,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #ajbd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #g1 #bjac ,mrs4  
,mc,morris ,rodg]s introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce1 & 9 addition to !    
,committee on ,ways & ,means1 = a p]iod 
to be subsequ5tly det]m9$ by ! ,speak]1 
9 ea* case = consid]ation ( su*         
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to am5d  
title ,,xviii ( ! ,social ,security ,act
 to provide "p ,d eligible individuals )
 s+le *ronic diseases access to s]vices 
"u m$ication !rapy managem5t programs "u
 ! ,m$ic>e "p ,d prescription drug      
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,m$ication ,!rapy ,managem5t
 ,emp[]m5t ,act ( #bjac4  #b4 ,access to
 s]vices "u m$ication !rapy managem5t   
programs = ,m$ic>e "p ,d eligible       
individuals ) s+le *ronic diseases      
,section #ahfj;,d-#d7;c77#b77;,a7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#ajd7;c77#b77;,a77 is am5d$--    

7#a7 9 clause 7ii71 by /rik+ subclause  
7,i7 & ins]t+ ! foll[+3  7,i7 h--  7aa7 
multiple *ronic diseases 7su* z         
diabetes1 a/hma1 hyp]t5sion1            
hyp]lipidemia1 & conge/ive he>t         
failure72 or  7bb7 subject to clause    
7iii71 any s+le *ronic disease1 includ+ 
diabetes1 hyp]t5sion1 he>t failure1     
dyslipidemia1 respiratory disease 7su* z
 a/hma1 *ronic ob/ructive pulmon>y      
disease or *ronic lung disord]71 bone   
disease-ar?ritis 7su* z o/eoporosis or  
o/eo>?ritis71 rheumatoid ar?ritis1 or   
m5tal heal? disord] 7su* z depression1  
s*izophr5ia1 or bipol> disord]74  2 &   
7#b7 by add+ at ! end ! foll[+3  7iii7  
,det]m9ations relat+ to program co/s =  
includ+ individuals ) s+le *ronic       
diseases  7,i7 ,initial det]m9ations ,) 
reg>d to any s+le *ronic disease1 clause
 7ii77,i77bb7 %all only be appli$ if !  
,*ief ,actu>y = ! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices det]m9es t !          
application ( su* clause ) reg>d to su* 
disease is n project$ to increase ov]all

 co/s to ! ,m$ic>e program "u ?is title 
ov] ! five ye> p]iod beg9n+ on ! date ( 
det]m9ation4  7,,ii7 ,review (          
det]m9ations ,9 ! case t clause         
7ii77,i77bb7 is appli$ ) respect to a   
s+le *ronic disease pursuant to a       
det]m9ation "u subclause 7,i71 n lat]   
?an five ye>s aft] su* date (           
det]m9ation1 ! ,*ief ,actu>y = ! ,c5t]s 
= ,m$ic>e  ,m$icaid ,s]vices %all review
 ! effect ( ! application ( su* clause )
 respect to su* disease on ! actual co/ 
( ! ,m$ic>e program "u ?is title dur+   
su* five ye>s4 ,bas$ on su* review1 if !
 ,*ief ,actu>y is unable to det]m9e t1 )
 reg>d to su* s+le *ronic disease1 !    
application ( su* clause did n increase 
co/s to ! ,f$]al gov]nm5t "u ! ,m$ic>e  
program "u ?is title ov] su* p]iod1 !n !
 ,secret>y %all review ! f9d+s ( ! ,*ief
 ,actu>y & det]m9e :e!r su* clause %all 
cont9ue to be appli$ ) reg>d to su* s+le
 *ronic disease4 ,9 conduct+ su* review 
& mak+ su* det]m9ation1 ! ,secret>y %all
 consid] ! ext5t to :i* ! application ( 

su* clause ) reg>d to su* s+le *ronic   
disease effects ! heal? outcomes ( "p ,d
 eligible individuals & any sav+s & co/s
 to ! ,f$]al gov]nm5t "u ! ,m$ic>e      
program "u ?is title4  4