,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #ffja  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bf1 #bjah,mr4  
,lewis ( ,georgia 7= himself & ,mr4     
,lev97 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 ,,xi 
( ! ,social ,security ,act to improve   
access to c>e = all ,m$ic>e & ,m$icaid  
b5efici>ies ?r\gh models te/$ "u ! ,c5t]
 = ,m$ic>e & ,m$icaid ,innovation1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,equality 9 ,m$ic>e &  
,m$icaid ,treatm5t ,act ( #bjah4  #b4   
,improv+ access to c>e = ,m$ic>e &      
,m$icaid b5efici>ies ,section #aaae;,a (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acae;a7 is am5d$--  7#a7 9 subsection 
7a77#c71 by ins]t+ 1 ! causes ( heal?   
disp>ities & social det]m9ants ( heal?1 

aft] m$ic9e2  7#b7 9 subsection 7b7--   
7,a7 9 p>agraph 7#b77;,a71 by ins]t+ 1 z
 well z improv+ access to c>e receiv$ by
 individuals receiv+ b5efits "u su*     
title1 aft] title2  7,b7 9 p>agraph     
7#b77;,c71 by add+ at ! end ! foll[+ new
 clauses3  7ix7 ,:e!r ! model w         
disc\rage provid]s ( s]vices & supplies 
f treat+ high risk pati5ts1 pati5ts f   
m9ority or rural communities1 or wom54  
7x7 ,:e!r ! model demon/rates r$uctions 
9 m9ority & rural heal? disp>ities4  2 &
  7,c7 9 p>agraph 7#d77;,a7--  7i7 9    
clause 7i7 at ! end1 by /rik+ &2  7ii7 9
 clause 7ii71 at ! end1 by /rik+ ! p]iod
 & ins]t+ 2 &2 &  7iii7 by add+ at ! end
 ! foll[+ new clause3  7iii7 ! ext5t to 
:i* ! model improves access to c>e or ! 
ext5t to :i* ! model disc\rages provid]s
 f c>+ = high risk pati5ts1 wom51       
pati5ts f racial or e?nic m9orities1 or 
pati5ts f rural communities4  2  7#c7 9 
subsection 7c7-- 7,a7 9 p>agraph 7#b71  
by /rik+ at ! end &2  7,b7 by r$esignat+
 p>agraph 7#c7 z p>agraph 7#d72  7,c7 by

 ins]t+ aft] p>agraph 7#b7 ! foll[+ new 
p>agraph3  7#c7 ! ,(fice ( ,m9ority     
,heal? ( ! ,c5t]s = ,m$ic>e  ,m$icaid   
,s]vices c]tifies t su* expansion w n   
r$uce access to c>e = wom51 l[-income1  
m9ority1 or rural b5efici>ies2 &  2     
7,d7 9 p>agraph 7#d71 z r$esignat$ by   
subp>agraph 7,b71 by ins]t+ be=e ! p]iod
 at ! end ! foll[+3 nor increase heal?  
disp>ities exp]i5c$ by wom51 l[-income1 
m9ority1 or rural b5efici>ies2 &  7,e7 9
 ! matt] foll[+ p>agraph 7#d71 z        
r$esignat$ by subp>agraph 7,b71 by      
ins]t+ 1 improve access to c>e1 aft]    
c>e4  #c4 ,und]/&+ social det]m9ants (  
heal? 9 ,m$ic>e & ,m$icaid populations  
,! ,secret>y ( ,heal? & ,human ,s]vices 
%all1 = ea* fiscal ye> 7beg9n+ n lat]   
?an fiscal ye> #bjai71 submit to        
,congress an annual report t analyzes ! 
foll[+3  7#a7 ,! ext5t & sev]ity (      
m9ority & rural heal? disp>ities 9      
,m$ic>e & ,m$icaid b5efici>ies4  7#b7 ,!
 preval5ce ( int]v5tions t address      
social det]m9ants ( heal? 9 paym5t      

models select$ by ! ,c5t] = ,m$ic>e &   
,m$icaid ,innovation = te/+4  7#c7 ,!   
preval5ce ( int]v5tions t address social
 det]m9ants ( heal? 9 paym5t models n   
select$ by ! ,c5t] = ,m$ic>e & ,m$icaid 
,innovation = te/+4  7#d7 ,!            
effectiv5ess ( paym5t models select$ by 
! ,c5t] = ,m$ic>e & ,m$icaid ,innovation
 = te/+ 9 mitigat+ negative heal?       
outcomes associat$ ) social det]m9ants (
 heal?4  7#e7 ,*anges 9 ! preval5ce (   
m9ority heal? disp>ities & rural heal?  
disp>ities 9 ,m$ic>e & ,m$icaid         
b5efici>ies s]v$ by provid]s p>ticipat+ 
9 paym5t models t 7 exp&$ by ! ,c5t] =  
,m$ic>e & ,m$icaid ,innovation4  7#f7 ,9
 consultation ) ! ,comptroll] ,g5]al ( !
 ,unit$ ,/ates1 e/imat$ ,f$]al sav+s    
a*iev$ ?r\gh ! r$uction ( rural &       
m9ority heal? disp>ities4  7#g7 ,o!r    
areas det]m9$ appropriate by !          
,secret>y4