,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bcge  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #ad1 #bjac ,mr4 
,?ompson ( ,p5nsylvania 7= himself &    
,mr4 ,braley ( ,i[a7 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 delay 
= at lea/ #f mon?s ! implem5tation (    
r\nd #a recompete & r\nd #b ( ! ,m$ic>e 
durable m$ical equipm5t 7,,dme7         
competitive bidd+ program & ( ! national
 mail ord] program = diabetic te/+      
supplies to p]mit ,congress an          
opportunity to re=m ! competitive bidd+ 
program1 to provide = an evaluation ( t 
program by an auction exp]t team1 & =   
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,transp>5cy &          
,acc\ntability 9 ,m$ic>e ,bidd+ ,act (  
#bjac4  #b4 ,delay 9 implem5t+ ! ,m$ic>e

 ,,dme competitive bidd+ program & !    
national mail ord] program = diabetic   
te/+ supplies  7a7 ,9 g5]al ,not)/&+ any
 o!r provision ( law1 ! ,secret>y (     
,heal? & ,human ,s]vices %all delay f   
,july #a1 #bjac1 to a date t is no e>li]
 ?an ,decemb] #ca1 #bjac1 ! dates (     
implem5tation (--  7#a7 r\nd #b ( !     
,,dmepos competitive bidd+ program "u   
section #ahdg ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#c72 &  7#b7 !   
s+le paym5t am\nts "u ! national mail   
ord] competition = diabetic supplies "u 
su* section4  7b7 ,r\nd #a recompete    
delay ,not)/&+ any o!r provision ( law1 
! ,secret>y ( ,heal? & ,human ,s]vices  
%all delay ! />t ( r\nd #a recompete (  
su* ,,dmepos competitive bidd+ program f
 ,janu>y #a1 #bjad1 to a date t is no   
e>li] ?an #f mon?s aft] ! date ( initial
 implem5tation ( r\nd #b ( su* program4 
#c4 ,evaluation ( ,,dmepos competitive  
bidd+ program by auction exp]t team  7a7
 ,9 g5]al ,! ,secret>y ( ,heal? & ,human
 ,s]vices 79 ?is section ref]r$ to z !  

,secret>y71 n lat] ?an #c mon?s aft] !  
date ( ! enactm5t ( ?is ,act & act+     
?r\gh ! ,(fice ( ! ,assi/ant ,secret>y =
 ,plann+ & ,evaluation1 %all contract #c
 auction exp]ts1 a heal? economi/1 & an 
econometrician to "w z a team 79 ?is    
section collectively ref]r$ to z !      
auction exp]t team71 l$ by ! auction    
exp]ts1 to indep5d5tly review & assess  
all aspects ( r\nd #a re-bid & r\nd #b (
 ! ,,dmepos competitive bidd+ program "u
 section #ahdg ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciew-#c71 includ+ 
! design1 developm5t1 implem5tation1    
adequacy ( support = ,m$ic>e b5efici>ies
 ) *ronic illness or disabilities1 m>ket
 fairness1 su/a9ability1 & function+ (  
su* program4  7b7 ,selection ( auction  
exp]t team  7#a7 ,9 g5]al ,! selection (
 ! exp]ts on ! auction exp]t team "u    
subsection 7a7 %all be und]tak5 ?r\gh a 
competitive process4  7#b7              
,disqualifications ,an individual %all n
 be select$ = ! auction exp]t team if   
su* individual--  7,a7 is a curr5t or   

=m] employee ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices2  7,b7 is a curr5t or 
=m] contractor = ! ,c5t]s = ,m$ic>e     
,m$icaid ,s]vices t p>ticipat$ 9 !      
design or implem5tation ( ! ,,dmepos    
competitive bidd+ program2  7,c7 does n 
h significant exp]i5ce 9 implem5t+      
auctions ( simil> complexity 9 gov]nm5t 
programs2 &  7,d7 does n h appropriate  
educational cr$5tials4  7c7 ,access to  
in=mation ,! ,secret>y %all make        
available to ! auction exp]t team all   
applicable in=mation 7includ+           
confid5tial in=mation7 on ! ,,dmepos    
competitive bidd+ program 9 its entirety
 7includ+ in=mation on its design & !   
bidd+ "u r\nd #a1 r\nd #a re-bid1 & r\nd
 #b74  7d7 ,report to ,secret>y &       
,congress  7#a7 ,9 g5]al ,n lat] ?an #d 
mon?s aft] ! date ! ,secret>y ent]s into
 ! contract ) ! exp]ts "u subsection    
7a71 ! auction exp]t team %all submit a 
report to ! ,secret>y & to ! ,congress  
on its assessm5t & review "u subsection 
7a74  7#b7 ,items to be includ$ 9 report

