,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #dahe  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #h1 #bjae    
,mr4 ,tom ,price ( ,georgia 7= himself1 
,mrs4 ,mc,morris ,rodg]s1 ,mrs4         
,blackburn1 ,ms4 ,duckwor?1 ,mr4        
,loebsack1 ,mr4 ,ryan ( ,ohio1 ,mr4 ,roe
 ( ,t5nessee1 ,mrs4 ,noem1 ,mr4 ,k+ (   
,new ,york1 ,mr4 ,z9ke1 ,mr4 ,tipton1   
,mr4 ,blum1 ,mr4 ,cram]1 ,mr4           
,mc,clintock1 ,mr4 ,keat+1 ,mr4 ,duncan 
( ,t5nessee1 ,mrs4 ,ellm]s ( ,nor?      
,c>ol9a1 ,mr4 ,h>p]1 & ,mr4 ,au/9 ,scott
 ( ,georgia7 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 make adju/m5ts1 
includ+ by am5d+ title ,,xviii ( !      
,social ,security ,act1 relat+ to       
competitive bidd+ program & durable     
m$ical equipm5t "u ! ,m$ic>e program1 to

 am5d su* title to e/abli% a ,,dmepos   
m>ket pric+ program demon/ration        
project1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,protect+ ,access ?r\gh                 
,competitive-pric+ ,transition ,act (   
#bjae or z ! ,,pact ,act ( #bjae4  #b4  
,revision ( paym5ts = durable m$ical    
equipm5t "u ! ,m$ic>e program  7a7      
,transition to implem5tation ( fee      
s*$ule paym5t adju/m5ts us+ in=mation f 
competitive bidd+ programs ,section     
#ahcd7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciem7a77#a77 is am5d$ 
by add+ at ! end ! foll[+ new           
subp>agraph3  7,j7 ,transition to       
implem5tation ( paym5t adju/m5ts us+    
in=mation f competitive bidd+ programs  
7i7 ,9 g5]al ,9 implem5t+ subp>agraph   
7,f7 & p>agraphs 7#a7 & 7#b7 ( section  
#dad4baj7;g7 ( title #db1 ,code ( ,f$]al
 ,regulations1 ) respect to items &     
s]vices furni%$ on or aft] ,janu>y #a1  
#bjaf1 & be=e ,janu>y #a1 #bjai1 ! fee  
s*$ule am\nt t w\ld o!rwise be det]m9$ =

 ea* area "u ?is section %all be adju/$ 
to ! less] (--  7,i7 #acj p]c5t ( !     
regional price det]m9$ "u clause 7i7 (  
su* p>agraph 7#a7 = ! ,/ate 9 :i* su*   
area is locat$ 7or1 9 ! case ( an area  
locat$ )9 ! ,di/rict ( ,columbia1 = su* 
,di/rict72 or  7,,ii7 ! fee s*$ule am\nt
 t w\ld o!rwise be det]m9$ = su* area "u
 ?is section 7)\t ! application (       
subsection 7a77#a77;,f7 ( su* section7  
on ,janu>y #a1 #bjae1 updat$ by ! cov]$ 
item update describ$ 9 p>agraph         
7#ad77,l7 = ! ye> 9 :i* ! items &       
s]vices to :i* su* fee s*$ule applies   
are furni%$4  7ii7 ,phase-9 ,! adju/m5t 
describ$ 9 clause 7i7 %all be implem5t$ 
ov] a two-ye> p]iod & 9 a mann] t phases
 9 su* adju/m5t 9 equal increm5ts 9 ea* 
ye> ( su* two-ye> p]iod1 ) su* adju/m5t 
be+ fully implem5t$ ) respect to items &
 s]vices furni%$ 9 #bjag4  4  7b7 ,bid  
ceil+ = competitive acquisition =       
durable m$ical equipm5t "u ! ,m$ic>e    
program ,section #ahdg7;b77#e7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   

#aciew-#c7;b77#e77 is am5d$-- 7#a7 9    
subp>agraph 7,a7--  7,a7 by ins]t+ 1    
subject to subp>agraph 7,e71 aft]       
subsection 7a77#b72 &  7,b7 by ins]t+ 1 
subject to subp>agraph 7,e71 aft] ,bas$ 
on su* bids2 &  7#b7 by add+ at ! end ! 
foll[+ new subp>agraph3  7,e7 ,bid ceil+
 = durable m$ical equipm5t  7i7 ,9 g5]al
 ,paym5t "u ?is section = applicable    
cov]$ items may n exce$ ! am\nt t w\ld  
o!rwise be paid = su* items "u section  
#ahcd 7)\t ! application ( subsection   
7a77#a77;,f7 ( su* section7 on ,janu>y  
#a1 #bjae1 updat$ by ! cov]$ item update
 describ$ 9 section #ahcd7;a77#ad77,l7 =
 ! ye> 9 :i* su* cov]$ item is furni%$4 
7ii7 ,application to new cov]$ items ,! 
,secret>y %all e/abli% a process =      
purposes ( apply+ clause 7i7 ) respect  
to applicable cov]$ items = :i* no am\nt
 w\ld o!rwise be paid "u section #ahcd  
7)\t ! application ( subsection         
7a77#a77;,f7 ( su* section7 on ,janu>y  
#a1 #bjae4  7iii7 ,applicable cov]$     
items def9$ ,= purposes ( ?is           

subp>agraph1 ! t]m applicable cov]$     
items means cov]$ items 7z def9$ 9      
section #ahcd7;a77#ac77 = :i* paym5t    
w\ld o!rwise be made "u section         
#ahcd7;a7 t are furni%$ ) respect to    
competitive bid contracts t beg9 on or  
aft] ,janu>y #a1 #bjag4  4  7c7         
,requirem5t 9 det]m9+ adju/m5ts us+     
in=mation f competitive bidd+ programs  
,section #ahcd7;a77#a77;,g7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciem7a77#a77;,g77 is am5d$ by add+ at 
! end ! foll[+ new s5t5ce3 ,9 ! case (  
items & s]vices furni%$ on or aft]      
,janu>y #a1 #bjai1 9 mak+ any adju/m5ts 
"u clause 7ii7 or 7iii7 ( subp>agraph   
7,f71 ! ,secret>y %all take into acc\nt 
! av]age travel di/ance & co/ associat$ 
) furni%+ items & s]vices 9 a           
competitive acquisition area1 ! av]age  
volume ( items & s]vices furni%$ by     
provid]s 9 su* an area1 ! cle>+ price ( 
items & s]vices1 & ! numb] ( provid]s 9 
competitive acquisition areas comp>$ to 
! numb] ( provid]s 9 noncompetitive     

