,,iv  #aaf? ,,congress  #a/ ,session    
,h4 ,,con4 ,,res4 #fc  ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,septemb] #ah1    
#bjai,mr4 ,engel submitt$ ! foll[+      
concurr5t resolution2 :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$    
,,concurr5t ,,resolution  ,express+ !   
s5se ( ,congress t ! ,c5t]s = ,m$ic>e   
,m$icaid ,s]vices %\ld take action to   
ensure t home infusion !rapy s]vices are
 accessible to all ,m$ic>e b5efici>ies4 
,:]eas home infusion !rapy s]vices all[ 
pati5ts ) conge/ive he>t failure1       
immunologic diseases1 canc]1 & o!r      
conditions to rema9 home1 away f ! risk 
( hospital-acquir$ infections1 :]e      
pati5ts c resume _! p]sonal &           
pr(essional activities2 ,:]eas home     
infusion !rapy s]vices are an ext5sion (
 ! heal? c>e cont9uum & s]ve z a safe1  

conv5i5t1 co/-effective alt]native =    
pati5ts to be adm9i/]$ infusion drugs :5
 o!r sett+s are unnecess>y1 impractical1
 or unavailable2 :5 transport outside ! 
home is a burd5 to ! pati5t or family2  
or :5 adm9i/ration ( infusion drugs at  
home c improve quality ( life2 ,:]eas ! 
,gov]nm5t ,acc\ntability ,(fice conclud$
 9 a #bjaj report t provid+ infusion    
!rapy at home g5]ally co/s less ?an     
treatm5t 9 o!r sett+s2 ,:]eas ! #ba/    
,c5tury ,cures ,act creat$ a home       
infusion !rapy s]vices b5efit1 beg9n+ 9 
#bjba1 "u ! ,m$ic>e program "u title    
,,xviii ( ! ,social ,security ,act to   
ensure t ,m$ic>e b5efici>ies cont9ue to 
h access to home infusion !rapy s]vices2
 ,:]eas ! ,bip>tisan ,budget ,act (     
#bjah includ$ a provision to provide =  
tempor>y transitional paym5ts = home    
infusion !rapy s]vices 9 #bjai & #bjbj1 
& ! ,congressional ,budget ,(fice       
project$ t su* provision w\ld save      
#iaj1jjj1jjj f #bjah ?r\gh #bjbb2 ,:]eas
 ,congress int5d$ = ! ,m$ic>e program to

 provide paym5ts = all home infusion    
!rapy s]vices provid$ 9 accordance ) a  
,m$ic>e b5efici>y's plan ( c>e1 includ+ 
ph>macy s]vices 7includ+ adm9i/rative1  
comp\nd+1 disp5s+1 di/ribution1 cl9ical 
monitor+1 & c>e coord9ation s]vices71   
nurs+ s]vices1 & o!r s]vices z requir$  
by ! plan ( c>e2 ,:]eas su* paym5ts =   
home infusion !rapy s]vices 7 int5d$ to 
be sep>ate f1 & 9 addition to1 paym5ts  
"u ! ,m$ic>e program = durable m$ical   
equipm5t1 :i* cov] ! co/s ( equipm5t &  
supplies necess>y to adm9i/] home       
infusion drugs b are n adequate to cov] 
! co/s ( pr(essional s]vices furni%$ to 
adm9i/] su* drugs2 ,:]eas ,congress     
int5d$ = ! ,m$ic>e program to provide1 )
 respect to a ,m$ic>e b5efici>y1 paym5ts
 = ea* infusion drug adm9i/ration cal5d>
 day ( su* b5efici>y1 t is1 ea* day a   
home infusion drug physically ent]s su* 
b5efici>y's body2 ,:]eas nei!r ! #ba/   
,c5tury ,cures ,act nor ! ,bip>tisan    
,budget ,act ( #bjah in/ruct$ ! ,c5t]s =
 ,m$ic>e  ,m$icaid ,s]vices to make     

paym5ts only = days on :i* a skill$     
pr(essional is physically pres5t 9 a    
,m$ic>e b5efici>y's home2 ,:]eas !      
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices has 
implem5t$ bo? /atutes 9 direct          
contradiction ( ! pla9 mean+ ( su*      
/atutes1 z well z ,congress' explicit   
int5t2 & ,:]eas cl>ification (          
,congress' int5t reg>d+ ! implem5tation 
( ! #ba/ ,c5tury ,cures ,act & !        
,bip>tisan ,budget ,act ( #bjah1 ensur+ 
paym5ts = ea* infusion drug adm9i/ration
 cal5d> day1 is necess>y to protect     
,m$ic>e b5efici>ies' access to home     
infusion !rapy s]vices3 ,n[1 !re=e1 be x
  ,t x is ! s5se ( ,congress t ! ,c5t]s 
= ,m$ic>e  ,m$icaid ,s]vices %\ld       
promulgate regulations t def9e an       
infusion drug adm9i/ration cal5d> day to
 mean1 ) respect to a ,m$ic>e b5efici>y1
 any day on :i* a home infusion drug    
physically ent]s su* b5efici>y's body4  
,su* regulations %\ld n limit !         
def9ition to days on :i* a skill$       
pr(essional is physically pres5t 9 su* a

 b5efici>y's home4