,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #dacf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #be1 #bjag,mr4
 ,smi? ( ,miss\ri 7= himself1 ,ms4      
,e%oo1 ,mr4 ,mull91 & ,mr4 ,b]a7        
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 /r5g!n        
int5sive c>diac rehabilitation programs 
"u ! ,m$ic>e program4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,/r5g!n+      
,m$ic>e ,int5sive ,c>diac               
,rehabilitation ,programs ,act4  #b4    
,revis$ requirem5ts = ,m$ic>e int5sive  
c>diac rehabilitation programs ,section 
#ahfa7;eee77#d7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciex7eee77#d77 is 
am5d$--  7#a7 9 subp>agraph 7,a7-- 7,a7 
9 ! matt] prec$+ clause 7i7--  7i7 by   

/rik+ physician-sup]vis$ program 7z     
describ$ 9 p>agraph 7#b77 & ins]t+      
program 7sup]vis$ z describ$ 9 p>agraph 
7#b7 = c>diac rehabilitation72 &  7ii7  
by /rik+ 1 9 pe]-review$ publi%$ rese>*1
 t x accompli%$ & ins]t+ 9 pe]-review$  
publi%$ rese>* specific to ! exact      
program1 t1 not)/&+ o!r concurr5t       
!rapies1 includ+ prescription drugs1 by 
life/yle *anges alone x accompli%$2     
7,b7 9 clause 7i7-- 7i7 9 subclause     
7,i71 by /rik+ positively affect$ &     
ins]t+ rev]s$2  7ii7 9 subclause 7,,ii71
 by /rik+ or & ins]t+ &2 &  7iii7 by    
/rik+ subclause 7,,iii72  7,c7 9 clause 
7ii71 9 ! matt] prec$+ subclause 7,i71  
by ins]t+ bo? a /ati/ically significant 
increase 9 ! measure ( blood fl[ to !   
he>t :5 comp>$ to a control gr\p & be=e 
a /ati/ically significant2 &  7,d7 by   
add+ at ! end ! foll[+ new s5t5ce3 ,any 
program t ! ,secret>y approv$ "u ?is    
p>agraph be=e ! date ( ! enactm5t ( !   
,/r5g!n+ ,m$ic>e ,int5sive ,c>diac      
,rehabilitation ,programs ,act z an     

int5sive c>diac rehabilitation program  
accord+ to ! requirem5ts "u ?is         
subp>agraph z 9 effect be=e su* date    
%all be deem$ to meet ! requirem5ts "u  
?is subp>agraph appli$ pursuant to !    
am5dm5ts made by su* ,act4 2 &  7#b7 9  
subp>agraph 7,b7--  7,a7 9 clause 7v71  
by /rik+ at ! end or2  7,b7 9 clause    
7vi71 by /rik+ at ! end ! p]iod2 &  7,c7
 by add+ at ! end ! foll[+ new clauses3 
7vii7 /able1 *ronic he>t failure 7def9$ 
z pati5ts ) left v5tricul> ejection     
fraction ( #ce p]c5t or less & ,new     
,york ,he>t ,association 7,,nyha7 class 
,,ii to ,,iv symptoms despite be+ on    
optimal he>t failure !rapy = at lea/ #f 
weeks72 or  7viii7 any additional       
condition = :i* ! ,secret>y has det]m9$ 
t a c>diac rehabilitation program %all  
be cov]$4  4