,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #aahd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #bg1 #bjae   
,mr4 ,sessions 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   
revise ,m$ic>e cov]age & paym5t =       
advanc$ surgical dress+s 9 skill$ nurs+ 
facilities & home heal? sett+s1 & = o!r 
purposes4  #a4 ,%ort title2 purpose  7a7
 ,%ort title ,?is ,act may be cit$ z !  
,m$ic>e ,skill$ ,nurs+ & ,home ,heal?   
,s]vices ,cont9uity ( ,c>e ,act ( #bjae4
  7b7 ,purpose ,! purpose ( ?is ,act is 
to ensure ,m$ic>e b5efici>y access to   
advance w\nd c>e products :ile 9 a      
skill$ nurs+ facility or :ile on a home 
heal? plan ( c>e by all[+ sep>ate paym5t
 to be made = advanc$ surgical dress+s  

"u "p ,b ( title ,,xviii ( ! ,social    
,security ,act z a durable m$ical       
equipm5t pro/hetics1 or?otics1 &        
supplies 7,,dmepos7 b5efit4  #b4 ,m$ic>e
 cov]age ( & paym5t = advanc$ surgical  
dress+s furni%$ 9 a skill$ nurs+        
facility or 9 a home heal? sett+ z      
durable m$ical equipm5t  7a7 ,exclusion 
f paym5t z "p ( skill$ nurs+ facility   
s]vices ,section #ahhh7;e77#b77;,a77iii7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acieyy7e77#b77;,a77iii77 is  
am5d$ by add+ at ! end ! foll[+3  7,,vi7
 ,surgical dress+s 7id5tifi$ z mo/      
curr5t ( ,janu>y #a1 #bjag1 by ,,hcpcs  
codes ,a#ddej-;,a#fedi1 & z subsequ5tly 
modifi$ by ! ,secret>y71 if deliv]$ to  
an individual :o is a pati5t 9 a skill$ 
nurs+ facility = use dur+ ! individual's
 /ay 9 ! facility4  4  7b7 ,exclusion f 
cov]age z "p ( home heal? s]vices       
,section #ahfa7m77#e7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciex7m77#e77 is am5d$ by /rik+ &      
durable m$ical equipm5t & ins]t+ 1      

durable m$ical equipm5t1 & surgical     
dress+s 7id5tifi$ z mo/ curr5t ( ,janu>y
 #a1 #bjag1 by ,,hcpcs codes            
,a#ddej-;,a#fedi1 & z subsequ5tly       
modifi$ by ! ,secret>y74  7c7 ,process+ 
( claims = advanc$ surgical dress+s     
,section #ahgd;,a7a7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#aciekk-#a7;a77 is am5d$ by add+ at !   
end ! foll[+ new p>agraph3  7#g7 ,use ( 
m$ic>e adm9i/rative contractors =       
process+ claims = advanc$ surgical      
dress+s ,! ,secret>y %all provide = !   
submission & process+ ( claims =        
surgical dress+s ref]r$ to 9 sections   
#ahhh7;e77#b77;,a77iii77,,vi7 &         
#ahfa7m77#e7 = paym5t "u "p ,b by ! same
 m$ic>e adm9i/rative contractors z      
process claims = o!r durable m$ical     
equipm5t4  4  7d7 ,education inc5tive   
program ,to improve quality ( w\nd c>e  
7#a7 ,9 g5]al ,! ,secret>y ( ,heal? &   
,human ,s]vices %all e/abli% an         
education inc5tive program to enc\rage  
ea* nurs+ facility1 skill$ nurs+        

facility1 or home heal? ag5cy c]tifi$ "u
 title ,,xviii or ,,xix ( ! ,social     
,security ,act to provide _! cl9ical    
/aff memb]s annually ) access to w\nd   
c>e education4 ,su* education %all be ( 
a scope & level to be det]m9$ by !      
,secret>y4  7#b7 ,monitor+ ,! ,secret>y 
%all e/abli% a means ( measur+ su*      
education on a regul> basis1 z det]m9$  
by ! ,secret>y4  7#c7 ,impact &         
inc5tives ,! ,secret>y %all det]m9e !   
ov]all impact ( ! education inc5tive    
program on ! quality ( c>e provid$4 ,!  
type & level ( inc5tive to be provid$ "u
 ! program %all be det]m9$ by !         
,secret>y1 9 ! ,secret>y's discretion & 
subject to am\nts available 9 advance f 
appropriations1 bas$ on ! ,secret>y's   
det]m9ation ( su* impact4  7e7          
,effective date ,! am5dm5ts made by ?is 
section %all apply to surgical dress+s  
furni%$ on or aft] ,janu>y #a1 #bjag4