIA.—

“(I) The hospital had a value for the criteria described in clause (i) or clause (ii) that is in the top 16th percentile for subsection (d) hospitals (as defined in section 1886(d)(1)(B)) in the state in which it is located.

“(2) PERIOD OF DESIGNATION.—The designation of an essential health system under paragraph (1) shall be effective for a period of 5 years, provided the hospital continues to meet the criteria in subparagraphs (A) and (B) in each year, and shall be subject to redesignation thereafter under paragraph (1) for five year periods thereafter.”.

“(7) ESSENTIAL HEALTH SYSTEM INDEX.—

“(A) Not later than six months after the date of enactment and by August 1st in each year thereafter, MACPAC shall—

“(i) Prepare and submit to Congress a list of essential health systems that meet the criteria specified in section1905(ll), including hospitals newly meeting the criteria and those that were so designated in one of the previous four fiscal years; and

“(ii) Establish and publish essential health system index values for each hospital that is a subsection (d) hospital (as defined in section 1886(d)(1)(B)) in accordance with subparagraph (B).

“(B) In this subparagraph, the term ‘essential health system index value’ is a computation of each hospital’s percentile ranking for the most recent fiscal year for which data is available on the measures described in section1905(ll)(1)(C)(i) and (ii) compared to other subsection (d) hospitals in the:

“(i) same core-based statistical area (if applicable),

“(ii) same state, and

“(iii) nationally.

“(C) MACPAC shall report these values individually and shall also report a composite index value calculated as the average of the individual index values specified in subparagraph (B).”.

“(iv) payment policies that use the criteria described in subparagraph (b)(7) to provide targeted support for essential health systems and ensure access to the essential community services that they provide.”.

“(ll) Essential health system.—The term ‘essential health system’ means a hospital—

“(1) (A) that is a subsection (d) hospital (as defined in section 1886(d)(1)(B));

“(B) that is a non-Federal governmental or private nonprofit hospital; and

“(C) that met one of the following three criteria in at least two of the three most recent fiscal years, demonstrating the hospital provides a high-volume of care to Medicaid and other low-income patients:

“(i) MEDICAID AND LOW-INCOME MEDICARE CRITERIA.—

“(I) The hospital had a Medicare disproportionate patient percentage of at least 35 percent (as defined in section 1886(d)(5)(F)(vi)).

“(ii) UNCOMPENSATED CARE CRITERIA.—

“(I) The hospital had a Medicare disproportionate share hospital uncompensated care payment factor of 0.0005 or more (as defined in section 1886(r)(2)(C)).

“(iii) STATE-ADJUSTED LOW-INCOME CARE CRITERIA.—

“(I) The hospital had a value for the criteria described in clause (i) or clause (ii) that is in the top 16th percentile for subsection (d) hospitals (as defined in section 1886(d)(1)(B)) in the state in which it is located.

“(2) PERIOD OF DESIGNATION.—The designation of an essential health system under paragraph (1) shall be effective for a period of 5 years, provided the hospital continues to meet the criteria in subparagraphs (A) and (B) in each year, and shall be subject to redesignation thereafter under paragraph (1) for five year periods thereafter.”.

“(7) ESSENTIAL HEALTH SYSTEM INDEX.—

“(A) Not later than six months after the date of enactment and by August 1st in each year thereafter, MACPAC shall—

“(i) Prepare and submit to Congress a list of essential health systems that meet the criteria specified in section1905(ll), including hospitals newly meeting the criteria and those that were so designated in one of the previous four fiscal years; and

“(ii) Establish and publish essential health system index values for each hospital that is a subsection (d) hospital (as defined in section 1886(d)(1)(B)) in accordance with subparagraph (B).

“(B) In this subparagraph, the term ‘essential health system index value’ is a computation of each hospital’s percentile ranking for the most recent fiscal year for which data is available on the measures described in section1905(ll)(1)(C)(i) and (ii) compared to other subsection (d) hospitals in the:

“(i) same core-based statistical area (if applicable),

“(ii) same state, and

“(iii) nationally.

“(C) MACPAC shall report these values individually and shall also report a composite index value calculated as the average of the individual index values specified in subparagraph (B).”.

“(iv) payment policies that use the criteria described in subparagraph (b)(7) to provide targeted support for essential health systems and ensure access to the essential community services that they provide.”.