acquisition areas4 ,9 implem5t+ ! prec$+
 s5t5ce1 ! ,secret>y %all solicit & take
 into acc\nt /akehold] input44  #c4     
,e/abli%m5t ( ,,dmepos m>ket pric+      
program demon/ration project  7a7 ,9    
g5]al ,"p ,b ( title ,,xviii ( ! ,social
 ,security ,act is am5d$ by ins]t+ aft] 
section #ahdg;,b 7#db ,u4,s4,c4         
#aciew-#c;b7 ! foll[+ new section3      
#ahdg;,c4 ,,dmepos m>ket pric+ program  
demon/ration project  7a7 ,e/abli%m5t   
7#a7 ,9 g5]al ,! ,secret>y %all e/abli% 
& implem5t a six-ye> m>ket pric+ program
 demon/ration project 79 ?is section    
ref]r$ to z ! demon/ration project7 "u  
:i* ?ree auctions are conduct$ 9        
eligible auction areas 7z def9$ 9       
p>agraph 7#c77 ?r\gh\t ! ,unit$ ,/ates =
 ! furni%+ ( m>ket-pric$ items & s]vices
 7z def9$ 9 subsection 7b77 = :i* paym5t
 is made "u ?is "p4 ,ea* su* auction    
%all1 9 accordance ) subsection         
7c77#c77;,d77ii77,,iv71 be ) respect to 
a contract p]iod ( two ye>s = ea* lead  
product4  7#b7 ,implem5tation timel9e ,!

 demon/ration project %all be c>ri$ out 
9 accordance ) ! foll[+ timel9e3 7,a7   
,contract+ ) auction exp]t & m>ket      
monitor ,n lat] ?an #c mon?s aft] ! date
 ( ! enactm5t ( ?is section1 ! ,secret>y
 %all contract ) ! auction exp]t        
contract$ ) "u subsection 7f77#a7       
7h]e9aft] ref]r$ to z ! auction exp]t7 &
 m>ket monitor contract$ ) "u su*       
subsection 7h]e9aft] ref]r$ to z ! m>ket
 monitor74  7,b7 ,initial design (      
auction ,n lat] ?an #e mon?s aft] su*   
date ( enactm5t1 ! developm5t ( !       
initial auction design "u subsection    
7c77#b77;,b77i7 %all be complet$4  7,c7 
,auction design conf]5ce ,n lat] ?an #f 
mon?s aft] su* date ( enactm5t1 !       
,secret>y %all hold ! auction design    
conf]5ce "u subsection 7c77#b77;,c74    
7,d7 ,f9aliz+ auction details ,n lat]   
?an #g mon?s aft] su* date ( enactm5t1 !
 ,secret>y %all promulgate1 ?r\gh !     
exp$it$ rulemak+ process "u subsection  
7c77#b77;,d71 ! proc$ures to be us$ =   
auctions "u ! demon/ration project4     

7,e7 ,conduct ( fir/ auction ,n lat] ?an
 #aa mon?s aft] su* date ( enactm5t1 !  
fir/ auction "u ! demon/ration project  
%all occur "u subsection 7c77#c74  7,f7 
,aw>d+ contracts "u fir/ auction ,n lat]
 ?an #a ye> aft] su* date ( enactm5t1   
contracts "u su* fir/ auction %all be   
aw>d$4  7#c7 ,eligible auction areas    
7,a7 ,def9ition  7i7 ,9 g5]al ,9 ?is    
section1 subject to clause 7ii71 ! t]m  
eligible auction area means1 ) respect  
to an auction "u ?is section1 a c\nty1  
aggregation ( c\nties1 or "p ( "o or m  
c\nties specifi$ by ! ,secret>y =       
purposes ( su* auction1 9 accordance )  
?is p>agraph4  7ii7 ,special rule =     
diabetic supplies ,9 apply+ ?is section 
) respect to ! product category describ$
 9 subsection 7b77#aa71 ! t]m eligible  
auction area means1 ) respect to an     
auction "u ?is section1 a ,/ate specifi$
 by ! ,secret>y = purposes ( su*        
auction1 9 accordance ) subp>agraph     
7,b77iii74  7,b7 ,specification (       
eligible auction areas ,= purposes ( ?is

 section1 ! ,secret>y %all specify      
eligible auction areas 9 accordance ) ! 
foll[+3  7i7 ,m>ket areas mu/ reflect   
economic int]dep5d5cy ,! ,secret>y %all 
*oose c\nties1 aggregations ( c\nties1  
or p>ts ( c\nties 9 su* a mann] z to    
provide = auction areas t =m            
economically int]dep5d5t areas 7z       
reflect$ 9 /&>d econometric m>ket       
models74 ,= purposes ( specify+ eligible
 auction areas 9 accordance ) ! prec$+  
s5t5ce1 ! ,secret>y may subdivide a l>ge
 c\nty to take into acc\nt population & 
geographic size4  7ii7 ,r\nd #b         
recompete competitive bidd+ areas ,!    
,secret>y %all specify at lea/ #aj      
eligible auction areas t con/itut$ ,r\nd
 #b ,recompete competitive bidd+ areas  
"u section #ahdg4 ,to ! ext5t possible1 
areas select$ = ! demon/ration project  
%\ld repres5t a v>iety ( economic m>kets
 7z reflect$ 9 /&>d econometric m>ket   
models74  7iii7 ,mail ord] diabetic     
supplies ,= purposes ( subp>agraph      
7,a77ii71 ) respect to ! product        

