,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bccj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #ab1 #bjac ,mr4 
,bilirakis 7= himself1 ,mr4 ,butt]field1
 ,mrs4 ,capps1 ,mr4 ,gu?rie1 ,mr4       
,mi*aud1 ,mr4 ,mc,kinley1 ,mr4 ,g]la*1  
,mr4 ,huiz5ga ( ,mi*igan1 & ,mr4        
,meehan7 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 compreh5sive audiology s]vices  
to ,m$ic>e b5efici>ies1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,m$ic>e ,audiology ,s]vices
 ,enhancem5t ,act ( #bjac4  #b4         
,compreh5sive audiology s]vices =       
,m$ic>e b5efici>ies  7a7 ,9 g5]al       
,section #ahfa ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7 is am5d$--  

7#a7 9 subsection 7s77#b7--  7,a7 9     
subp>agraph 7,,ee71 by /rik+ & at ! end2
  7,b7 9 subp>agraph 7,,ff71 by add+ &  
at ! end2 &  7,c7 by add+ at ! end !    
foll[+ new subp>agraph3  7,,gg7         
audiology s]vices 7z def9$ 9 subsection 
7ll77#c772  2 &  7#b7 by am5d+ p>agraph 
7#c7 ( subsection 7ll7 to read z foll[s3
  7#c7 ,! t]m audiology s]vices means   
only ! foll[+ s]vices furni%$ by a      
qualifi$ audiologi/ z ! audiologi/ is   
legally au?oriz$ to p]=m "u ,/ate law   
7or ! ,/ate regulatory me*anism provid$ 
by ,/ate law71 pursuant to an ord] or   
ref]ral by a physician1 z w\ld o!rwise  
be cov]$ if furni%$ by a physician3     
7,a7 ,he>+ & balance assessm5t s]vices4 
7,b7 ,auditory treatm5t s]vices1 includ+
 auditory process+ & auditory           
rehabilitation treatm5t4  7,c7 ,ve/ibul>
 treatm5t s]vices4  7,d7 ,intraop]ative 
neurophysiologic monitor+ s]vices4  4   
7b7 ,paym5t "u "p ,b "u physician fee   
s*$ule = compreh5sive audiology s]vices 
,section #ahdh7;j77#c7 ( ! ,social      

,security ,act 7#db ,u4,s4,c4           
#aciew-#d7;j77#c77 is am5d$ by ins]t+   
7#b77;,,gg71 be=e 7#c714  7c7 ,audiology
 s]vices p]=m$ 9 hospitals exclud$ f    
inpati5t hospital s]vices ,section      
#ahfa7;b77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciex7b77#d77 is am5d$ 
by /rik+ & s]vices ( a c]tifi$ regi/]$  
nurse ane/heti/ & ins]t+ s]vices ( a    
c]tifi$ regi/]$ nurse ane/heti/1 &      
int]-op]ative neurophysiological        
monitor+ provid$ by a physician or      
qualifi$ audiologi/ 7z def9$ 9          
subsection 7ll77#d77;,b774  7d7         
,requirem5ts ( s]vice ,section          
#ahce7;a77#b7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acien7a77#b77 is       
am5d$--  7#a7 9 subp>agraph 7,b71 by    
/rik+ & 7,d7 & ins]t+ 7,d71 & 7,,gg72   
7#b7 by /rik+ & at ! end ( subp>agraph  
7,e72  7#c7 by /rik+ ! p]iod at ! end ( 
subp>agraph 7,f7 & ins]t+ 2 &2 &  7#d7  
by ins]t+ aft] subp>agraph 7,f7 ! foll[+
 new subp>agraph3  7,g7 9 ! case (      
outpati5t audiology s]vices1 7i7 su*    

s]vices are or 7 requir$ because !      
individual ne$$ ! specializ$ s]vices ( a
 physician or qualifi$ audiologi/ to    
furni% su* audiology s]vices1 7ii7 a    
plan ( c>e = furni%+ su* s]vices has be5
 e/abli%$ by ! physician or qualifi$    
audiologi/ & is submitt$ to &           
p]iodically review$ by ! ref]r+ or ord]+
 physician1 & 7iii7 su* s]vices are or 7
 furni%$ :ile ! individual is or 0 "u ! 
c>e ( a physician4  4  7e7 ,audiology   
s]vices includ$ z designat$ heal?       
s]vices = purposes ( limitation on c]ta9
 physician ref]rals ,section            
#ahgg7;h77#f7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acienn7h77#f77 is am5d$
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,m7 ,audiology s]vices 7z
 def9$ 9 section #ahfa7ll77#c774  4  7f7
 ,p>ticipation 9 ,m$ic>e ,no?+ 9 ?is    
section %all be con/ru$ to require a    
qualifi$ audiologi/ 7z def9$ 9 section  
#ahfa7ll77#d77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciex7ll77#d77;,b777 to p>ticipate 9 ! 

,m$ic>e program "u title ,,xviii ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq474  7g7 ,effective date ,! 
am5dm5ts made by ?is section %all apply 
to s]vices furni%$ on or aft] ,janu>y   
#a1 #bjad4