,,ib  ,union ,cal5d> ,no4 #fdd  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #dieb
  ,report ,no4 #aae-hcb1 ,"p ,i  ,,9 ,,!
 ,,h\se ,,( ,,repres5tatives  ,febru>y  
#f1 #bjah ,mr4 ,kelly ( ,p5nsylvania 7= 
himself & ,mr4 ,k9d7 introduc$ ! foll[+ 
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means1 & 9 addition to !       
,committee on ,en]gy & ,comm]ce1 = 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$  ,july #ag1          
#bjah;,additional sponsors3 ,mr4        
,blum5au] & ,mr4 ,gu?rie  ,july #ag1    
#bjah ,report$ f ! ,committee on ,ways &
 ,means ) an am5dm5t ,/rike out all aft]
 ! enact+ clause & ins]t ! "p pr9t$ 9   
italic  ,july #ag1 #bjah;,committee on  
,en]gy & ,comm]ce dis*>g$2 committ$ to !
 ,committee ( ! ,:ole ,h\se on ! ,/ate (
 ! ,union & ord]$ to be printed,for text
 ( introduc$ bill1 see copy ( bill z    
introduc$ on ,febru>y #f1 #bjah  ,a     
,,bill  ,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  ,july #ag1 #bjah ,report$ f !    
,committee on ,ways & ,means ) an       
amendment,july #ag1 #bjah;,committee on 
,en]gy & ,comm]ce dis*>g$2 committ$ to !
 ,committee ( ! ,:ole ,h\se on ! ,/ate (
 ! ,union & ord]$ to be pr9t$