category describ$ 9 subsection 7b77#aa71
 ! ,secret>y %all specify two ,/ates z  
eligible auction areas = mail ord]      
diabetic supplies4 ,su* two ,/ates1     
comb9$1 %all repres5t at lea/ #g p]c5t (
 ! total population ( individuals :o are
 ei!r entitl$ to b5efits "u "p ,a or    
enroll$ "u "p ,b 7z det]m9$ bas$ ^u !   
mo/ rec5t available data74  7#d7        
,application ( c]ta9 policies applicable
 to competitive acquisition programs ,! 
foll[+ provisions ( subsection 7a77#a7 (
 section #ahdg %all apply to !          
demon/ration project 9 ! same mann] z   
su* provisions apply to competitive     
acquisition programs "u su* section     
except z o!rwise provid$3  7,a7         
,subp>agraph 7,c7 7relat+ to waiv] (    
c]ta9 provisions74  7,b7 ,subp>agraph   
7,e7 7relat+ to v]ification by ,,oig71  
except t ! assessm5t %all be ( m>ket    
pric+ & subsequ5t pric+ det]m9ations t  
are ! basis = auction prices & s+le     
paym5t am\nts = items & s]vices 9       
eligible auction areas & %all be        

conduct$ 9 ! fir/ two ye>s ( !          
demon/ration project & may cont9ue 9    
subsequ5t ye>s ( ! project4  7,c7       
,subp>agraph 7,f7 7relat+ to fe$back on 
miss+ f9ancial docum5tation71 except t  
any ref]5ce to a r\nd ( a program is    
deem$ a ref]5ce to a ye> ( !            
demon/ration project4  7b7 ,m>ket-,pric$
 items & s]vices def9$ ,9 ?is section1 !
 t]m m>ket-pric$ items & s]vices means  
items & s]vices 9 ea* ( ! foll[+        
categories 7ea* ( :i* 9 ?is section     
ref]r$ to z a product category73  7#a7  
,oxyg5 supplies & equipm5t4  7#b7 ,/&>d 
p[] :eel*airs1 p[] scoot]s1 & relat$    
accessories4  7#c7 ,manual :eel*airs4   
7#d7 ,ent]al nutri5ts1 equipm5t1 &      
supplies4  7#e7 ,cont9u\s positive      
airway pressure devices1 respiratory    
assi/ive devices1 & relat$ supplies4    
7#f7 ,hospital b$s & relat$ accessories4
  7#g7 ,walk]s & relat$ accessories4    
7#h7 ,support s]vices 7,gr\p #b         
mattresses & ov]lays74  7#i7 ,negative  
pressure w\nd !rapy pumps & relat$      

supplies & accessories4  7#aj7          
,(f-!-%elf or?otics describ$ 9          
subp>agraph 7,c7 ( section #ahdg7;a77#b7
 to ! ext5t !y are includ$ pursuant to  
su* subp>agraph 9 items & s]vices       
describ$ "u su* section & includ$ 9 a   
competitive bidd+ program 9 a           
competitive acquisition area "u section 
#ahdg7;a74  7#aa7 ,mail ord] diabetic   
supplies4  7#ab7 ,o!r items & s]vices   
7o!r ?an ^? items & s]vices specifi$ 9  
p>agraph 7#b77 t c\ld h be5 subject to  
p>ticipation 9 competitive acquisition  
programs "u section #ahdg7;a77#a74  7c7 
,demon/ration pric+ project requirem5ts 
7#a7 ,9 g5]al ,! ,secret>y %all e/abli%1
 ?r\gh ! process describ$ 9 p>agraph    
7#b71 an auction design = ea* auction t 
meets ! requirem5ts ( p>agraph 7#c71 &  
%all ensure t ! fir/ auction "u !       
demon/ration project w be conduct$ = all
 eligible auction areas specifi$ "u     
subsection 7a77#c7 n lat] ?an ! date    
specifi$ 9 subsection 7a77#b77;,e74     
7#b7 ,auction design process2 /akehold] 

input  7,a7 ,transp>5t process requir$  
,9 e/abli%+ ! auction design describ$ 9 
p>agraph 7#a71 ! ,secret>y %all utilize 
an op5 & transp>5t process t involves   
all eligible p>ticipants describ$ 9     
subp>agraph 7,c77ii71 includ+ ?r\gh !   
auction design conf]5ce & o!r outrea*   
ef=ts4  7,b7 ,initial auction design ,! 
auction exp]t %all1 ) respect to an     
auction & consi/5t ) subsection         
7a77#b77;,b71 develop an auction design 
7ref]r$ to 9 ?is section z ! initial    
auction design7 t %all propose = su*    
auction eligible auction areas1 lead    
products = ea* product category1 weights
 to be assign$ to products "u p>agraph  
7#c77;,b77iv71 & propos$ rules = !      
conduct ( ! auction4  7,c7 ,auction     
design conf]5ce  7i7 ,9 g5]al ,!        
,secret>y %all1 consi/5t ) subsection   
7a77#b77;,c71 conv5e a design conf]5ce  
79 ?is p>agraph ref]r$ to z ! design    
conf]5ce7 = ! auction process = ea*     
auction "u ?is section4 ,! auction exp]t
 %all *air ! conf]5ce & ! m>ket monitor 

%all p>ticipate 9 ! conf]5ce 7includ+ z 
describ$ 9 clause 7v774  7ii7           
,p>ticipants ,! p>ticipants at ! design 
conf]5ce %all include at lea/ ! foll[+3 
7,i7 ,manufactur]s1 suppli]s & trade    
associations ( ,,dmepos ,repres5tatives 
( manufactur]s1 suppli]s1 & trade       
associations ( m>ket-pric$ items &      
s]vices4  7,,ii7 ,b5efici>ies           
,repres5tatives ( individuals enroll$ "u
 ?is "p4  7,,iii7 ,,cms ,! ,adm9i/rator 
( ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices 
& o!r appropriate ,f$]al p]sonnel4      
7iii7 ,purpose ( conf]5ce ,! purpose ( !
 design conf]5ce %all be to review !    
initial auction design = ! e/abli%m5t ( 
an effici5t auction consi/5t ) be/      
practices & actu>ial sci5ce & to provide
 /akehold]s ! opportunity to provide    
fe$back on ! initial auction design4    
7iv7 ,auction exp]t responsibilities at 
conf]5ce ,) respect to ! design         
conf]5ce1 ! auction exp]t %all-- 7,i7   
provide a demon/ration ( ! initial      
auction design2  7,,ii7 lead a mock     

