#aae? ,,congress  #b;d ,session  ,h4 ,r4
 #dieb  ,,an ,,act  ,to direct !        
,secret>y ( ,heal? & ,human ,s]vices to 
conduct a /udy & submit a report on !   
effects ( ! inclusion ( quality         
increases 9 ! det]m9ation ( bl5d$ b5*m>k
 am\nts "u "p ,c ( ! ,m$ic>e program4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,improv+ ,s5iors ,access to ,quality  
,b5efits ,act4  #b4 ,det]m9ation ( bl5d$
 b5*m>k am\nt /udy  7a7 ,s5se (         
,congress ,x is ! s5se ( ,congress t !  
inclusion ( quality increases 9 !       
det]m9ation ( bl5d$ b5*m>k am\nts "u    
section #ahec7n77#d7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#aciew-#bc7n77#d77 und]m9es ! goal (    
deliv]+ high-quality c>e "u ! ,m$ic>e   
program "u title ,,xviii ( su* ,act4    
7b7 ,/udy & report ,n lat] ?an "o ye>   
aft] ! date ( enactm5t ( ?is section1 ! 
,secret>y ( ,heal? & ,human ,s]vices1 9 
consultation ) relevant /akehold]s1 %all
 conduct a /udy & submit to ,congress a 
report on ! effects ( ! inclusion (     

quality p]c5tage increases "u section   
#ahec7n77#e7 ( su* ,act 9 ! det]m9ation 
( bl5d$ b5*m>k am\nts "u section        
#ahec7n77#d7 ( su* ,act4 ,su* /udy &    
report %all include an analysis ( !     
foll[+3 7#a7 ,! au?ority ( ! ,secret>y  
to remove su* increases f ! det]m9ation 
( su* am\nts4  7#b7 ,! effects ( includ+
 su* increases 9 ! det]m9ation ( su*    
am\nts on ,m$ic>e ,advantage            
organizations 7includ+ ! effects on any 
contracts ent]$ into by su*             
organizations74  7#c7 ,! f9ancial impact
 ( includ+ su* increases 9 ! det]m9ation
 ( su* am\nts by c\nty4  7#d7 ,! effects
 ( includ+ su* increases 9 ! det]m9ation
 ( su* am\nts on individuals enroll$ 9 a
 plan "u "p ,c ( title ,,xviii ( su*    
,act4  ,pass$ ! ,h\se ( ,repres5tatives 
,july #bd1 #bjah4;,cl]k4