 ,su* report %all include ! foll[+ &    
%all id5tify all pot5tial problems ) !  
,,dmepos competitive bidd+ program3     
7,a7 ,a review & assessm5t ( !          
appropriat5ess ( ,,hcpcs codes select$ =
 auctions4  7,b7 ,an evaluation &       
assessm5t ( ! ability ( individuals     
eligible = ! ,,dmepos items subject to !
 program to obta9 ^! items & s]vices1   
includ+ an assessm5t ( utilization      
patt]ns4  7,c7 ,an analysis ( any curr5t
 or future adv]se effects on            
b5efici>ies' heal? outcomes relat$ to ! 
program & relat$ co/s to ! ,m$ic>e tru/ 
fund1 includ+ an analysis ( ^?          
b5efici>ies 9 ea* competitively bid area
 :o did n cont9ue to receive su* items &
 ! effect on _! ,m$ic>e claims "u p>ts  
,a1 ,b1 & ,d4  7,d7 ,an id5tification & 
report on ! cause ( any mat]ial         
det]ioration 9 ! quality ( items &      
s]vices provid$ to an individual        
eligible = ,,dmepos b5efits "u !        
program4  7,e7 ,an evaluation ( ! co/s (
 any prev5table or prolong$             

hospitalizations due to lack ( timely   
access to items & relat$ s]vices subject
 to ! program4  7,f7 ,an id5tification1 
= ea* product category & competitive bid
 area 9 ! r\nd #a re-bid1 ( ! foll[+3   
7i7 ,! orig9al w9n+ bidd]s :i* sign$    
contracts & ! numb] ( all[$ unique      
,m$ic>e b5efici>ies ea* contract+       
suppli] fulfill$ annually = ! cal5d>    
ye>s #bjaj1 #bjaa & #bjab 9 !           
competitive bidd+ areas4  7ii7 ,h[ _m   
contract+ suppli]s fail$ to submit      
b5efici>y product claims = m ?an #fj    
consecutive days4  7iii7 ,an            
id5tification ( ,,dmepos suppli]s add$  
aft] ,janu>y #a1 #bjaa1 & ! numb] (     
all[$ unique ,m$ic>e b5efici>ies ea* su*
 add$ suppli] s]v$ annually = ! cal5d>  
ye>s #bjaj1 #bjaa & #bjab 9 !           
competitive bidd+ areas4  7,g7 ,an      
id5tification1 = ea* product category & 
ea* competitive bidd+ area 9 ! r\nd #a  
re-bid & 9 r\nd #b1 ( ! foll[+3  7i7 ,! 
numb] ( w9n+ suppli]s4  7ii7 ,! numb] ( 
su* w9n+ suppli]s :i* h n previ\sly     

suppli$ ! ,,dmepos products bid = 9 !   
competitive bidd+ area4  7iii7 ,! total 
actual unique ,m$ic>e b5efici>ies s]v$  
by su* w9n+ suppli]s1 = #bjaj ) ! r\nd  
#a re-bid & #bjab = r\nd #b4  7iv7 ,!   
total capacity1 measur$ by unique       
,m$ic>e b5efici>ies to be s]v$ by su*   
w9n+ suppli]s1 z e/imat$ by ,secret>y to
 meet ! ne$s ( s5iors dur+ ! contract+  
p]iod4  7v7 ,su* total capacity z bid by
 ! w9n+ bidd]s4  7vi7 ,! total capacity 
attribut$ by ! ,secret>y to ! w9n+      
bidd]s4  7#c7 ,recomm5dations ,su*      
report %all also include su*            
recomm5dations = *anges 9 su* program z 
! auction exp]t team det]m9es           
appropriate1 includ+ recomm5dations t   
respond to all ! pot5tial problems      
id5tifi$ "u p>agraph 7#b74