auction bas$ ^u su* initial auction     
design 9 :i* ! att5dees w p>ticipate &  
(f] comm5ts & sugge/ions = improvem5t2  
7,,iii7 invite input f suppli]s z to !  
relation%ip betwe51 ) respect to a      
product category1 ! lead product 9 su*  
product category & ! value ( o!r        
products 9 ! same product category z su*
 lead product 7& may e/abli% work+      
committees on major issues relat$ to su*
 relation%ip72 &  7,,iv7 invite input f 
small suppli]s z to ! ways 9 :i* su*    
initial auction design c be improv$ to  
ensure t small suppli]s h ! opportunity 
to p>ticipate 9 ! auction4  7v7 ,m>ket  
monitor responsibilities at conf]5ce ,) 
respect to ! design conf]5ce1 ! m>ket   
monitor %all provide a pres5tation on ! 
responsibilities ( ! m>ket monitor      
?r\gh\t ! ye> & comm5t on key aspects ( 
! initial auction design & _! purpose4  
7vi7 ,int]net accessibility ( conf]5ce  
,! design conf]5ce %all be record$ &    
made available on an ,int]net ,web site 
7?r\gh simultane\s ,web ca/ or o!rwise74

  7,d7 ,auction design propos$ ?r\gh    
exp$it$ rulemak+  7i7 ,submission to    
,secret>y ,! auction exp]t %all1 )      
respect to an auction & 9 accordance ) !
 timel9e describ$ 9 subsection 7a77#b71 
submit to ! ,secret>y an auction design 
= ! auction 7ref]r$ to 9 ?is section z !
 revis$ auction design7 t takes into    
acc\nt ! fe$back on ! initial auction   
design provid$ at ! auction conf]5ce =  
su* auction4  7ii7 ,publication &       
proposal ,^u receiv+ ! submission ( !   
revis$ auction design = an auction by ! 
auction exp]t pursuant to clause 7i71 ! 
,secret>y %all--  7,i7 make su*         
modifications to su* revis$ auction     
design z are necess>y to ensure t ! su* 
auction design meets ! requirem5ts      
describ$ 9 clause 7viii72  7,,ii7 make  
su* o!r modifications to su* revis$     
auction design z ! ,secret>y det]m9es   
appropriate2 &  7,,iii7 publi% & propose
 a rule = implem5t+ su* auction design =
 su* auction1 z modifi$ pursuant to     
subclauses 7,i7 & 7,,ii71 ?r\gh an      

exp$it$ rulemak+ process4  7iii7        
,submission ( comm5ts to auction exp]t &
 m>ket monitor ,! ,secret>y %all submit 
comm5ts receiv$ on an auction design    
publi%$ "u clause 7ii77,,iii7 to !      
auction exp]t & ! m>ket monitor to      
consid] = modification ( su* auction    
design4  7iv7 ,review ( comm5ts by      
auction exp]t & m>ket monitor ,! m>ket  
monitor & auction exp]t %all review su* 
comm5ts &1 )9 "o mon? ( ! receipt ( su* 
comm5ts pursuant to clause 7iii71 %all  
ea* provide public comm5t on su*        
comm5ts4  7v7 ,det]m9ation ( *anges to  
auction design ,tak+ into consid]ation !
 comm5ts submitt$ to ! auction exp]t &  
m>ket monitor pursuant to clause 7iii71 
su* auction exp]t %all det]m9e if any   
*anges %\ld be made 9 ! auction design  
publi%$ "u clause 7ii77,,iii7 = an      
auction 9 response to su* comm5ts4 ,if !
 auction exp]t det]m9es t *anges %\ld be
 made 9 su* design 9 response to su*    
comm5ts1 ! auction exp]t %all submit to 
! ,secret>y an auction design 7ref]r$ to

 9 ?is section z ! fur!r revis$ auction 
design7 = su* auction4  7vi7 ,adoption &
 publication ( auction design ,!        
,secret>y %all adopt z ! auction design 
to be us$ = purposes ( an auction       
conduct$ "u ! demon/ration project      
ei!r--  7,i7 ! fur!r revis$ auction     
design = su* auction1 modifi$ z necess>y
 by ! ,secret>y to ensure t su* auction 
design meets ! requirem5ts describ$ 9   
clause 7viii7 7&1 if su* design is s    
e/abli%$1 %all publi% by rule su*       
design72 or  7,,ii7 ! auction design    
publi%$ "u clause 7ii77,,iii7 = su*     
auction 7&1 if su* design is s select$  
despite a fur!r revis$ auction design   
hav+ be5 submitt$ to ! ,secret>y "u     
clause 7v71 %all notify ! auction exp]t 
& m>ket monitor (1 & publi% 9 ! ,f$]al  
,regi/]1 ! reasons = elect+ to e/abli% !
 revis$ auction design in/ead ( ! fur!r 
revis$ auction design74  7vii7 ,exp$it$ 
rulemak+ process def9$ ,9 ?is           
subp>agraph1 ! t]m exp$it$ rulemak+     
process means a process ( publication ( 

! revis$ auction design 7&1 z           
applicable1 ! fur!r revis$ auction      
design7 & solicitation ( public comm5ts 
on su* design4 ,! provisions ( section  
#ahga7;b77#a7 %all n apply to su*       
process4  7viii7 ,requirem5ts describ$  
,= purposes ( ?is p>agraph1 !           
requirem5ts describ$ 9 ?is clause are   
requirem5ts t1 ) respect to an auction  
design--  7,i7 ! rates ( paym5t "u su*  
auction design d n result 9 a dim9ution 
( access to m>ket-pric$ items & s]vices 
= individuals entitl$ to b5efits "u "p  
,a or enroll$ "u "p ,b 9 ! eligible     
auction areas 9 :i* ! demon/ration      
project is conduct$ or ( ! quality ( su*
 items & s]vices t are furni%$ to su*   
individuals 9 su* areas2  7,,ii7 ! lead 
product propos$ 9 su* auction design =  
ea* product category has be5 select$ to 
be s propos$ bas$ ^u ! hi/orical price &
 utilization ( ! product "u ?is "p2 &   
7,,iii7 ! weights assign$ "u p>agraph   
7#c77;,b77iv7 to products t are n lead  
products take into consid]ation input   

