,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #gjhc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,octob] #bc1 #bjah,mr4
 ,pauls5 7= himself & ,mr4 ,loebsack7   
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 =     
exp&$ cov]age ( s]vices furni%$ by      
g5etic c\nselors "u "p ,b ( ! ,m$ic>e   
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,access 
to ,g5etic ,c\nselor ,s]vices ,act (    
#bjah4  #b4 ,m$ic>e cov]age ( g5etic    
c\nsel+ s]vices  7a7 ,9 g5]al ,section  
#ahfa ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #aciex7 is am5d$--  7#a7 9    
subsection 7s77#b7-- 7,a7 by /rik+ & at 
! end ( subp>agraph 7,,ff72  7,b7 by    
add+ & at ! end ( subp>agraph 7,,gg72 & 

7,c7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,,hh7 cov]$ g5etic       
c\nsel+ s]vices 7z def9$ 9 subsection   
7jjj77#a772  2 &  7#b7 by add+ at ! end 
! foll[+ new subsection3  7jjj7 ,cov]$  
g5etic c\nsel+ s]vices  7#a7 ,! t]m     
cov]$ g5etic c\nsel+ s]vices means      
g5etic c\nsel+ s]vices furni%$ by a     
g5etic c\nselor 7z def9$ 9 p>agraph     
7#b77 7& su* s]vices & supplies furni%$ 
z an incid5t to ! provision ( su*       
s]vices7 z w\ld o!rwise be cov]$ "u ?is 
title if furni%$ by a physician 7or z   
incid5t to a physician's s]vice74  7#b7 
,! t]m g5etic c\nselor means an         
individual :o-- 7,a7 is lic5s$ z a      
g5etic c\nselor by ! ,/ate 9 :i* !      
individual furni%es g5etic c\nsel+      
s]vices2 or  7,b7 9 ! case ( an         
individual practic+ 9 a ,/ate t does n  
lic5se g5etic c\nselors1 meets su* o!r  
crit]ia z ! ,secret>y e/abli%es4  ,!    
provisions ( ?is p>agraph %all n be     
con/ru$ z prev5t+ o!r practition]s1     
includ+ ^? provid+ teleheal? s]vices1 f 

provid+ cov]$ g5etic c\nsel+ s]vices )9 
! scope ( _! practice4  4  7b7          
,physicians' s]vices ,section           
#ahdh7;j77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#d7;j77#c77 is   
am5d$ by ins]t+ 7#b77;,,hh71 aft]       
7#b77;,,ff7 7includ+ adm9i/ration ( !   
heal? risk assessm5t7 14  7c7 ,paym5t   
7#a7 ,9 g5]al ,section #ahcc7;a77#a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciel7a77#a77 is am5d$--  7,a7 by /rik+
 & 7,,bb7 & ins]t+ 7,,bb72 &  7,b7 by   
ins]t+ be=e ! semicolon at ! end !      
foll[+3 1 & 7,,cc7 ) respect to cov]$   
g5etic c\nsel+ s]vices "u section       
#ahfa7s77#b77;,,hh71 furni%$ by a g5etic
 c\nselor1 ! am\nt ( paym5t = su* s]vice
 %all be an am\nt equal to #he p]c5t ( !
 less] ( ! actual *>ge = ! s]vices or ! 
am\nt det]m9$ "u ! fee s*$ule e/abli%$  
"u section #ahdh7;b7 = ! same s]vices if
 furni%$ by a physician4  7#b7 ,modifi] 
,section #ahcd ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by 
add+ at ! end ! foll[+ new subsection3  

7w7 ,use ( modifi] ) respect to g5etic  
c\nsel+ s]vices  7#a7 ,e/abli%m5t ,n    
lat] ?an ,janu>y #a1 #bjai1 ! ,secret>y 
%all e/abli% a modifi] to be utiliz$ )  
evaluation & managem5t ,,cpt codes to   
indicate 79 a =m & mann] specifi$ by !  
,secret>y71 9 ! case ( cov]$ g5etic     
c\nsel+ s]vices "u section              
#ahfa7s77#b77;,,hh71 if su* s]vices 7   
furni%$ by a g5etic c\nselor4  7#b7     
,requir$ use ,ea* reque/ = paym5t1 or   
bill submitt$ us+ evaluation & managem5t
 ,,cpt codes1 = cov]$ g5etic c\nsel+    
s]vices 7z def9$ 9 section              
#ahfa7;jjj77#a77 furni%$ by a g5etic    
c\nselor 7z def9$ 9 section             
#ahfa7;jjj77#b77 on or aft] ,janu>y #a1 
#bjai1 %all include ! modifi] e/abli%$  
"u subp>agraph 7,a7 = ea* su* s]vice4  4
  7d7 ,assignm5t ( paym5t ,section      
#ahcc7r7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciel7r77 is am5d$ by add+  
at ! end ! foll[+ new p>agraph3  7#c7   
,application to g5etic c\nselors ,!     
provisions ( p>agraphs 7#a7 & 7#b7 %all 

apply ) respect to cov]$ g5etic c\nsel+ 
s]vices describ$ 9 section              
#ahfa7s77#b77;,,hh7 & g5etic c\nselors  
7z def9$ 9 section #ahfa7;jjj77#b77 9 ! 
same mann] z su* provisions apply )     
respect to s]vices describ$ 9 section   
#ahfa7s77#b77,k77ii7 & nurse            
practition]s4  4  7e7 ,con=m+ am5dm5t   
,section #ahfb7;a77#ad7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acie7y77a77#ad77 is am5d$ by ins]t+    
cov]$ g5etic c\nsel+ s]vices1 aft]      
qualifi$ psy*ologi/ s]vices14  7f7      
,effective date  7#a7 ,9 g5]al ,!       
am5dm5ts made by ?is section %all apply 
to s]vices furni%$ on or aft] ,janu>y   
#a1 #bjai4  7#b7 ,implem5tation ,!      
,secret>y ( ,heal? & ,human ,s]vices may
 implem5t ! am5dm5ts made by ?is section
 by int]im f9al rule ) comm5t p]iod4