,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bjfd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #bg1 #bjad    
,mr4 ,rob]ts introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
provide = ! repeal ( c]ta9 provisions ( 
! ,pati5t ,protection & ,af=dable ,c>e  
,act t h ! effect ( ration+ heal? c>e4  
#a4 ,%ort title  ,?is ,act may be cit$ z
 ! ,f\r ,ration]s ,repeal ,act ( #bjad4 
#b4 ,repeal ( ! ,indep5d5t ,paym5t      
,advisory ,bo>d ,effective z ( !        
enactm5t ( ! ,pati5t ,protection &      
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh71 sections #cdjc & #ajcbj ( su*
 ,act 7includ+ ! am5dm5ts made by su*   
sections7 are repeal$1 & any provision (
 law am5d$ by su* sections is h]eby     
re/or$ z if su* sections _h n be5 enact$
 into law4  #c4 ,repeal ( ! ,c5t] =     
,m$ic>e & ,m$icaid ,innovation  7a7 ,9  
g5]al ,section #aaae;,a ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acae;a7  
is repeal$4  7b7 ,con=m+ am5dm5ts  7#a7 

,title ,,xviii ( ,,ssa ,section         
#ahii7;b77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;jjj7b77#d77 is    
am5d$ by /rik+ any ( ! foll[+ & all t   
foll[s ?r\gh ! p]iod at ! end (         
subp>agraph 7,b7 & ins]t+ ! indep5d5ce  
at home m$ical practice pilot program "u
 section #ahff;,e44  7#b7 ,title ,,xix (
 ,,ssa ,section #aijb7;a7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77 is am5d$-- 7,a7 9 p>agraph  
7#gi71 by add+ & aft] ! semicolon at !  
end2  7,b7 9 p>agraph 7#hj71 by /rik+ 2 
& & ins]t+ a p]iod2 &  7,c7 by /rik+    
p>agraph 7#ha74  7#c7 ,,phsa ,section   
#icc ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bii;b-#cc7 is am5d$--   
7,a7 by /rik+ subsection 7f72 &  7,b7 by
 r$esignat+ subsection 7g7 z subsection 
7f74  7#d7 ,,ppaca ,! ,pati5t           
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh7 is am5d$-- 7,a7 
9 section #bgje 7#db ,u4,s4,c4 #acae;a  
note7-- 7i7 9 subsection 7a71 by /rik+  
%all1 9 coord9ation & t foll[s ?r\gh    

e/abli% & ins]t+ %all e/abli%2 &  7ii7 9
 subsection 7d77#b71 by /rik+ section   
#aaae;,a7b77#c7 ( ! ,social ,security   
,act 7z s add$7 & ins]t+ ! ,social      
,security ,act2 &  7,b7 9 section       
#ajcbh7;b7 7#db ,u4,s4,c4 #aciew-#ajd   
note71 by /rik+ or to /udy & all t      
foll[s ?r\gh #cjba4  7c7 ,effective date
 ,! am5dm5ts made by ?is section %all   
take effect on ! date ( enactm5t ( ?is  
,act4  #d4 ,repeal ( c]ta9 ,unit$ ,/ates
 ,prev5tive ,s]vices ,task ,=ce au?ority
  7a7 ,au?ority ,to det]m9e b5efits     
,section #bgac7;a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;gg-#ac7;a77 is am5d$-- 7#a7 by     
/rik+ p>agraph 7#a72  7#b7 9 p>agraph   
7#c71 by /rik+ n describ$ 9 p>agraph    
7#a72 &  7#c7 by r$esignat+ p>agraphs   
7#b7 ?r\gh 7#e7 z p>agraphs 7#a7 ?r\gh  
7#d71 respectively4  7b7 ,repeal (      
,community ,prev5tive ,s]vices ,task    
,=ce ,section #djjc ( ! ,pati5t         
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh7 is repeal$ & !  

provisions ( ! ,public ,heal? ,s]vice   
,act am5d$ by su* section are re/or$ or 
reviv$ z if su* section #djjc _h n be5  
enact$4  #e4 ,prohibition on ,c]ta9     
,uses ( ,data ,obta9$ f ,comp>ative     
,effectiv5ess ,rese>*2 ,acc\nt+ =       
,p]sonaliz$ ,m$ic9e & ,diff]5ces 9      
,pati5t ,treatm5t ,response  7a7 ,9     
g5]al ,not)/&+ any o!r provision ( law1 
! ,secret>y ( ,heal? & ,human ,s]vices--
 7#a7 %all n use data obta9$ f ! conduct
 ( comp>ative effectiv5ess rese>*1      
includ+ su* rese>* t is conduct$ or     
support$ us+ funds appropriat$ "u !     
,am]ican ,recov]y & ,re9ve/m5t ,act (   
#bjji 7,public ,law #aaa-e7 or au?oriz$ 
or appropriat$ "u ! ,pati5t ,protection 
& ,af=dable ,c>e ,act 7,public ,law     
#aaa-adh71 to d5y or delay cov]age ( an 
item or s]vice "u a ,f$]al heal? c>e    
program 7z def9$ 9 section #aabh;,b7f7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acbj;a-#g;b7f7772 &  7#b7 %all ensure 
t comp>ative effectiv5ess rese>*        
conduct$ or support$ by ! ,f$]al        

,gov]nm5t acc\nts = factors contribut+  
to diff]5ces 9 ! treatm5t response &    
treatm5t pref]5ces ( pati5ts1 includ+   
pati5t-report$ outcomes1 g5omics &      
p]sonaliz$ m$ic9e1 ! unique ne$s ( heal?
 disp>ity populations1 & indirect pati5t
 b5efits4  7b7 ,rule ( con/ruction ,no?+
 9 ?is section %all be con/ru$ z affect+
 ! au?ority ( ! ,commission] ( ,food &  
,drugs "u ! ,f$]al ,food1 ,drug1 &      
,cosmetic ,act or ! ,public ,heal?      
,s]vice ,act4