,i #aac? ,,congress #b;d ,session ,h4 ,r4 #ehjh ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,decemb] #h1 #bjad ,ms4 ,de,gette 7= h]self & ,mr4 ,re$7 introduc$ ! 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 9 ord] to /r5g!n rules appli$ 9 case ( competition = diabetic te/+ /rips1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,protect+ ,access to ,diabetes ,supplies ( #bjad4 #b4 ,/r5g!n+ rules appli$ 9 case ( competition = diabetic te/+ /rips 7a7 ,special rule appli$ 9 case ( competition = diabetic te/+ /rips 7#a7 ,9 g5]al ,p>agraph 7#aj7 ( section #ahdg7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;b77 is am5d$-- 7,a7 9 subp>agraph 7,a71 by /rik+ ! second s5t5ce & ins]t+ ! foll[+ new s5t5ce3 ,! volume = su* types ( products %all be det]m9$ ?r\gh ! use ( multiple s\rces ( data t measure consumption & utilization ( diabetic te/+ /rips among individuals 9 ! ,unit$ ,/ates42 & 7,b7 by add+ at ! end ! foll[+ new subp>agraphs3 7,c7 ,demon/ration ( ability to furni% types ( diabetic te/+ /rips ,) respect to ! program describ$ 9 subp>agraph 7,a71 ! ,secret>y %all reject a bid submitt$ by an entity if ! entity does n1 z "p ( ! demon/ration to ! ,secret>y describ$ 9 su* subp>agraph submitt$ by ! entity1 demon/rate t ! entity has an ability to furni% ! types ( diabetic te/+ /rips includ$ 9 its bid1 includ+ an ability to obta9 & ma9ta9 an inv5tory ( su* /rips by volume 9 a mann] consi/5t ) its bid4 7,d7 ,use ( unli/$ types 9 calculation ( p]c5tage ,9 det]m9+ "u subp>agraph 7,a7 :e!r a bid submitt$ by an entity "u su* subp>agraph cov]s #ej p]c5t 7or su* high] p]c5tage z ! ,secret>y may specify7 ( all types ( diabetic te/+ /rip products1 ! ,secret>y may n attribute a p]c5tage to types ( diabetic te/+ /rips t ! ,secret>y does n provide ! entity ) ! option to id5tify by type & m>ket %>e volume4 7,e7 ,contract requirem5t ,any contract ent]$ into ) an entity = diabetic te/+ /rips "u ! competition conduct$ pursuant to p>agraph 7#a7 %all include a requirem5t t ! entity (f]s1 makes available to1 & ma9ta9s 9 inv5tory ( 7or o!rwise has ready access to1 su* z ?r\gh pur*as+ contracts7 ea* ( ! types ( diabetic te/+ /rip products t is includ$ 9 ! bid submitt$ by ! entity4 ,9 ! case t an entity ent]s into su* a contract ) ! ,secret>y & fails to fulfill ! requirem5t describ$ 9 ! prec$+ s5t5ce1 ! ,secret>y %all t]m9ate su* contract4 7,f7 ,monitor+ adh]5ce to demon/ration ,! ,secret>y %all e/abli% a process to monitor1 on an ongo+ basis1 ! ext5t to :i* an entity t ent]s into a contract ) ! ,secret>y = diabetic te/+ /rips "u ! competition conduct$ pursuant to p>agraph 7#a7 adh]es to ! demon/ration t ! entity provid$ to ! ,secret>y "u subp>agraph 7,a74 4 7#b7 ,con=m+ am5dm5t ,section #ahdg7;b77#c77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;b77#c77;,a77 is am5d$ by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t su* a contract is = diabetic te/+ /rips1 su* contract %all include ! in=mation requir$ "u p>agraph 7#aj77;,e74 7b7 ,codify+ & ,exp&+ ,anti-,swit*+ ,rule ,section #ahdg7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;b771 z am5d$ by subsection 7a77#a71 is fur!r am5d$-- 7#a7 by