,,ii #aac? ,,congress #b;d ,session ,s4 #behf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #aj1 #bjad ,mr4 ,kirk 7= himself & ,mr4 ,rubio7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to e/abli% a sm>t c>d pilot program "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,m$ic>e ,common ,access ,c>d ,act ( #bjad4 #b4 ,secure ,m$ic>e c>d pilot program 7a7 ,pilot program implem5tation 7,phase ,i7 7#a7 ,9 g5]al ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all conduct a pilot program "u title ,,xviii ( ! ,social ,security ,act = ! purpose ( utiliz+ sm>t c>d te*nology = ,m$ic>e b5efici>y & provid] id5tification c>ds 9 ord] to-- 7,a7 increase ! quality ( c>e furni%$ to ,m$ic>e b5efici>ies2 7,b7 improve ! accuracy & effici5cy 9 ! bill+ = ,m$ic>e items & s]vices furni%$ by ,m$ic>e provid]s2 7,c7 r$uce ! pot5tial = id5tity !ft & o!r unlawful use ( ,m$ic>e b5efici>y & provid] id5tify+ in=mation2 & 7,d7 r$uce wa/e1 fraud1 & abuse 9 ! ,m$ic>e program4 7#b7 ,site requirem5ts ,! ,secret>y %all conduct ! pilot program 9 at lea/ #e geographic areas 9 :i* ! ,secret>y det]m9es !re is a high risk = wa/e1 fraud1 or abuse4 7#c7 ,design ( pilot program ,9 design+ ! pilot program1 ! ,secret>y %all provide = ! foll[+3 7,a7 ,implem5tation ( a sy/em t utilizes a sm>t c>d z a ,m$ic>e id5tification c>d = ,m$ic>e b5efici>ies & ,m$ic>e provid]s4 ,su* a c>d %all conta9 appropriate security features & protect p]sonal privacy4 7,b7 ,issuance ( a new sm>t c>d to all ,m$ic>e b5efici>ies p>ticipat+ 9 ! pilot program4 ,su* c>d %all n h ! ,social ,security numb] pr9t$ on ! front b1 in/ead %all h su* numb] /or$ securely on ! sm>t c>d *ip along ) o!r in=mation ! ,secret>y deems necess>y4 7,c7 ,issuance ( a new provid] c>d to all ,m$ic>e provid]s p>ticipat+ 9 ! pilot program4 ,su* c>d %all include a photograph ( ! provid] & %all n h ! ,m$ic>e provid] numb] pr9t$ on ! front ( ! c>d b1 in/ead %all h su* numb] /or$ securely on ! sm>t c>d *ip along ) o!r in=mation ! ,secret>y deems necess>y4 7,d7 ,a process = enrollm5t ( all ,m$ic>e provid]s t includes-- 7i7 id5tity & c]tification v]ification2 & 7ii7 utilization ( biometric data1 su* z f+]pr9ts1 = provid] id5tification & au!ntication4 7,e7 ,a process "u :i* ! c>ds issu$ "u subp>agraphs 7,b7 & 7,c7 are us$ by bo? ,m$ic>e b5efici>ies & ,m$ic>e provid]s to v]ify eligibility1 prev5t fraud1 & au?orize transactions4 7,f7 ,di/ribution ( necess>y equipm5t1 includ+ c>ds1 c>d read]s1 kiosks1 biometric read]s1 & o!r mat]ials or docum5ts to ,m$ic>e b5efici>ies & provid]s at no co/ to !m4 7,g7 ,regul> monitor+ & review by ! ,secret>y ( ,m$ic>e provid]s' ,m$ic>e bill+s & ,m$ic>e b5efici>ies' ,m$ic>e records 9 ord] to id5tify & address inaccurate *>ges & in/ances ( wa/e1 fraud1 or abuse4 7,h7 ,report+ me*anisms = measur+ ! co/ sav+s to ! ,m$ic>e program by reason ( ! pilot program4 7,i7 ,include provisions-- 7i7 to ensure t all devices & sy/ems utiliz$ z "p ( ! pilot program comply ) /&>ds = id5tity cr$5tials & biometric data develop$ by ! ,am]ican ,national ,/&>ds ,in/itute & ! ,national ,in/itute ( ,/&>ds & ,te*nology & ,f$]al requirem5ts relat+ to int]op]ability & in=mation security1 includ+ all requirem5ts "u ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif2 7ii7 to ensure t a ,m$ic>e b5efici>y's & provid]'s p]sonal id5tify+1 heal?1 & o!r in=mation is protect$ f unau?oriz$ access or disclosure ?r\gh ! use ( at lea/ two-factor au!ntication2 7iii7 = ! developm5t ( proc$ures & guidel9es = ! use ( id5tification c>ds1 c>d read]s1 kiosks1 biometric data & read]s1 & o!r equipm5t to v]ify a ,m$ic>e b5efici>y's id5tity & eligibility = s]vices2 7iv7 to ensure t ea* ,m$ic>e b5efici>y & provid] p>ticipat+ 9 ! pilot program is in=m$ (-- 7,i7 ! purpose ( ! program2 7,,ii7 ! processes = captur+1 enroll+1 & v]ify+ _! eligibility &1 ) respect to provid]s1 _! biometric data2 7,,iii7 ! mann] 9 :i* ! biometric data = provid]s w be us$2 & 7,,iv7 ! /eps t w be tak5 to protect p]sonal id5tify+1 heal?1 & o!r in=mation f unau?oriz$ access & disclosure2 7v7 = address+ problems relat$ to ! loss1 !ft1 or malfunction ( or damage to equipm5t & any id5tify+ docum5ts or mat]ials provid$ by ! ,secret>y2 7vi7 = developm5t ( a hotl9e1 ,web site1 or o!r means by :i* ,m$ic>e b5efici>ies & provid]s c contact ! ,secret>y = assi/ance2 & 7vii7 = address+ problems relat$ to access+ c>e outside ! pilot area & cases :]e ! individual faces issues relat$ to physical or o!r capacity limitations4 7#d7 ,privacy ,in=mation on ! sm>t c>d %all only be disclos$ if ! disclosure ( su* in=mation is p]mitt$ "u ! ,f$]al regulations 7conc]n+ ! privacy ( individually id5tifiable heal? in=mation7 promulgat$ "u section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif4 7#e7 ,disclosure exemption ,in=mation on ! sm>t c>d %all be exempt f disclosure "u section #eeb7;b77#c7 ( title #e1 ,unit$ ,/ates ,code4 7b7 ,exp&$ implem5tation 7,phase ,,ii7 ,tak+ into acc\nt ! int]im report "u subsection 7d77#b7 ! ,secret>y %all1 ?r\gh rulemak+1 exp& ! duration & ! scope ( ! pilot program1 to ! ext5t det]m9$ appropriate by ! ,secret>y4 7c7 ,waiv] au?ority ,! ,secret>y may waive su* provisions ( titles ,,xi & ,,xviii ( ! ,social ,security ,act z ! ,secret>y det]m9es to be appropriate = ! conduct ( ! pilot program4 7d7 ,reports to ,congress 7#a7 ,plan ,n lat] ?an #f mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all submit to ,congress a report t conta9s a description ( ! design & developm5t ( ! pilot program1 includ+ ! ,secret>y's plan = implem5tation4 7#b7 ,int]im report ,n lat] ?an #a ye> aft] ! pilot program is fir/ implem5t$1 ! ,secret>y %all conduct an evaluation ( ! pilot program & submit an int]im report to ,congress4 ,su* an evaluation %all include an initial analysis ( ! deploym5t ( ! program1 ! usability ( ! c>d sy/em1 & ! measures tak5 to protect b5efici>y & provid] in=mation4 7#c7 ,additional report ,n lat] ?an #b ye>s aft] ! date t ! pilot program is fir/ implem5t$1 ! ,secret>y %all submit to ,congress a report on ! pilot program4 ,su* report %all conta9 a detail$ description ( issues relat$ to ! expansion ( ! program "u subsection 7b7 & recomm5dations = su* legislation & adm9i/rative actions z ! ,secret>y consid]s appropriate = implem5tation ( ! program on a nationwide basis4 7e7 ,fund+ ,!re are appropriat$1 f am\nts 9 ! ,treasury n o!rwise appropriat$1 #bi1jjj1jjj = ! design1 implem5tation1 & evaluation ( ! pilot program4 ,am\nts appropriat$ "u ! prec$+ s5t5ce %all rema9 available until exp5d$4 7f7 ,def9itions ,9 ?is section3 7#a7 ,m$ic>e b5efici>y ,! t]m ,m$ic>e b5efici>y means an individual entitl$ to1 or enroll$ =1 b5efits "u "p ,a ( title ,,xviii ( ! ,social ,security ,act or enroll$ = b5efits "u "p ,b ( su* title4 7#b7 ,m$ic>e program ,! t]m ,m$ic>e program means ! heal? b5efits program "u title ,,xviii ( ! ,social ,security ,act4 7#c7 ,m$ic>e provid] ,! t]m ,m$ic>e provid] means a provid] ( s]vices 7z def9$ 9 subsection 7u7 ( section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex77 & a suppli] 7z def9$ 9 subsection 7d7 ( su* section71 includ+ a suppli] ( durable m$ical equipm5t & supplies4 7#d7 ,pilot program ,! t]m pilot program means ! pilot program conduct$ "u ?is section4 7#e7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7#f7 ,sm>t c>d ,! t]m sm>t c>d means a secure1 electronic1 ma*9e readable1 fraud-resi/ant1 tamp]-resi/ant c>d t includes an emb$d$ integrat$ circuit *ip ) a secure micro-controll]4 #c4 ,revision ( fund+ = ! ,c5t] = ,m$ic>e & ,m$icaid ,innovation ,section #aaae;,a7f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae;a7f77 is am5d$-- 7#a7 ,9 p>agraph 7#a7-- 7,a7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7,b7 by r$esignat+ subp>agraph 7,c7 z subp>agraph 7,d72 7,c7 by ins]t+ aft] subp>agraph 7,b7 ! foll[+ new subp>agraph3 7,c7 #h1ijj1jjj1jjj = ! activities initiat$ "u ?is section = ! p]iod ( fiscal ye>s #bjbj ?r\gh #bjbi2 & 2 & 7,d7 9 subp>agraph 7,d71 z r$esignat$ by subp>agraph 7,b7 ( ?is p>agraph1 by /rik+ #bjbj & ins]t+ #bjcj2 & 7#b7 9 p>agraph 7#b71 by /rik+ & 7,c7 & ins]t+ 1 7,c71 & 7,d74