,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #fbfa  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bh1        
#bjaf,mr4 ,kilm] 7= himself & ,ms4      
,j5k9s ( ,kansas7 introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means1 & 9 addition to !       
,committee on ,en]gy & ,comm]ce1 = 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 improve ! way b5efici>ies are       
assign$ "u ! ,m$ic>e %>$ sav+s program  
by also bas+ su* assignm5t on prim>y c>e
 s]vices furni%$ by nurse practition]s1 
physician assi/ants1 & cl9ical nurse    
speciali/s4  #a4 ,%ort title ,?is ,act  
may be cit$ z ! ,,aco ,assignm5t        
,improvem5t ,act ( #bjaf4  #b4          
,improvem5ts to ! assignm5t (           
b5efici>ies "u ! ,m$ic>e %>$ sav+s      
program ,section #ahii7;c7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           

#acie;jjj7c77 is am5d$--  7#a7 by /rik+ 
utilization ( prim>y & ins]t+           
8utilization (--  7#a7 9 ! case (       
p]=mance ye>s beg9n+ on or aft] ,april  
#a1 #bjab1 prim>y  2  7#b7 9 p>agraph   
7#a71 z add$ by p>agraph 7#a7 ( ?is     
section1 by /rik+ ! p]iod at ! end &    
ins]t+ 2 &2 &  7#c7 by add+ at ! end !  
foll[+ new p>agraph3  7#b7 9 ! case (   
p]=mance ye>s beg9n+ on or aft] ,janu>y 
#a1 #bjah1 prim>y c>e s]vices provid$ "u
 ?is title by an ,,aco pr(essional      
describ$ 9 subsection 7h77#a77;,b74  4