provid$ on su* weights by provid]s at ! 
design conf]5ce = ! applicable auction4 
7#c7 ,conduct ( auction  7,a7 ,9 g5]al  
,! m>ket monitor %all1 consi/5t )       
subsection 7a77#b77;,e7 & 9 accordance )
 ! auction design adopt$ "u p>agraph    
7#b77;,d71 conduct auctions 7ea* 9 ?is  
section ref]r$ to z a m>ket-pric$       
auction7 among pot5tial bidd]s t are    
id5tifi$ z eligible bidd]s "u           
subp>agraph 7,b77ii7 by c>ry+ out !     
activities describ$ 9 subp>agraph 7,b7 &
 subp>agraph 7,c77i7 & su* o!r          
activities z specifi$ by ! ,secret>y4   
7,b7 ,m>ket monitor actions be=e auction
 date ,9 conduct+ a m>ket-pric$ auction1
 ! m>ket monitor %all 7subject1 z       
appropriate1 to review by ! ,secret>y71 
on a date t is prior to ! date ( su*    
auction1 c>ry out ! foll[+3  7i7 ,detail
 auction rules ,detail auction rules &  
processes t are consi/5t ) ! auction    
design adopt$ "u p>agraph 7#b77;,d74 ,! 
rules & processes describ$ 9 ! prec$+   
s5t5ce %all1 ) respect to an auction1   

include ! foll[+3  7,i7 ,! requirem5ts t
 an entity mu/ meet 9 ord] to be        
consid]$ an eligible bidd] "u           
subp>agraph 7,e77ii7 = purposes ( su*   
auction4  7,,ii7 ,processes ?r\gh :i* x 
w be det]m9$ = su* auction1 z a function
 ( bids submitt$ by eligible bidd]s at  
su* auction1 ! eligible bidd]s = lead   
products t are to be aw>d$ contracts "u 
?is section & ! prices = all products t 
are 9 ! same product category z su* lead
 product4  7,,iii7 ,p]=mance obligations
 ( su* eligible bidd]s t are aw>d$ su*  
contracts1 gu>antee requirem5ts appli$  
"u ! demon/ration program1 & p5alties t 
w apply 9 ! case ( su* an eligible bidd]
 t is aw>d$ su* a contract & t fails    
satisfy ! t]ms ( su* contract or su*    
requirem5ts4  7ii7 ,id5tify eligible    
bidd]s ,review all applications =       
pot5tial bidd]s seek+ to be eligible    
bidd]s 9 ! auction & id5tify1 = purposes
 ( su* auction1 ! eligible bidd]s 7z    
def9$ 9 subp>agraph 7,e77ii77 by        
eligible auction area4  7iii7 ,specify  

t>get capacity = eligible bidd]s        
,specify1 ) respect to ea* eligible     
bidd] = su* auction1 a t>get p]c5tage = 
a product category t repres5ts !        
p]c5tage ( ! project$ m>ket = su*       
product 9 an eligible auction area &    
contract p]iod t x is e/imat$ t !       
eligible bidd] w\ld h ! capacity to     
s]ve4 ,ea* su* t>get p]c5tage %all be   
det]m9$ z foll[s3  7,i7 ,9 ! case ( an  
eligible bidd] ) hi/oric capacity 9 an  
auction area ) respect to ! lead product
 9 su* product category1 ! t>get        
p]c5tage %all be det]m9$ bas$ on !      
hi/oric capacity = su* bidd] = su*      
product4  7,,ii7 ,9 ! case ( an eligible
 bidd] t has no hi/oric capacity 9 an   
auction area ) respect to su* lead      
product1 ! t>get p]c5tage %all be #a    
p]c5t ( ! project$ m>ket = su* product4 
7iv7 ,set product weights  7,i7 ,9 g5]al
 ,assign to ea* product 7categoriz$ by !
 heal? c>e common proc$ure cod+ sy/em   
code7 t is 9 ! same product category z a
 lead product a weight t is express$ z a

 numb]4  7,,ii7 ,weight am\nt = lead    
product ,) respect to a product category
 describ$ 9 clause 7i71 ! lead product 9
 su* product category %all1 = purposes (
 su* clause1 be assign$ a weight ( #a4j4
  7,c7 ,auction ,9 conduct+ a           
m>ket-pric$ auction1 ! m>ket monitor or 
,secret>y 7z applicable7 %all1 dur+ su* 
auction1 c>ry out ! foll[+3  7i7        
,e/abli%m5t ( cle>+ price ,! m>ket      
monitor 7subject1 z appropriate1 to     
review by ! ,secret>y7 %all e/abli% a   
cle>+ price = ea* lead product select$  
"u subp>agraph 7,a7 = ea* eligible area4
 ,su* cle>+ price %all1 subject to      
clause 7iii7 & ) respect to a lead      
product1 be equal to ! price 7ref]r$ to 
9 ?is clause z ! t>get price7 specifi$ 9
 ! bid submitt$ by an eligible bidd] )  
respect to su* product & su* area t1 9  
conjunction ) all bids submitt$ by      
eligible bidd]s = su* product & su* area
 t specify prices t are less ?an su*    
t>get price1 w provide = ! total        
project$ volume det]m9$ by ! ,secret>y  

to be ne$$ to fulfill dem& = su* product
 "u ?is title 9 su* area 7z det]m9$     
?r\gh ! use ( t>get p]c5tages specifi$  
"u subp>agraph 7,b77iii774  7ii7 ,aw>d+ 
( contracts  7,i7 ,9 g5]al ,! ,secret>y 
%all aw>d1 pursuant to an auction = a   
contract p]iod & eligible auction area1 
a contract = products 9 a product       
category to ea* eligible bidd] ^: bid   
submitt$ = ! lead product 9 su* product 
category = su* area is at or bel[ !     
cle>+ price e/abli%$ = su* lead product 
& area pursuant to clause 7i74  7,,ii7  
,m&atory acceptance ( contract ,an      
eligible bidd] t has be5 aw>d$ a        
contract "u subclause 7,i7 bas$ on a bid
 describ$ 9 su* subclause by su* bidd]  
%all be treat$1 ^u ! conclusion ( !     
auction ) respect to :i* su* contract is
 aw>d$1 z hav+ agre$ to & accept$ !     
contract1 includ+ ! requirem5ts describ$
 9 subclauses 7,,iii7 & 7,,iv71 bas$ on 
! price ( items includ$ 9 su* bid4      
7,,iii7 ,volume ( products "u contract  
,a contract aw>d$ to an eligible bidd]  

