,,ib  ,union ,cal5d> ,no4 #cbe  #aad?   
,,congress  #b;d ,session  ,h4 ,r4 #chba
  ,report ,no4 #aad-dbf  ,,9 ,,! ,,h\se 
,,( ,,repres5tatives  ,octob] #bc1 #bjae
 ,mr4 ,coll9s ( ,new ,york 7= himself & 
,mr4 ,tonko7 introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,febru>y #bc1 #bjaf ,report$ 
) an am5dm5t1 committ$ to ! ,committee (
 ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & 
ord]$ to be pr9t$ ,/rike out all aft] ! 
enact+ clause & ins]t ! "p pr9t$ 9      
italic ,= text ( introduc$ bill1 see    
copy ( bill z introduc$ on ,octob] #bc1 
#bjae  ,a ,,bill  ,to am5d title ,,xix  
to require ! publication ( a provid]    
directory 9 ! case ( ,/ates provid+ =   
m$ical assi/ance on a fee-=-s]vice basis
 or ?r\gh a prim>y c>e case-managem5t   
sy/em1 & = o!r purposes4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,m$icaid
 ,directory ( ,c>egiv]s ,act or !       
,m$icaid ,,doc ,act4  #b4 ,requir+      
publication ( fee-=-s]vice provid]      
directory  7a7 ,9 g5]al ,section        

#aijb7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;a7a77 is am5d$ by  
ins]t+ aft] p>agraph 7#gg7 ! foll[+ new 
p>agraph3  7#gh7 provide t1 n lat] ?an  
#ahj days aft] ! date ( ! enactm5t ( ?is
 p>agraph1 9 ! case ( a ,/ate plan t    
provides m$ical assi/ance on a          
fee-=-s]vice basis or ?r\gh a prim>y c>e
 case-managem5t sy/em describ$ 9 section
 #aiae7;b77#a7 7o!r ?an a prim>y c>e    
case managem5t entity 7z def9$ by !     
,secret>y771 ! ,/ate %all publi% 7&     
update on at lea/ an annual basis7 on ! 
public ,website ( ! ,/ate ag5cy adm9i/]+
 ! ,/ate plan1 a directory ( ! provid]s 
7includ+1 at a m9imum1 prim>y &         
specialty c>e physicians7 describ$ 9    
subsection 7ll7 t includes--  7,a7 )    
respect to ea* su* provid]-- 7i7 ! "n ( 
! provid]2  7ii7 ! specialty ( !        
provid]2  7iii7 ! address ( ! provid]2 &
  7iv7 ! telephone numb] ( ! provid]2 & 
7,b7 ) respect to any su* provid]       
p>ticipat+ 9 su* a prim>y c>e           
case-managem5t sy/em1 in=mation reg>d+--

  7i7 :e!r ! provid] is accept+ z new   
pati5ts individuals :o receive m$ical   
assi/ance "u ?is title2 &  7ii7 !       
provid]'s cultural & l+ui/ic            
capabilities1 includ+ ! languages spok5 
by ! provid] or by ! skill$ m$ical      
int]pret] provid+ int]pretation s]vices 
at ! provid]'s (fice2  4  7b7 ,directory
 provid]s describ$ ,section #aijb ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7 is am5d$ by add+ at ! end !    
foll[+ new subsection3  7ll7 ,directory 
provid]s describ$ ,a provid] describ$ 9 
?is subsection is-- 7#a7 9 ! case ( a   
provid] ( a provid] type = :i* ! ,/ate  
ag5cy1 z a condition on receiv+ paym5t =
 items & s]vices furni%$ by ! provid] to
 individuals eligible to receive m$ical 
assi/ance "u ! ,/ate plan1 requires !   
enrollm5t ( ! provid] ) ! ,/ate ag5cy1 a
 provid] t--  7,a7 is enroll$ ) ! ag5cy 
z ( ! date on :i* ! directory is publi%$
 or updat$ 7z applicable7 "u subsection 
7a77#gh72 &  7,b7 receiv$ paym5t "u !   
,/ate plan 9 ! #ab-mon? p]iod prec$+ su*

 date2 &  7#b7 9 ! case ( a provid] ( a 
provid] type = :i* ! ,/ate ag5cy does n 
require su* enrollm5t1 a provid] t      
receiv$ paym5t "u ! ,/ate plan 9 !      
#ab-mon? p]iod prec$+ ! date on :i* !   
directory is publi%$ or updat$ 7z       
applicable7 "u subsection 7a77#gh74  4  
7c7 ,rule ( con/ruction  7#a7 ,9 g5]al  
,! am5dm5t made by subsection 7a7 %all n
 be con/ru$ to apply 9 ! case ( a ,/ate 
9 :i* all ! individuals enroll$ 9 !     
,/ate plan "u title ,,xix ( ! ,social   
,security ,act 7or "u a waiv] ( su*     
plan71 o!r ?an individuals describ$ 9   
p>agraph 7#b71 are enroll$ ) a m$icaid  
manag$ c>e organization 7z def9$ 9      
section #aijc7m77#a77;,a7 ( su* ,act    
7#db ,u4,s4,c4 #acif;b7m77#a77;,a7771   
includ+ prepaid inpati5t heal? plans &  
prepaid ambulatory heal? plans 7z def9$ 
by ! ,secret>y ( ,heal? & ,human        
,s]vices74  7#b7 ,individuals describ$  
,an individual describ$ 9 ?is p>agraph  
is an individual :o is an ,indian 7z    
def9$ 9 section #d ( ! ,indian ,heal?   

,c>e ,improvem5t ,act 7#be ,u4,s4,c4    
#afjc77 or an ,alaska ,native4  7d7     
,exception = ,/ate legislation ,9 ! case
 ( a ,/ate plan "u title ,,xix ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq471 :i* ! ,secret>y det]m9es
 requires ,/ate legislation 9 ord] = !  
respective plan to meet "o or m         
additional requirem5ts impos$ by        
am5dm5ts made by ?is section1 !         
respective plan %all n be reg>d$ z fail+
 to comply ) ! requirem5ts ( su* title  
solely on ! basis ( its failure to meet 
su* an additional requirem5t be=e ! fir/
 day ( ! fir/ cal5d> qu>t] beg9n+ aft] !
 close ( ! fir/ regul> session ( ! ,/ate
 legislature t beg9s aft] ! date (      
enactm5t ( ?is section4 ,= purposes ( ! 
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 ! session %all be consid]$ to be a     
sep>ate regul> session ( ! ,/ate        
legislature4  ,febru>y #bc1 #bjaf       
,report$ ) an am5dm5t1 committ$ to !    
,committee ( ! ,:ole ,h\se on ! ,/ate ( 

! ,union1 & ord]$ to be pr9t$