,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #eejf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #ac1 #bjah,mr4 
,smi? ( ,nebraska 7= himself & ,ms4     
,sewell ( ,alabama7 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 = direct paym5t to physician
 assi/ants "u ! ,m$ic>e program = c]ta9 
s]vices furni%$ by su* physician        
assi/ants4  #a4 ,direct ,m$ic>e paym5t =
 s]vices furni%$ by physician assi/ants 
7a7 ,9 g5]al ,section #ahcb7;a77#b77;,b7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciek7a77#b77;,b77 is am5d$  
by add+ at ! end ! foll[+ new clause3   
7v7 s]vices ( a physician assi/ant b    
only if no facility or o!r provid] *>ges
 or is paid any am\nts ) respect to !   

furni%+ ( su* s]vices2  4  7b7          
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply ) respect to  
s]vices furni%$ on or aft] ,july #a1    
#bjai4