"u subclause 7,i7 ) respect to          
m>ket-pric$ items & s]vices 9 a product 
category = an eligible auction area &   
contract p]iod %all include a requirem5t
 t su* bidd] w furni% su* items &       
s]vices 9 suffici5t quantities to meet !
 ne$s ( individuals = su* items &       
s]vices 9 ! eligible auction area dur+  
su* p]iod4 ,an eligible bidd] %all n    
satisfy ! suffici5t quantities          
requirem5t describ$ 9 ! prec$+ s5t5ce   
unless ! bidd] furni%es ! p]c5tage ( !  
m>ket = su* item or s]vice 9 su* area t 
is equal to ! t>get p]c5tage specifi$ = 
su* bidd] = ! lead product = su*        
category "u subp>agraph 7,b77iii7 or1 if
 less]1 ! p]c5tage ( su* m>ket 9 su*    
area & p]iod t seeks su* item or s]vice 
f su* bidd]4  7,,iv7 ,duration (        
contract ,a contract aw>d$ "u subclause 
7,i7 %all be valid = #b ye>s4  7iii7    
,rule if total bids inadequate to       
fulfill dem& ,9 ! case t ! capacity     
repres5t$ by all bids submitt$ by       
eligible bidd]s = a lead product = an   

eligible area does n provide = ! total  
project$ volume det]m9$ by ! ,secret>y  
to be ne$$ to fulfill dem& = su* product
 "u ?is title 9 su* area1 ! ,secret>y   
%all--  7,i7 e/abli% a cle>+ price = su*
 lead product & area t is equal to !    
initial bid price e/abli%$ at su*       
auction by ! m>ket monitor = su* product
 & area &1 pursuant to clause 7ii77,i71 
aw>d contracts to all eligible bidd]s = 
su* lead product & area ^: bid submitt$ 
= su* product & area is at or bel[ su*  
price2  7,,ii7 ann\nce ! rema9+         
aggregate supply ne$$ = su* product &   
area 9 ord] to fulfill dem& = su*       
product "u ?is title 9 su* area2 &      
7,,iii7 conduct among eligible bidd]s an
 additional auction r\nd1 9 su* mann] z 
is specifi$ by ! ,secret>y1 to fulfill  
su* rema9+ supply4  7,d7 ,ann\ncem5t (  
in=mation aft] auction ,imm$iately aft] 
a m>ket-pric$ auction is complet$1 !    
,secret>y %all publi% on ! ,int]net ,web
 site ( ! ,c5t]s = ,m$ic>e  ,m$icaid    
,s]vices & 9 ! ,f$]al ,regi/] ! foll[+3 

7i7 ,a li/ ( eligible bidd]s aw>d$      
contracts "u su* auction4  7ii7 ,! price
 det]m9$ at su* auction = ea* product 9 
a product category t is subject to !    
auction4  7,e7 ,bid-relat$ t]ms def9$ ,=
 purposes ( ?is section3 7i7 ,! t]m bid 
means1 ) respect to a lead product 9 a  
product category t is subject to a      
m>ket-pric$ auction "u ! demon/ration   
project1 an (f] made at ! auction by an 
eligible bidd] to furni% a lead product 
9 a volume specifi$ 9 su* bid = a       
p>ticul> price & "t p]iod = "o or m     
eligible auction areas4  7ii7 ,! t]m    
eligible bidd] means1 ) respect to an   
auction & an eligible auction area &    
lead product1 a suppli] t-- 7,i7 applies
 to ! ,secret>y to p>ticipate 9 su*     
auction ) respect to su* area & lead    
product2  7,,ii7 is id5tifi$ by !       
,secret>y z a suppli] ( a m>ket-pric$   
item or s]vice t is ! subject ( a       
m>ket-pric$ auction 9 an eligible       
auction area2  7,,iii7 w\ld meet !      
lic5sure & p]=mance gu>antee requirem5ts

 "u section #ahdg7;a77#a77;,g7 if su*   
requirem5ts appli$ = purposes ( auctions
 conduct$ "u ! demon/ration project 9 ! 
same mann] t !y apply ) respect to su*  
section2 &  7,,iv7 meets su* o!r        
lic5sure1 bid-bond1 & o!r requirem5ts z 
! ,secret>y may specify4  7#d7 ,monitor+
 access & quality  7,a7 ,9 g5]al ,!     
,secret>y1 9 consultation ) ! m>ket     
monitor1 %all monitor ! p]=mance (      
eligible bidd]s t are aw>d$ contracts "u
 p>agraph 7#c77;,c77ii7 & ! effects ( ! 
demon/ration project to ensure          
compliance ) ! requirem5ts ( ?is        
section1 includ+ ! requirem5ts &        
obligations e/abli%$ 9 ! auction design 
adopt$ "u p>agraph 7#b77;,d77v74  7,b7  
,provide transp>5cy ( in=mation ,! m>ket
 monitor %all make publicly available ! 
numb] ( suppli]s provid+ m>ket-pric$    
items & s]vices 9 an eligible auction   
area dur+ ea* ye> ( ! op]ation ( !      
demon/ration project4  7,c7 ,en=cem5t   
,if ! ,secret>y1 aft] consultation ) !  
m>ket monitor1 det]m9es t !re has be5 a 

mat]ial failure ( an eligible bidd] t   
has be5 aw>d$ a contract "u p>agraph    
7#c77;,c77ii7 to comply ) su*           
requirem5ts1 ! ,secret>y1 aft]          
consultation ) ! m>ket monitor1 %all    
implem5t1 consi/5t ) subp>agraph 7,d71  
en=cem5t measures1 :i* may include !    
t]m9ation ( a contract aw>d$ "u p>agraph
 7#c77;,c77ii74  7,d7 ,en=cem5t measures
  7i7 ,w>n+ lett]s & opportunity =      
corrective action ,! ,secret>y %all     
provide = ! foll[+ be=e t]m9at+1        
pursuant to subp>agraph 7,b71 a contract
 aw>d$ "u p>agraph 7#c77;,c77ii73  7,i7 
,w>n+ lett] ,! ,secret>y %all issue a   
=mal w>n+ lett] at lea/ #ij days be=e ! 
date on :i* ! ,secret>y t]m9ates su*    
contract4 ,! w>n+ lett] %all describe ! 
reason 7or reasons7 = ! t]m9ation4      
7,,ii7 ,opportunity = corrective action 
,! ,secret>y %all provide an opportunity
 = ! suppli] to take corrective action  
to come into compliance ) ! contract &  
avoid t]m9ation ( ! contract4  7ii7     
,additional consequ5ces ( t]m9ation ,9 !

