,i  #aadth ,,congress  #b;d ,session    
,h4 ,r4 #efeb  ,,in ,,the ,,house ,,of  
,,representatives  ,july #g1 #bjaf,mrs4 
,black 7for herself and ,mr4            
,blumenauer7 introduced the following   
bill2 which was referred to the         
,committee on ,ways and ,means  ,a      
,,bill  ,to amend the ,internal ,revenue
 ,code of #aihf to provide for coverage 
by high deductible health plans of      
medical management of a chronic disease 
without deductible4  #a4 ,short title   
,this ,act may be cited as the ,access  
to ,better ,care ,act of #bjaf4  #b4    
,provision for coverage by high         
deductible health plans of medical      
management of a chronic disease without 
deductible  7a7 ,in general ,section    
#bbc7;c77#b7 of the ,internal ,revenue  
,code of #aihf is amended by adding at  
the end the following new subparagraph3 
7,e7 ,safe harbor for absence of medical
 management of a chronic disease        
deductible  7i7 ,in general ,a plan     
shall not fail to be treated as a high  

deductible health plan by reason of     
failing to have a deductible for medical
 management of a chronic disease4  7ii7 
,definition of medical management of a  
chronic disease  7,i7 ,in general ,for  
purposes of this subparagraph1 the term 
medical management of a chronic disease 
means1 except as otherwise provided by  
the ,secretary1 medical care described  
in section #bac7;d77#a77;,a7 which has  
the primary purpose of managing a       
chronic condition or disease by         
preventing the onset of1 further        
deterioration from1 or complications    
associated with such chronic condition  
or disease4  7,,ii7 ,chronic condition  
or disease ,the term chronic condition  
or disease means a condition or disease 
that is expected to last for more than  
one year1 limits what a person can do1  
and requires ongoing medical monitoring4
  4  7b7 ,effective date ,the amendment 
made by this section shall apply to plan
 years beginning after the date of the  
enactment of this ,act4