,,ii #aae? ,,congress #a/ ,session ,s4 #df ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,janu>y #e1 #bjag,mr4 ,hell] 7= himself1 ,mr4 ,blunt1 & ,mr4 ,b5net7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to /r5g!n int5sive c>diac rehabilitation programs "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,/r5g!n+ ,m$ic>e ,int5sive ,c>diac ,rehabilitation ,programs ,act ( #bjag4 #b4 ,revis$ requirem5ts = ,m$ic>e int5sive c>e rehabilitation programs ,section #ahfa7;eee77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7eee77#d77 is am5d$-- 7#a7 9 subp>agraph 7,a7-- 7,a7 9 ! matt] prec$+ clause 7i7-- 7i7 by /rik+ physician-sup]vis$ program 7z describ$ 9 p>agraph 7#b77 & ins]t+ program 7sup]vis$ z describ$ 9 p>agraph 7#b772 & 7ii7 by /rik+ 1 9 pe]-review$ publi%$ rese>*1 t x accompli%$ & ins]t+ 9 pe]-review$ publi%$ rese>* ( its own program1 t by life/yle *anges alone x accompli%$2 7,b7 9 clause 7i7-- 7i7 9 subclause 7,i71 by /rik+ positively affect$ & ins]t+ rev]s$2 7ii7 9 subclause 7,,ii71 by /rik+ or & ins]t+ &2 & 7iii7 by /rik+ subclause 7,,iii72 7,c7 9 clause 7ii71 9 ! matt] prec$+ subclause 7,i71 by ins]t+ bo? a /ati/ically significant increase 9 ! measure ( blood fl[ to ! he>t :5 comp>$ to a control gr\p & be=e a /ati/ically significant2 & 7,d7 by add+ at ! end ! foll[+ new s5t5ce3 ,programs t ! ,secret>y approv$ "u ?is p>agraph be=e ,augu/ #a1 #bjae1 z int5sive c>diac rehabilitation programs accord+ to ! requirem5ts "u ?is subp>agraph be=e ! date ( ! enactm5t ( ! ,/r5g!n+ ,m$ic>e ,int5sive ,c>diac ,rehabilitation ,programs ,act ( #bjag %all be deem$ to meet ! requirem5ts "u ?is subp>agraph appli$ pursuant to ! am5dm5ts made by su* ,act4 2 & 7#b7 9 subp>agraph 7,b7-- 7,a7 9 clause 7v71 by /rik+ at ! end or2 7,b7 9 clause 7vi71 by /rik+ at ! end ! p]iod2 & 7,c7 by add+ at ! end ! foll[+ new clauses3 7vii7 /able1 *ronic he>t failure 7def9$ z pati5ts ) left v5tricul> ejection fraction ( #ce p]c5t or less & ,new ,york ,he>t ,association 7,,nyha7 class ,,ii to ,,iv symptoms despite be+ on optimal he>t failure !rapy = at lea/ #f weeks72 or 7viii7 any additional condition = :i* ! ,secret>y has det]m9$ t a c>diac rehabilitation program %all be cov]$4 4