,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #ajbd  ,,in ,,the ,,house ,,of  
,,representatives  ,march #g1 #bjac     
,mrs4 ,mc,morris ,rodgers introduced the
 following bill2 which was referred to  
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 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 provide   
part ,d eligible individuals with single
 chronic diseases access to services    
under medication therapy management     
programs under the ,medicare part ,d    
prescription drug program4  #a4 ,short  
title ,this ,act may be cited as the    
,medication ,therapy ,management        
,empowerment ,act of #bjac4  #b4 ,access
 to services under medication therapy   
management programs for ,medicare part  
,d eligible individuals with single     

chronic diseases ,section               
#ahfj;,d-#d7;c77#b77;,a7 of the ,social 
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajd7;c77#b77;,a77 is amended--  
7#a7 in clause 7ii71 by striking        
subclause 7,i7 and inserting the        
following3  7,i7 have--  7aa7 multiple  
chronic diseases 7such as diabetes1     
asthma1 hypertension1 hyperlipidemia1   
and congestive heart failure72 or  7bb7 
subject to clause 7iii71 any single     
chronic disease1 including diabetes1    
hypertension1 heart failure1            
dyslipidemia1 respiratory disease 7such 
as asthma1 chronic obstructive pulmonary
 disease or chronic lung disorder71 bone
 disease-arthritis 7such as osteoporosis
 or osteoarthritis71 rheumatoid         
arthritis1 or mental health disorder    
7such as depression1 schizophrenia1 or  
bipolar disorder74  2 and  7#b7 by      
adding at the end the following3  7iii7 
,determinations relating to program     
costs for including individuals with    
single chronic diseases  7,i7 ,initial  

determinations ,with regard to any      
single chronic disease1 clause          
7ii77,i77bb7 shall only be applied if   
the ,chief ,actuary for the ,centers for
 ,medicare  ,medicaid ,services         
determines that the application of such 
clause with regard to such disease is   
not projected to increase overall costs 
to the ,medicare program under this     
title over the five year period         
beginning on the date of determination4 
7,,ii7 ,review of determinations ,in the
 case that clause 7ii77,i77bb7 is       
applied with respect to a single chronic
 disease pursuant to a determination    
under subclause 7,i71 not later than    
five years after such date of           
determination1 the ,chief ,actuary for  
the ,centers for ,medicare  ,medicaid   
,services shall review the effect of the
 application of such clause with respect
 to such disease on the actual cost of  
the ,medicare program under this title  
during such five years4 ,based on such  
review1 if the ,chief ,actuary is unable

 to determine that1 with regard to such 
single chronic disease1 the application 
of such clause did not increase costs to
 the ,federal government under the      
,medicare program under this title over 
such period1 then the ,secretary shall  
review the findings of the ,chief       
,actuary and determine whether such     
clause shall continue to be applied with
 regard to such single chronic disease4 
,in conducting such review and making   
such determination1 the ,secretary shall
 consider the extent to which the       
application of such clause with regard  
to such single chronic disease effects  
the health outcomes of part ,d eligible 
individuals and any savings and costs to
 the ,federal government under the      
,medicare program under this title4  4