 case ( a t]m9ation ( su* a contract )  
an eligible bidd]1 ! ,secret>y may      
require =feiture ( am\nts submitt$ z a  
bid & p]=mance bond pursuant to section 
#ahdg7;a77#a77;,g77ii74  7d7            
,application ( competitive acquisition  
program provisions ,9 implem5t+ !       
demon/ration project "u ?is section1 !  
provisions ( section #ahdg7;b7 %all be  
appli$ z foll[s3  7#a7 ,p>agraph 7#c7   
%all apply1 except t1 = purposes (      
contracts aw>d$ "u ! demon/ration       
project1 subp>agraph 7,b7 ( su* p>agraph
 %all be appli$ by sub/itut+ #b ye>s =  
#c ye>s4  7#b7 ,p>agraph 7#d7 %all      
apply4  7#c7 ,p>agraph 7#e7 %all apply1 
except t--  7,a7 ! ref]5ce 9 subp>agraph
 7,a7 ( su* p>agraph to subsection      
7a77#b7 is deem$ a ref]5ce to subsection
 7b7 ( ?is section2 &  7,b7 ! ref]5ce 9 
subp>agraph 7,b77i7 ( su* p>agraph to   
subp>agraph 7,a7 is deem$ a ref]5ce to  
subsection 7a7 ( ?is section4  7#d7     
,p>agraph 7#g7 %all n apply4  7#e7      
,p>agraph 7#h7 %all apply4  7#f7        

,p>agraph 7#i7 %all apply1 except t su* 
p>agraph %all be appli$ z if a ref]5ce  
to a bidd+ program includes a ref]5ce to
 ! demon/ration project4  7#g7 ,p>agraph
 7#aj7 %all apply1 except t su* p>agraph
 %all be appli$ z if a ref]5ce to a     
competitive acquisition program includes
 a ref]5ce to ! demon/ration project4   
7#h7 ,p>agraph 7#aa7 %all n apply1      
except t-- 7,a7 ! p5d5cy ( any claim =  
review "u ?is section %all n delay any  
auction conduct$ pursuant to ?is        
section2 &  7,b7 !re %all be no         
adm9i/rative or judicial review ( any   
claim to enjo9 ! op]ation ( a           
m>ket-pric$ auction conduct$ dur+ ! fir/
 r\nd ( ! demon/ration project4  7e7    
,transp>5cy requirem5ts = demon/ration  
project ,9 implem5t+ ! demon/ration     
project1 ! ,secret>y %all provide = !   
publication1 on an ,int]net ,web site   
op]at$ by ! ,secret>y1 ( ! foll[+       
in=mation ) respect to an auction3  7#a7
 ,! qualifications necess>y to be an    
eligible bidd]4  7#b7 ,! /&>ds develop$ 

= purposes ( subsection                 
7c77#b77;,b77ii77,,ii74  7#c7 ,!        
calculation ( ! total m>ket capacity (  
an eligible auction area = purposes (   
specify+ ! t>get p]c5tage "u subsection 
7c77#c77;,b77iii7 = eligible bidd]s 9 ! 
auction = su* area4  7#d7 ,! process =  
solicit+ & accept+ bids = purposes (    
subsection 7c77#c77;,d77ii74  7#e7 ,=   
purposes ( su* subsection--  7,a7 !     
numb] ( eligible bidd]s at ! auction2   
7,b7 ! numb] ( eligible bidd]s at !     
auction t 7 aw>d$ a contract "u su*     
subsection at ! auction2 &  7,c7 )      
respect to prospective bidd]s at !      
auction t 7 det]m9$ by ! ,secret>y n to 
be eligible bidd]s--  7i7 ! specific    
reasons = su* det]m9ation2 &  7ii7 a    
means & process by :i* su* prospective  
bidd]s may appeal1 or o!rwise obta9 a   
review (1 su* det]m9ation4  7#f7 ,!     
calculation ( & compliance ) !          
requirem5t ( section #ahdg7;b77#f77;,d71
 z made applicable to ! demon/ration    
project by subsection 7d74  7f7         

,reliance on auction exp]t & m>ket      
monitor 9 e/abli%+ & op]at+ m>ket-,pric+
 demon/ration project2 advisory         
committee report & monitor+  7#a7       
,auction exp]t & m>ket monitor  7,a7 ,9 
g5]al ,! ,secret>y %all1 consi/5t )     
subsection 7a77#b77;,a7 & ?r\gh ! ,(fice
 ( ! ,assi/ant ,secret>y = ,plann+ &    
,evaluation1 ent] into a contract ) an  
individual to s]ve z ! auction exp]t & a
 contract ) an individual to s]ve z a   
m>ket monitor to assi/ 9 ! design1      
developm5t1 implem5tation & function+ ( 
! auctions to be conduct$ pursuant to   
subsection 7c74 ,"u ea* su* contract1 ! 
auction exp]t & m>ket monitor %all      
report & be acc\ntable to ! ,secret>y 9 
! mann] describ$ 9 ?is section4  7,b7   
,selection ( auction exp]t & m>ket      
monitor2 t]m2 access to in=mation  7i7  
,competitive process ,! selection ( !   
individual to s]ve z ! auction exp]t & z
 a m>ket monitor "u subp>agraph 7,a7    
%all be und]tak5 ?r\gh a competitive    
process4  7ii7 ,disqualifications ,an   

