,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bdae  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #ah1 #bjac ,mr4 
,cassidy 7= himself1 ,mr4 ,k9d1 ,mr4    
,lance1 ,mr4 ,gu?rie1 ,mrs4 ,blackburn1 
,mrs4 ,*ri/5s51 ,mr4 ,b5 ,ray ,lujn (   
,new ,mexico1 ,mr4 ,roskam1 ,mr4        
,blum5au]1 ,mr4 ,pauls51 & ,mr4 ,pet]s (
 ,cali=nia7 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   
include in=mation on ! cov]age (        
int5sive behavioral !rapy = obesity 9 ! 
,m$ic>e & ,y ,h&book & to provide = !   
coord9ation ( programs to prev5t & treat
 obesity1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,treat &
 ,r$uce ,obesity ,act ( #bjac4  #b4     
,f9d+s ,congress makes ! foll[+ f9d+s3  

7#a7 ,accord+ to ! ,c5t]s = ,disease    
,control1 ab\t #ce p]c5t ( adults ag$   
#fe & ov] 7 obese 9 ! p]iod ( #bjjg     
?r\gh #bjaj1 repres5t+ ov] #h million   
adults ag$ #fe ?r\gh #gd4  7#b7 ,obesity
 increases ! risk = *ronic diseases &   
conditions1 includ+ high blood pressure1
 he>t disease1 & type #b diabetes4  7#c7
 ,m ?an half ( ,m$ic>e b5efici>ies are  
treat$ = #e or m *ronic conditions p]   
ye>4 ,! rate ( obesity among ,m$ic>e    
pati5ts d\bl$ f #aihg to #bjjb1 & sp5d+ 
on ^? individuals m ?an d\bl$4  7#d7    
,obese m5 & wom5 at age #fe h decreas$  
life expectancy ( #a4f ye>s = m5 & #a4d 
ye>s = wom54  7#e7 ,! direct & indirect 
co/ ( obesity is m ?an #dej billion     
annually4  7#f7 ,on av]age1 an obese    
,m$ic>e b5efici>y co/s #a1ifd m ?an a   
normal-weight b5efici>y4  7#g7 ,!       
preval5ce ( obesity among old] ,am]icans
 is gr[+ at a l9e> rate &1 left un*ang$1
 ne>ly half ( ! eld]ly population w be  
obese 9 #bjcj accord+ to a              
,congressional ,rese>* ,report on       

obesity4  #c4 ,inclusion ( in=mation on 
cov]age ( int5sive behavioral !rapy =   
obesity 9 ! ,m$ic>e & ,y ,h&book  7a7 ,9
 g5]al ,section #ahjd7;a7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acie;b-#b7;a77 is am5d$--  7#a7 9      
p>agraph 7#b71 by /rik+ 8&0 at ! end2   
7#b7 9 p>agraph 7#c71 by /rik+ ! p]iod  
at ! end & ins]t+ 1 &2 &  7#c7 by ins]t+
 aft] p>agraph 7#c7 ! foll[+ new        
p>agraph3  7#d7 in=mation on ! cov]age (
 int5sive behavioral !rapy = obesity "u 
?is title1 includ+ in=mation reg>d+     
prim>y c>e physicians & o!r provid]s (  
s]vices & suppli]s :o are eligible to   
furni% su* !rapy4  4  7b7 ,effective    
date ,! am5dm5ts made by subsection 7a7 
%all apply to notices di/ribut$ on or   
aft] ! date ( ! enactm5t ( ?is ,act4    
#d4 ,au?ority to exp& heal? c>e provid]s
 qualifi$ to furni% int5sive behavioral 
!rapy ,section #ahfa7;ddd7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciex7ddd77 is am5d$ by add+ at ! end !
 foll[+ new p>agraph3  7#d7 ,! ,secret>y

 may1 9 addition to qualifi$ prim>y c>e 
physicians & o!r prim>y c>e             
practition]s1 all[ o!r physicians1      
regi/]$ dietitians1 c]tifi$ diabetes    
educators1 & in/ructors tra9$ & c]tifi$ 
by ! ,national ,diabetes ,prev5tion     
,life/yle ,coa* ,tra9+ program ( !      
,c5t]s = ,disease ,control & ,prev5tion 
to provide & be indep5d5tly reimburs$ = 
int5sive behavioral !rapy = obesity     
furni%$ outside ( ! prim>y c>e sett+1 s 
long z any su* nonphysician provid] or  
in/ructor furni%+ su* !rapy to an       
individual mu/ communicate any          
recomm5dations or treatm5t plan = !     
individual to ! individual's prim>y c>e 
physician or practition]4  4  #e4       
,m$ic>e "p ,d cov]age ( obesity         
m$ication  7a7 ,9 g5]al ,section        
#ahfj;,d-#b7;e77#b77;,a7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajb7;e77#b77;,a77 is am5d$ by   
ins]t+ aft] "u section #aibg7;d77#b71 ! 
foll[+3 o!r ?an subp>agraph 7,a7 ( su*  
section if ! drug is us$ = ! treatm5t ( 

obesity 7z def9$ 9 section              
#ahfa7yy77#b77;,c77 or = weight loss    
managem5t = an individual :o is         
ov]weight 7z def9$ 9 section            
#ahfa7yy77#b77;,f77i77 & if ! individual
 has "o or m comorbidities14  7b7       
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply to plan ye>s  
beg9n+ on or aft] ! date t is #b ye>s   
aft] ! date ( ! enactm5t ( ?is ,act4