,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #bcga  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #be1 #bjai ,mr4
 ,?ompson ( ,cali=nia 7= himself & ,mr4 
,f]guson7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,en]gy &     
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 & ,arm$ ,s]vices1 = 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 #aj1 ,unit$ ,/ates ,code1 to      
modify ! requirem5t = c]ta9 =m] memb]s (
 ! ,arm$ ,=ces to enroll 9 ,m$ic>e ,"p  
,b to be eligible = ,,tric>e = ,life1 & 
to am5d title ,,xviii ( ! ,social       
,security ,act to provide = cov]age (   
c]ta9 ,,dna specim5 prov5ance assay te/s
 "u ! ,m$ic>e program4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,heal? ,equity
 & ,access = ,return+ ,troops &         
,s]vicememb]s ,act ( #bjai or ! ,,he>ts 
,act ( #bjai4  #b4 ,modification (      
requirem5t = c]ta9 =m] memb]s ( ! ,arm$ 

,=ces to enroll 9 ,m$ic>e ,"p ,b to be  
eligible = ,,tric>e = ,life  7a7        
,,tric>e eligibility  7#a7 ,9 g5]al     
,subsection 7d7 ( section #ajhf ( title 
#aj1 ,unit$ ,/ates ,code1 is am5d$ by   
add+ at ! end ! foll[+ new p>agraph3    
7#f7  7,a7 ,! requirem5t 9 p>agraph     
7#b77;,a7 to enroll 9 ! supplem5t>y     
m$ical insurance program "u "p ,b (     
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;j et seq47 %all n 
apply to a p]son describ$ 9 subp>agraph 
7,b7 dur+ any mon? 9 :i* su* p]son is n 
entitl$ to a b5efit describ$ 9          
subp>agraph 7,a7 ( section #bbf7;b77#b7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #dbf7;b77#b77 if su* p]son has
 receiv$ ! c\nsel+ & in=mation "u       
subp>agraph 7,c74  7,b7 ,a p]son        
describ$ 9 ?is subp>agraph is a p]son-- 
7i7 :o is "u #fe ye>s ( age2  7ii7 :o is
 entitl$ to hospital insurance b5efits  
"u "p ,a ( title ,,xviii ( ! ,social    
,security ,act pursuant to subp>agraph  
7,a7 or 7,c7 ( section #bbf7;b77#b7 (   

su* ,act 7#db ,u4,s4,c4 #dbf7;b77#b772  
7iii7 ^: entitlem5t to a b5efit describ$
 9 subp>agraph 7,a7 ( su* section has   
t]m9at$ due to p]=mance ( sub/antial    
ga9ful activity2 &  7iv7 :o is retir$ "u
 *apt] #fa ( ?is title4  7,c7 ,!        
,secret>y ( ,def5se %all coord9ate ) !  
,secret>y ( ,heal? & ,human ,s]vices & !
 ,commission] ( ,social ,security to    
notify p]sons describ$ 9 subp>agraph    
7,b7 (1 & provide in=mation & c\nsel+   
reg>d+1 ! effects ( n enroll+ 9 !       
supplem5t>y m$ical insurance program "u 
"p ,b ( title ,,xviii ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #acie;j et
 seq471 z describ$ 9 subp>agraph 7,a74  
4  7#b7 ,con=m+ am5dm5t ,p>agraph       
7#b77;,a7 ( su* subsection is am5d$ by  
/rik+ is enroll$ & ins]t+ except z      
provid$ by p>agraph 7#f71 is enroll$4   
7#c7 ,id5tification ( p]sons ,section   
#aaaj;a ( su* title is am5d$ by add+ at 
! end ! foll[+ new subsection3  7c7     
,c]ta9 individuals n requir$ ,to enroll 
9 ,m$ic>e ,"p ,b ,9 c>ry+ out subsection

