,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #adh  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #c1 #bjai,mr4 
,gre5 ( ,texas introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d title    
,,xix ( ! ,social ,security ,act to     
provide inc5tives = education on ! risk 
( r5al m$ull>y c>c9oma 9 individuals :o 
are receiv+ m$ical assi/ance "u su*     
title & :o h ,sickle ,cell ,disease4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,byron ,na% ,r5al ,m$ull>y ,c>c9oma   
,aw>5ess ,act ( #bjai4  #b4 ,provid+    
inc5tives = education on risk ( r5al    
m$ull>y c>c9oma to individuals ) ,sickle
 ,cell ,disease "u ,m$icaid  7a7 ,9     
g5]al ,section #aijc7;a77#c77;,e77ii7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif;b7a77#c77;,e77ii77 is am5d$ by    
ins]t+ 1 r5al m$ull>y c>c9oma1 aft]     
/roke ea* place x appe>s4  7b7          
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply ) respect to  
items & s]vices furni%$ on or aft] !    

date ( ! enactm5t ( ?is ,act4