,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bfai  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #h1 #bjac ,mr4  
,lewis 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 = ,m$ic>e cov]age ( pulmon>y    
self-managem5t education & tra9+ s]vices
 furni%$ by a qualifi$ respiratory      
!rapi/ 9 a physician practice4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,m$ic>e ,respiratory ,!rapi/ ,access    
,act ( #bjac4  #b4 ,m$ic>e cov]age (    
pulmon>y self-managem5t education &     
tra9+ s]vices furni%$ by a qualifi$     
respiratory !rapi/ 9 a physician        
practice  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 by /rik+ & at ! end (   
subp>agraph 7,,ee72  7,b7 by add+ & at !
 end ( subp>agraph 7,,ff72 &  7,c7 by   
add+ at ! end ! foll[+ new subp>agraph3 
7,,gg7 pulmon>y self-managem5t education
 & tra9+ s]vices 7z def9$ 9 subsection  
7iii77#a772  2 &  7#b7 by add+ at ! end 
! foll[+ new subsection3  7iii7         
,pulmon>y ,self-,managem5t ,education & 
,tra9+ ,s]vices2 ,eligible ,individual2 
,qualifi$ ,respiratory ,!rapi/  7#a7 ,= 
purposes ( subsection 7s77#b77;,,gg71 ! 
t]m pulmon>y self-managem5t education & 
tra9+ s]vices means pati5t education &  
tra9+ s]vices furni%$ to an individual  
diagnos$ ) a *ronic lung disease1       
includ+ su* a disease describ$ 9        
p>agraph 7#b71 by a qualifi$ respiratory
 !rapi/ 7z def9$ 9 p>agraph 7#c77 9 a   
physician practice b only if ! physician
 :o is manag+ ! *ronic lung disease ( ! 
individual det]m9es1 9 accordance ) a   
compreh5sive plan ( c>e relat$ to !     
treatm5t ( ! individual = ! *ronic lung 
disease1 t su* s]vices are ne$$ to      

ensure !rapy compliance by ! individual 
or to provide ! individual ) necess>y   
skills & k 7includ+ skills relat$ to    
prop] inhal] te*niques7 to p>ticipate 9 
! managem5t ( ! individual's *ronic lung
 disease4  7#b7 ,= purposes ( p>agraph  
7#a71 a *ronic lung disease describ$ 9  
?is p>agraph is any ( ! foll[+3  7,a7   
,*ronic ob/ructive pulmon>y disease     
7,,copd71 includ+ emphysema & bron*itis4
  7,b7 ,a/hma4  7,c7 ,pulmon>y          
hyp]t5sion4  7,d7 ,pulmon>y fibrosis4   
7,e7 ,cy/ic fibrosis4  7#c7 ,= purposes 
( p>agraph 7#a71 ! t]m qualifi$         
respiratory !rapi/ means an individual  
:o--  7,a7 is cr$5tial$ by a national   
cr$5tial+ bo>d recogniz$ by ! ,secret>y2
  7,b7 7i7 is lic5s$ to practice        
respiratory !rapy 9 ! ,/ate 9 :i* !     
respiratory !rapy s]vices are p]=m$2 or 
7ii7 9 ! case ( an individual 9 a ,/ate 
:i* does n provide = su* lic5sure1 is   
legally au?oriz$ to p]=m respiratory    
!rapy s]vices 79 ! ,/ate 9 :i* !        
individual p]=m$ su* s]vices7 "u ,/ate  

law 7or ! ,/ate regulatory me*anism     
provid$ by ,/ate law72  7,c7 is a       
regi/]$ respiratory !rapi/2 &  7,d7     
holds at a m9imum ei!r a ba*elor's      
degree or o!r advanc$ degree f an       
accr$it$ s*ool ( high] education 9 a    
heal? sci5ce field4  4