,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #caej  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ai1        
#bjac,mr4 ,c>twright 7= himself1 ,mr4   
,crd5as1 ,ms4 ,cl>ke1 ,mr4 ,grijalva1   
,ms4 ,eddie ,b]nice ,johnson ( ,texas1  
,ms4 ,lee ( ,cali=nia1 ,ms4 ,norton1    
,mr4 ,pet]s ( ,mi*igan1 ,mr4 ,v>gas1    
,mr4 ,nadl]1 ,mr4 ,scott ( ,virg9ia1    
,mr4 ,&rews1 & ,mr4 ,p]lmutt]7 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 =     
cov]age "u ! ,m$ic>e ,program ( he>+    
aids & relat$ he>+ s]vices4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,help   
,ext5d ,auditory ,relief 7,,he>7 ,act ( 
#bjac4  #b4 ,m$ic>e cov]age ( he>+      
rehabilitation  7a7 ,cov]age ( aural    

rehabilitation s]vices ,section         
#ahfa7s77#b7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$--
 7#a7 9 subp>agraph 7,,ee71 by /rik+ &  
at ! end2  7#b7 9 subp>agraph 7,,ff7 by 
ins]t+ & at ! end2 &  7#c7 by add+ at ! 
end ! foll[+ new subp>agraph3  7,,gg7   
aural rehabilitation s]vices 7z describ$
 9 subsection 7iii77#a77;,a772  4  7b7  
,cov]age ( he>+ aids z durable m$ical   
equipm5t ,section #ahfa7s77#h7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7s77#h77 is am5d$ by ins]t+ & he>+
 aids 7z def9$ 9 subsection 7iii77#c77  
be=e ! p]iod4  7c7 ,he>+ rehabilitation 
& he>+ aid def9$ ,section #ahfa ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7 is am5d$ by add+ at ! end !     
foll[+ new subsection3  7iii7 ,he>+     
rehabilitation  7#a7 ,! t]m he>+        
rehabilitation means-- 7,a7 aural       
rehabilitation s]vices 7describ$ 9      
p>agraph 7#b77 :i* meet su* requirem5ts 
z ! ,secret>y prescribes & :i* are      
furni%$ by a physician or qualifi$      

audiologi/1 :o is legally au?oriz$ to   
furni% su* s]vices "u ! ,/ate law 7or ! 
,/ate regulatory me*anism provid$ by    
,/ate law7 ( ! ,/ate 9 :i* ! s]vices are
 furni%$2 &  7,b7 he>+ aids 7z def9$ 9  
p>agraph 7#c774  7#b7 ,! s]vices        
describ$ 9 ?is subp>agraph include--    
7,a7 aural rehabilitation s]vices2  7,b7
 9 ! case ( an individual :o has a he>+ 
loss 7z def9$ by ! ,secret>y71 a        
compreh5sive audiologic assessm5t to    
det]m9e if a he>+ aid is appropriate &  
to det]m9e ! ne$ = o!r diagno/ic m$ical 
or audiologic te/+2 &  7,c7 a ?re%old   
te/ to det]m9e audio acuity4  7#c7 7,a7 
,! t]m he>+ aid means a he>+ aid        
describ$ 9 subp>agraph 7,b71 includ+ !  
s]vices describ$ 9 subp>agraph 7,c7     
furni%$ by a physician or qualifi$      
audiologi/1 :o is legally au?oriz$ to   
supply su* he>+ aid "u ! ,/ate law 7or  
,/ate regulatory me*anism provid$ by    
,/ate law7 ( ! ,/ate 9 :i* ! he>+ aid is
 suppli$1 to an individual describ$ 9   
subp>agraph 7,d74  7,b7 ,a he>+ aid     

describ$ 9 ?is subp>agraph is any       
we>able in/rum5t or device =1 (f]$ = !  
purpose (1 or repres5t$ z aid+          
individuals )1 or comp5sat+ =1 he>+ loss
 t meets requirem5ts ( ! ,food & ,drug  
,adm9i/ration = m>ket+4  7,c7 ,! s]vices
 describ$ 9 ?is subp>agraph include--   
7i7 audiology s]vices 7z def9$ 9        
subsection 7ll77#b772  7ii7 a he>+ aid  
assessm5t to det]m9e ! appropriate he>+ 
aid = ! individual2  7iii7 procurem5t ( 
an appropriate he>+ aid2  7iv7 initial  
fitt+ & adju/m5t ( ! he>+ aid2  7v7     
appropriate in/ruction on ! use ( ! he>+
 aid2  7vi7 p]iodic refitt+s &          
adju/m5ts2 &  7vii7 rehabilitation1     
includ+ c\nsel+ on he>+ loss1 spee*     
read+1 & auditory tra9+4  7,d7 ,!       
individuals describ$ 9 ?is subp>agraph--
 7i7 h be5 det]m9$ 7z a result ( a      
compreh5sive audiologic assessm5t7 to h 
a he>+ loss :i* c be appropriately      
treat$ ) a he>+ aid2  7ii7 h n be5      
suppli$ ) "o monaural he>+ aid or two   
b9aural he>+ aids dur+ ! prec$+ #c ye>s2

 &  7iii7 h _h a compreh5sive audiologic
 assessm5t :i* indicates t ! he>+ ( su* 
individual has det]iorat$ s9ce su*      
individual 0 la/ suppli$ ) a he>+ aid   
su* t a he>+ aid ( a diff]5t type is    
appropriate = su* individual4  4  7d7   
,inclusion ( audiology rehabilitation   
s]vices ,section #ahfa7ll77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7ll77#b77 is am5d$ by ins]t+ &    
rehabilitation aft] balance assessm5t4  
7e7 ,exception to exclusions f cov]age  
,section #ahfb7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciey7a77 is      
am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 9   
subp>agraph 7,o71 by /rik+ & at ! end2  
7,b7 9 subp>agraph 7,p72 by /rik+ !     
semicolon at ! end & ins]t+ 1 &2 &  7,c7
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,q7 9 ! case ( he>+      
rehabilitation1 :i* is furni%$ or       
suppli$ m frequ5tly ?an is provid$ "u   
section #ahfa7;iii77#c77;,d77ii74  2 &  
7#b7 9 p>agraph 7#g7 by /rik+ he>+ aids 
or exam9ations !re=4  7f7 ,effective    

date ,! am5dm5ts made by ?is section    
%all take effect on ! date ( ! enactm5t 
( ?is ,act1 & %all apply to items &     
s]vices furni%$ on or aft] ,janu>y #a ( 
su* ye>1 n lat] ?an ! ?ird ye> beg9n+   
aft] su* date ( enactm5t1 z ! ,secret>y 
( ,heal? & ,human ,s]vices %all specify4