individual may n be select$ z ! auction 
exp]t if su* individual-- 7,i7 is a     
curr5t or =m] employee ( ! ,c5t]s =     
,m$ic>e  ,m$icaid ,s]vices2  7,,ii7 is a
 curr5t or =m] contractor = ! ,c5t]s =  
,m$ic>e  ,m$icaid ,s]vices t p>ticipat$ 
9 ! implem5tation ( ! competitive       
acquisition program "u section          
#ahdg7;a72  7,,iii7 does n h significant
 exp]i5ce 9 implem5t+ auctions ( simil> 
complexity 9 ,gov]nm5t programs2 or     
7,,iv7 does n h appropriate educational 
cr$5tials4  7iii7 ,access to in=mation  
,! ,secret>y %all make available to !   
auction exp]t & ! m>ket monitor all     
applicable in=mation 7includ+           
confid5tial in=mation7 on ! relevant    
m>kets ?r\gh\t ! duration ( !           
demon/ration project4  7iv7 ,t]m (      
contract ,! contract = ! auction exp]t &
 = ! m>ket monitor "u ?is p>agraph %all 
be = a p]iod ( #f ye>s4  7#b7 ,reports  
7,a7 ,semiannual reports to ,secret>y ,!
 m>ket monitor %all provide to !        
,secret>y semiannual reports 9 ! initial

 two ye>s ( ! demon/ration project &    
annual reports 9 ea* subsequ5t ye> ( !  
demon/ration project on ! developm5t &  
op]ations ( ! demon/ration project4 ,9  
ea* report1 ! m>ket monitor %all--  7i7 
id5tify pot5tial problems ) !           
demon/ration project2 &  7ii7 recomm5d  
solutions to pot5tial problems s        
id5tifi$4  7,b7 ,annual report ,! m>ket 
monitor %all submit to ! ,committees on 
,ways & ,means & ,en]gy & ,comm]ce ( !  
,h\se ( ,repres5tatives & ! ,committee  
on ,f9ance ( ! ,s5ate an annual report  
on ! op]ation & function+ ( !           
demon/ration project4 ,ea* su* report   
%all include in=mation on--  7i7        
pot5tial problems ) ! project2  7ii7    
recomm5d$ solutions to problems id5tifi$
 pursuant to clause 7i72  7iii7 !       
appropriat5ess ( ,,hcpcs codes select$ =
 auctions2  7iv7 an evaluation on !     
ability ( individuals eligible = b5efits
 "u ?is "p to obta9 items & s]vices     
subject to ! demon/ration project2  7v7 
any adv]se heal? effects result+ f      

implem5tation ( ! project2  7vi7 any    
mat]ial det]ioration 9 ! quality ( items
 & s]vices provid$ "u ! project2  7vii7 
! co/s ( any prev5table or prolong$     
hospitalizations due to lack ( timely   
access to m>ket-pric$ items & s]vices2 &
  7viii7 any negative bus9ess           
consequ5ces to ! suppli] ( any          
m>ket-pric$ items & s]vices occurr+ z a 
result ( errors made 9 ! conduct ( !    
project4  4  7b7 ,lic5sure requirem5ts &
 f9ancial assurances "u competitive     
bidd+ ,section #ahdg7;a77#a7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciew-#c7;a77#a77 is am5d$ by add+ at !
 end ! foll[+ new subp>agraphs3  7,g7   
,requir+ ,/ate lic5sure & p]=mance      
gu>antees = bidd+ entities ,) respect to
 r\nds ( competitions beg9n+ "u ?is     
subsection on or aft] ! date ( enactm5t 
( ?is subp>agraph1 ! ,secret>y may n    
accept a bid f an entity = an area      
unless1 z ( ! deadl9e = bid submission--
  7i7 ! entity meets applicable ,/ate   
lic5sure requirem5ts = su* area = all   

items 9 su* bid = a product category2 & 
7ii7 ! entity has submitt$ a ca% deposit
 z a bid & p]=mance bond 9 an am\nt     
det]m9$ by ! ,secret>y aft] consultation
 ) ! auction exp]t1 except t ! ,secret>y
 may1 9 ! ,secret>y's sole discretion1  
accept a lett] ( cr$it f a f9ancial     
in/itution acceptable to ! ,secret>y 9  
lieu ( ! ca% deposit requir$ to be      
submitt$ "u ?is clause4  7,h7 ,treatm5t 
( bid & p]=mance bonds submitt$  7i7 ,= 
successful bidd]s ,! ,secret>y %all     
reta9 z a p]=mance gu>antee ! deposit   
submitt$ by a suppli] t is select$ at an
 auction conduct$ pursuant to           
subp>agraph 7,g77ii7 & su* deposit--    
7,i7 %all be return$ to ! entity )9 #ij 
days ( ! date ( completion ( ! contract2
 or  7,,ii7 %all be reta9$ by !         
,secret>y if ! contract is t]m9at$ be=e 
! expiration ( ! contract4  7ii7        
,unsuccessful bidd]s ,if a bidd+ entity 
submits a bid t is n accept$ = an area1 
! bid & p]=mance deposit submitt$ = !   
entity = su* area %all be return$ )9 #ij

 days ( ! date ( notice ( nonacceptance4
  4  7c7 ,cl>ification ab\t individual  
self-,adju/m5t = (f-!-,%elf or?otics    
7#a7 ,9 g5]al ,section                  
#ahdg7;a77#b77;,c7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciew-#c7;a77#b77;,c77 is am5d$-- 7,a7 
by ins]t+ furni%$ to an individual aft] 
section #ahfa7s77#i72  7,b7 by ins]t+   
aft] m9imal self-adju/m5t ! foll[+3 by t
 individual 7& n by ano!r p]son72 &     
7,c7 by /rik+ to fit to ! individual &  
ins]t+ to fit to t individual4  7#b7    
,effective date ,! am5dm5ts made by     
p>agraph 7#a7 %all apply to (f-!-%elf   
or?otics 7z def9$ 9 section             
#ahdg7;a77#b77;,c7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciew-#c7;a77#b77;,c771 z am5d$ by     
p>agraph 7#a77 furni%$ 9 r\nds (        
competitive bidd+ "u section #ahdg ( su*
 ,act 7#db ,u4,s4,c4 #aciew-#c7 initiat$
 on or aft] su* date1 z soon z          
practicable aft] ! date ( ! enactm5t (  
?is ,act1 z ! ,secret>y ( ,heal? &      

,human ,s]vices det]m9es appropriate4   
,su* am5dm5ts only apply to !           
demon/ration project "u section #ahdg;,c
 ( su* ,act1 z add$ by subsection 7a71  
if ! ,secret>y implem5ts competitive    
bidd+ = su* (f-!-%elf or?otics "u !     
competitive bidd+ program "u su* section
 #ahdg4