,,ii  #aad? ,,congress  #a/ ,session    
,s4 #bbei  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #i1 #bjae ,ms4
 ,cantwell 7= h]self1 ,mr4 ,?une1 &     
,mrs4 ,murray7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,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 ( #bjae4  #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