r$esignat+ p>agraph 7#aa7 z p>agraph 7#ab72 & 7#b7 by ins]t+ aft] p>agraph 7#aj7 ! foll[+ new p>agraph3 7#aa7 ,additional special rule 9 case ( competition = diabetic te/+ /rips 7,a7 ,9 g5]al ,) respect to diabetic te/+ /rips furni%$ by an entity to an individual "u ! competitive acquisition program e/abli%$ "u ?is section1 ! entity %all furni% to ! individual ! br& ( su* /rips t is compatible ) ! home blood glucose monitor select$ by ! individual4 7,b7 ,prohibition on influ5c+ & inc5tiviz+ ,an entity describ$ 9 subp>agraph 7,a7 may n attempt to influ5ce or inc5tivize ! individual describ$ 9 su* subp>agraph to swit* ! br& ( glucose monitor or te/+ /rips select$ by ! individual1 includ+ by-- 7i7 p]suad+1 pressur+1 or advis+ ! individual to swit* su* br&2 or 7ii7 furni%+ in=mation ab\t alt]native br&s to ! individual 9 ! case t ! individual has n reque/$ su* in=mation4 7,c7 ,provision ( in=mation ,an entity describ$ 9 subp>agraph 7,a7 may n communicate directly to an individual describ$ 9 su* subp>agraph until ! entity has v]bally provid$ ! individual ) /&>diz$ in=mation1 to be suppli$ to ! entity by ! ,secret>y1 t describes ! rights ( ! individual ) respect to ! entity4 ,! in=mation describ$ 9 ! prec$+ s5t5ce %all include in=mation reg>d+-- 7i7 ! requirem5ts e/abli%$ 9 subp>agraphs 7,a7 & 7,b72 7ii7 ! "r ( ! individual to contact o!r mail ord] suppli]s ( diabetic te/+ /rips or to pur*ase su* /rips at a retail ph>macy 9 ! case t ! entity is n able to furni% ! br& ( su* /rips t is compatible ) ! home blood glucose monitor select$ by ! individual2 & 7iii7 ! "r ( ! individual describ$ 9 subp>agraph 7,d7 to reject diabetic te/+ /rips furni%$ to ! individual by ! entity4 7,d7 ,individuals all[$ to swit* f unwant$ products 7i7 ,9 g5]al ,! ,secret>y %all e/abli% a process "u :i* an individual furni%$ ) diabetic te/+ /rips "u ! competitive acquisition program e/abli%$ "u ?is section may reject ! /rips by notification1 includ+ notification by telephone or electronic mail1 to ! suppli] & to ! ,secret>y4 7ii7 ,consequ5ces ( rejection ,9 ! case t an individual rejects diabetic te/+ /rips "u clause 7i7-- 7,i7 any paym5t made to ! suppli] "u ?is title = a portion ( su* /rips furni%$ = use dur+ ! p]iod beg9n+ ) ! date on :i* ! individual rejects ! /rips %all be recov]$ by ! ,secret>y2 & 7,,ii7 ! individual may obta9 diff]5t diabetic te/+ /rips f a suppli]1 & ! ,secret>y %all process a claim = su* diff]5t diabetic te/+ /rips )\t reg>d to any b5efit or cov]age limitations aris+ f ! fact t a claim has already be5 submitt$ & paym5t made = ! reject$ diabetic te/+ /rips4 7iii7 ,prohibition on future claims ,9 ! case t an individual rejects diabetic te/+ /rips "u clause 7i71 ! suppli] :o suppli$ ! reject$ diabetic te/+ /rips to ! individual may n submit additional claims = paym5t on behalf ( ! individual = ! type or br& ( diabetic te/+ /rips s reject$ by ! individual1 unless ! individual makes a sep>ate expression ( cons5t to ! suppli] to be furni%$ ) su* type or br& ( diabetic te/+ /rips by ! suppli]4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply ) respect to diabetic te/+ /rips furni%$ on or aft] ,july #a1 #bjaf4