,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #dgbd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ba1         
#bjag,mr4 ,hold+ 7= himself1 ,mr4       
,blum5au]1 ,mr4 ,lance1 ,mr4            
,butt]field1 & ,mr4 ,meehan7 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 provide = a demon/ration   
project to fur!r exam9e ! b5efits (     
provid+ cov]age & paym5t = items &      
s]vices necess>y to adm9i/] intrav5\s   
immune globul9 7,,ivig7 9 ! home1 & =   
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,m$ic>e ,,ivig ,access 
,enhancem5t ,act4  #b4 ,m$ic>e pati5t   
,,ivig access demon/ration project  7a7 
,e/abli%m5t ,! ,secret>y ( ,heal? &     
,human ,s]vices 79 ?is section ref]r$ to
 z ! ,secret>y7 %all e/abli% & implem5t 

a demon/ration project "u "p ,b ( title 
,,xviii ( ! ,social ,security ,act to   
evaluate ! b5efits ( provid+ paym5t =   
items & s]vices ne$$ = ! 9-home         
adm9i/ration ( intrav5\s immune globul9 
= ! treatm5t ( *ronic inflammatory      
demyel9at+ polyneuropa?y or multifocal  
motor neuropa?y4  7b7 ,duration & scope 
7#a7 ,duration ,beg9n+ n lat] ?an #a ye>
 aft] ! date ( enactm5t ( ?is ,act1 !   
,secret>y %all conduct ! demon/ration   
project = a p]iod ( #c ye>s4  7#b7      
,scope ,! ,secret>y %all enroll n great]
 ?an #c1jjj ,m$ic>e b5efici>ies :o h be5
 diagnos$ ) *ronic inflammatory         
demyel9at+ polyneuropa?y or multifocal  
motor neuropa?y = p>ticipation 9 !      
demon/ration project4 ,a ,m$ic>e        
b5efici>y may p>ticipate 9 !            
demon/ration project on a volunt>y basis
 & may t]m9ate p>ticipation at any "t4  
7c7 ,cov]age ,except z o!rwise provid$ 9
 ?is section1 items & s]vices = :i*     
paym5t may be made "u ! demon/ration    
program %all be treat$ & cov]$ "u "p ,b 

( title ,,xviii ( ! ,social ,security   
,act 9 ! same mann] z simil> items &    
s]vices cov]$ "u su* "p4  7d7 ,paym5t   
7#a7 ,intrav5\s immune globul9 ,=       
intrav5\s immune globul9 furni%$ "u ?is 
section1 ! ,secret>y %all make paym5t   
us+ ! paym5t me?odology "u section      
#ahdg;,a ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciew-#c;a74  7#b7 ,o!r     
items & s]vices  7,a7 ,9 g5]al ,!       
,secret>y %all e/abli%1 subject to      
subp>agraph 7,b71 a p]-visit paym5t     
am\nt = items & s]vices 7o!r ?an        
intrav5\s immune globul97 ne$$ = !      
9-home infusion ( intrav5\s immune      
globul9 = ! treatm5t ( *ronic           
inflammatory demyel9at+ polyneuropa?y or
 multifocal motor neuropa?y bas$ on !   
national p] visit l[-utilization paym5t 
am\nt "u ! prospective paym5t sy/em =   
home heal? s]vices e/abli%$ "u section  
#ahie ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acie;fff74  7,b7 ,limitation 
,! p]-visit paym5t am\nt e/abli%$ "u    
subp>agraph 7,a7 = items & s]vices      

describ$ 9 su* subp>agraph %all n be    
less ?an ! paym5t am\nt appli$ "u !     
demon/ration project e/abli%$ "u section
 #aja ( ! ,m$ic>e ,,ivig ,access &      
,/r5g!n+ ,m$ic>e & ,repay+ ,taxpay]s    
,act ( #bjab 7,public ,law #aab-bdb7 =  
comp>able items & s]vices ne$$ = !      
9-home adm9i/ration ( intrav5\s immune  
globul9 = ! treatm5t ( prim>y immune    
defici5cy diseases4  7e7 ,waiv] au?ority
 ,! ,secret>y may waive su* requirem5ts 
( title ,,xviii ( ! ,social ,security   
,act z may be necess>y to c>ry out !    
demon/ration project4  7f7 ,reports to  
,congress  7#a7 ,int]im evaluation &    
report ,n lat] ?an #c ye>s aft] ! date (
 enactm5t ( ?is ,act1 ! ,secret>y %all  
submit to ,congress a report t conta9s--
  7,a7 an evaluation ( ! impact ( !     
demon/ration project on access = ,m$ic>e
 b5efici>ies ) *ronic inflammatory      
demyel9at+ polyneuropa?y & ,m$ic>e      
b5efici>ies ) multifocal motor neuropa?y
 to items & s]vices ne$$ = ! 9-home     
adm9i/ration ( intrav5\s immune glob92 &

  7,b7 an analysis ( ! appropriat5ess ( 
exp&+ or ext5d+ ! demon/ration project  
or implem5t+ a new me?odology = paym5t =
 intrav5\s immune globul9s 9 all c>e    
sett+s "u "p ,b ( title ,,xviii ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciek et seq47 &1 to ! ext5t su*       
analysis det]m9es su* an expansion1     
ext5sion1 or me?odology appropriate1    
recomm5dations = su* expansion1         
ext5sion1 or me?odology1 respectively4  
7#b7 ,f9al evaluation & report ,n lat]  
?an "o ye> aft] ! date ( completion ( ! 
demon/ration project1 ! ,secret>y %all  
submit to ,congress a report t conta9s--
  7,a7 a f9al evaluation ( ! impact     
describ$ 9 p>agraph 7#a77;,a72 &  7,b7 a
 f9al analysis & recomm5dations describ$
 9 p>agraph 7#a77;,b74  7g7 ,def9itions 
,9 ?is section3 7#a7 ,demon/ration      
project ,! t]m demon/ration project     
means ! demon/ration project conduct$ "u
 ?is ,act4  7#b7 ,m$ic>e b5efici>y ,!   
t]m ,m$ic>e b5efici>y means an          
individual :o is enroll$ = b5efits "u "p

 ,b ( title ,,xviii ( ! ,social         
,security ,act4