,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #dfie  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ba1 #bjad ,mr4 
,burgess 7for himself and ,mr4 ,rush7   
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce1 and in addition to the   
,committee on ,ways and ,means1 for a   
period to be subsequently determined by 
the ,speaker1 in each case for          
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to add sleep apnea       
screening to the initial preventive     
physical examination under the ,medicare
 program4  #a4 ,adding sleep apnea      
screening to the initial preventive     
physical examination under the ,medicare
 program  7a7 ,in general ,section #ahfa
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #aciex7 is amended--  7#a7 in 
subsection 7ww77#b71 by adding at the   
end the following new subparagraph3     

7,o7 ,sleep apnea screening 7as defined 
in subsection 7iii774  2 and  7#b7 by   
adding at the end the following new     
subsection3  7iii7 ,sleep ,apnea        
,screening ,the term sleep apnea        
screening means1 with respect to an     
individual1 a determination based upon  
information that is obtained with       
respect to the individual through an    
appropriate questionnaire as to whether 
the individual is at high risk for      
obstructive sleep apnea4 ,such          
determination shall be evidence-based   
and shall be made in accordance with    
recognized clinical guidelines or such  
other guidelines as the ,secretary      
determines appropriate in consultation  
with appropriate medical organizations4 
4  7b7 ,effective date ,the amendments  
made by subsection 7a7 apply to initial 
preventive physical examinations        
performed on or after ,january #a1      
#bjaf4