,,ii  #aad? ,,congress  #b;d ,session   
,s4 #cacg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #g1 #bjaf,mrs4   
,capito 7= h]self & ,ms4 ,/ab5[7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to require ! ,c5t] 
= ,m$ic>e & ,m$icaid ,innovation to te/ 
! efficacy ( provid+ ,alzheim]'s        
,disease c>egiv] support s]vices 9      
delay+ or r$uc+ ! use ( in/itutionaliz$ 
c>e = ,m$ic>e b5efici>ies ) ,alzheim]'s 
,disease or a relat$ dem5tia4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,alzheim]'s ,b5efici>y & ,c>egiv]       
,support ,act4  #b4 ,te/+ ( ,m$ic>e &   
,m$icaid cov]age ( ,alzheim]'s disease  
c>egiv] support s]vices ,section        
#aaae;,a ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acae;a7 is am5d$--  7#a7 9  
subsection 7b77#b7-- 7,a7 9 subp>agraph 
7,a71 by add+ at ! end ! foll[+ new     
s5t5ce3 ,! models select$ "u ?is        
subp>agraph %all include ! model        
describ$ 9 subp>agraph 7,d71 :i* %all be

 implem5t$ by n lat] ?an ! date t is #a 
ye> aft] ! date ( enactm5t ( su*        
subp>agraph42 &  7,b7 by add+ at ! end !
 foll[+ new subp>agraph3  7,d7          
,alzheim]'s disease c>egiv] support     
s]vices model ,! model describ$ 9 ?is   
subp>agraph is a model t meets !        
requirem5ts ( subsection 7h7 ) respect  
to cov]age (1 & paym5t =1 ,alzheim]'s   
,disease c>egiv] support s]vices 7z     
def9$ 9 su* subsection74  2 &  7#b7 by  
add+ at ! end ! foll[+ new subsection3  
7h7 ,cov]age ( alzheim]'s disease       
c>egiv] support s]vices  7#a7 ,9 g5]al  
,subject to ! succe$+ provisions ( ?is  
subsection1 = ! #c-ye> p]iod t beg9s on 
,janu>y #a1 #bjah1 ! ,secret>y %all te/ 
! efficacy ( cov]age (1 & paym5t =1     
,alzheim]'s ,disease c>egiv] support    
s]vices 7z def9$ 9 p>agraph 7#b77 "u !  
applicable title1 9 delay+ or r$uc+ !   
use ( in/itutionaliz$ c>e = applicable  
,m$ic>e b5efici>ies 7z def9$ 9 p>agraph 
7#c774  7#b7 ,def9ition ( ,alzheim]'s   
disease c>egiv] support s]vices ,9 ?is  

subsection1 ! t]m ,alzheim]'s ,disease  
c>egiv] support s]vices means ! foll[+  
s]vices furni%$ by an eligible          
pr(essional 7z def9$ 9 p>agraph 7#c77 to
 a family c>egiv] 7z def9$ 9 su*        
p>agraph7 ( an applicable ,m$ic>e       
b5efici>y 7z def9$ 9 su* p>agraph73     
7,a7 ,a def9$ set ( c\nsel+ sessions ov]
 a fix$ p]iod ( "t 7z det]m9$           
appropriate by ! ,secret>y71 includ+ a  
compreh5sive basel9e int]view1 two      
individual c\nsel+ sessions1 & f\r      
family c\nsel+ sessions4  7,b7 ,foll[+  
su* def9$ set ( c\nsel+ sessions1 a     
subsequ5t p]iod 7z det]m9$ appropriate  
by ! ,secret>y7 ( foll[-up assessm5ts1  
support gr\p p>ticipation1 & ad hoc     
c\nsel+ or consultations to support !   
family c>egiv] z ne$s arise & ! heal? ( 
! applicable ,m$ic>e b5efici>y *anges4  
7#c7 ,additional def9itions ,9 ?is      
subsection3 7,a7 ,applicable m$ic>e     
b5efici>y ,! t]m applicable ,m$ic>e     
b5efici>y means an individual--  7i7 :o 
is entitl$ to b5efits "u "p ,a & enroll$

 "u "p ,b ( title ,,xviii :o is n       
enroll$ 9 a ,m$ic>e ,advantage plan "u  
"p ,c ( su* title1 an eligible          
organization "u section #ahgf1 or a     
,,pace program "u section #ahid2 &  7ii7
 :o has be5 diagnos$ ) ,alzheim]'s      
,disease or a relat$ dem5tia4  7,b7     
,eligible pr(essional ,! t]m eligible   
pr(essional means an individual :o--    
7i7 is a cl9ical social work] 7z def9$ 9
 section #ahfa7;hh77#a77 or a nurse     
practition] 7z def9$ 9 section          
#ahfa7;aa77#e77;,a772 &  7ii7 has       
und]gone ext5sive onl9e tra9+ 9 ! be/   
practices = c>egiv] int]v5tion = pati5ts
 :o h be5 diagnos$ ) ,alzheim]'s        
,disease or a relat$ dem5tia4  7,c7     
,family c>egiv] ,! t]m family c>egiv]   
means1 ) respect to an applicable       
,m$ic>e b5efici>y1 a sp\se1 adult *ild1 
or o!r family memb] ( ! applicable      
,m$ic>e b5efici>y :o is "p ( ! c>e team 
( ! applicable ,m$ic>e b5efici>y &      
receives no monet>y comp5sation = _!    
s]vice z "p ( ! team4  7#d7 ,paym5t ,!  

,secret>y %all e/abli% paym5t am\nts "u 
?is subsection = ,alzheim]'s ,disease   
c>egiv] support s]vices4  4