,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #beeg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ai1 #bjag,mr4   
,buc%on 7= himself1 ,mr4 ,payne1 ,mr4   
,c>son ( ,indiana1 ,mr4 ,mull91 & ,mr4  
,ru%7 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 am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = cov]age "u ! ,m$ic>e program (
 c]ta9 ,,dna ,specim5 ,prov5ance ,assay 
cl9ical diagno/ic laboratory te/s4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,pro/ate ,canc] ,misdiagnosis           
,elim9ation ,act ( #bjag4  #b4 ,cov]age 
( c]ta9 ,,dna ,specim5 ,prov5ance ,assay
 cl9ical diagno/ic laboratory te/s "u   
,m$ic>e  7a7 ,cov]age ,section          
#ahfb7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciey7a77#a77 is       

am5d$--  7#a7 9 subp>agraph 7,o71 by    
/rik+ & at ! end2  7#b7 9 subp>agraph   
7,p71 by /rik+ ! semicolon at ! end &   
ins]t+ 1 &2 &  7#c7 by add+ at ! end !  
foll[+ new subp>agraph3  7,q7 9 ! case (
 a ,,dna ,specim5 ,prov5ance ,assay     
cl9ical diagno/ic laboratory te/ 7,,dspa
 te/71 unless ! ,,dspa te/ is furni%$ to
 an individual enroll$ "u "p ,b :o has  
_h a pro/ate canc] biopsy ! results (   
:i* are positive1 ! ,,dspa te/ is       
furni%$ ) respect to su* biopsy1 & !    
,,dspa te/ is ord]$ by ! physician :o   
furni%$ ! pro/ate canc] biopsy t obta9$ 
! specim5 te/$2  4  7b7 ,tempor>y paym5t
 am\nt = te/s furni%$ dur+ #bjah ?r\gh  
#bjbj & relat$ requirem5ts ,section     
#ahcd;,a ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciem-#a7 is am5d$-- 7#a7 9 
subsection 7b77#a77;,a71 by /rik+ & 7d7 
& ins]t+ 1 7d71 & 7j72 &  7#b7 by add+  
at ! end ! foll[+ new subsection3  7j7  
,,dna ,specim5 ,prov5ance ,assay cl9ical
 diagno/ic laboratory te/s  7#a7        
,tempor>y paym5t am\nt = te/s furni%$   

dur+ #bjah ?r\gh #bjbj ,not)/&+ ! paym5t
 am\nt t w\ld o!rwise apply "u ?is      
section1 ) respect to a ,,dna ,specim5  
,prov5ance ,assay cl9ical diagno/ic     
laboratory te/ furni%$ on or aft]       
,janu>y #a1 #bjah1 & be=e ,janu>y #a1   
#bjba1 ! paym5t am\nt "u ?is section    
%all be equal to #he p]c5t ( ! am\nt    
det]m9$ "u ! fee s*$ule "u section      
#ahcc7;h77#a7 = #bjaf = ,,hcpcs code    
#habfe4  7#b7 ,,hcpcs code assignm5t ,! 
,secret>y %all assign an ,,hcpcs code to
 ! ,,dna ,specim5 ,prov5ance ,assay     
cl9ical diagno/ic laboratory te/4  7#c7 
,ensur+ prop] bill+ & paym5t  7,a7 ,use 
( modifi] to ensure prop] paym5t ,!     
,secret>y may use a modifi] to          
facilitate mak+ paym5t "u ?is section ) 
respect to a ,,dna ,specim5 ,prov5ance  
,assay cl9ical diagno/ic laboratory te/4
  7,b7 ,paid claims sample error rate   
7i7 ,9 g5]al ,! ,secret>y %all conduct a
 po/-paym5t review ( a sample ( n less  
?an #ej claims = ,,dna ,specim5         
,prov5ance ,assay cl9ical diagno/ic     

laboratory te/s = :i* paym5t is made "u 
?is "p4 ,! sample review$ "u ! prec$+   
s5t5ce may be tak5 f claims paid to m   
?an "o suppli]4  7ii7 ,po/+ on ,int]net 
website ,n lat] ?an ,july #a1 #bjai1 !  
,secret>y %all po/ on ! ,int]net website
 ( ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices
 ! numb] ( claims ) errors id5tifi$ bas$
 on ! reviews conduct$ "u clause 7i74  4
  7c7 ,effective date ,! am5dm5ts made  
by ?is section %all apply to ,,dna      
,specim5 ,prov5ance ,assay cl9ical      
diagno/ic laboratory te/s furni%$ on or 
aft] ,janu>y #a1 #bjah4