 7a71 ! ,secret>y ( ,def5se %all        
coord9ate ) ! ,secret>y ( ,heal? &      
,human ,s]vices & ! ,commission] (      
,social ,security to--  7#a7 id5tify    
p]sons describ$ 9 subp>agraph 7,b7 (    
section #ajhf7;d77#f7 ( ?is title2 &    
7#b7 provide in=mation & c\nsel+        
pursuant to subp>agraph 7,d7 ( su*      
section4  4  7b7 ,non-,application (    
,m$ic>e ,"p ,b late enrollm5t p5alty    
,section #ahci7;b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acier7b77 is      
am5d$1 9 ! second s5t5ce1 by ins]t+ or  
mon?s = :i* ! individual c demon/rate t 
! individual is an individual describ$ 9
 p>agraph 7#f77;,b7 ( section #ajhf7;d7 
( title #aj1 ,unit$ ,/ates ,code1 :o is 
enroll$ 9 ! ,,tric>e program pursuant to
 su* section aft] an individual describ$
 9 section #ahcg7k77#c74  7c7 ,report ,n
 lat] ?an ,octob] #a1 #bjbd1 ! ,secret>y
 ( ,def5se1 ! ,secret>y ( ,heal? &      
,human ,s]vices1 & ! ,commission] (     
,social ,security %all jo9tly submit to 
! ,committees on ,arm$ ,s]vices ( !     

,h\se ( ,repres5tatives & ! ,s5ate1 !   
,committee on ,ways & ,means & !        
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 & ! ,committee 
on ,f9ance ( ! ,s5ate a report on !     
implem5tation ( section #ajhf7;d77#f7 ( 
title #aj1 ,unit$ ,/ates ,code1 z add$  
by subsection 7a74 ,su* report %all     
include1 ) respect to ! p]iod cov]$ by !
 report--  7#a7 ! numb] ( individuals   
enroll$ 9 ,,tric>e = ,life :o are n     
enroll$ 9 ! supplem5t>y m$ical insurance
 program "u "p ,b ( title ,,xviii ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acie;j et seq47 by reason ( su* section
 #ajhf7;d77#f72 &  7#b7 ! numb] (       
individuals :o--  7,a7 are retir$ f !   
,arm$ ,=ces "u *apt] #fa ( title #aj1   
,unit$ ,/ates ,code2  7,b7 are entitl$  
to hospital insurance b5efits "u "p ,a (
 title ,,xviii ( ! ,social ,security    
,act pursuant to receiv+ b5efits = #bd  
mon?s z describ$ 9 subp>agraph 7,a7 or  
7,c7 ( section #bbf7;b77#b7 ( su* ,act  
7#db ,u4,s4,c4 #dbf7;b77#b772 &  7,c7   

because ( su* entitlem5t1 are no long]  
enroll$ 9 ,,tric>e ,/&>d1 ,,tric>e      
,prime1 ,,tric>e ,extra1 or ,,tric>e    
,select "u *apt] #ee ( title #aj1 ,unit$
 ,/ates ,code4  7d7 ,deposit ( sav+s    
into ,m$ic>e improvem5t fund ,section   
#ahih7;b77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie;iii7b77#a77 is    
am5d$ by /rik+ dur+ & aft] fiscal ye>   
#bjba1 #j & ins]t+ dur+ & aft] fiscal   
ye> #bjbd1 #e1jjj1jjj4  7e7 ,application
 ,! am5dm5ts made by subsections 7a7 &  
7b7 %all apply ) respect to a p]son :o1 
on or aft] ,octob] #a1 #bjbc1 is a p]son
 describ$ 9 section #ajhf7;d77#f77;,b7 (
 title #aj1 ,unit$ ,/ates ,code1 z add$ 
by subsection 7a74  #c4 ,cov]age ( c]ta9
 ,,dna specim5 prov5ance assay te/s "u  
,m$ic>e  7a7 ,b5efit  7#a7 ,cov]age     
,section #ahfa ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7 is am5d$--  
7,a7 9 subsection 7s77#b7-- 7i7 9       
subp>agraph 7,,gg71 by /rik+ & at ! end2
  7ii7 9 subp>agraph 7,,hh71 by ins]t+ &
 at ! end2 &  7iii7 by add+ at ! end !  

foll[+ new subp>agraph3  7,,ii7 a       
pro/ate canc] ,,dna ,specim5 ,prov5ance 
,assay te/ 7,,dspa te/7 7z def9$ 9      
subsection 7kkk772 &  2 &  7,b7 by add+ 
at ! end ! foll[+ new subsection3  7kkk7
 ,pro/ate canc] ,,dna ,specim5          
,prov5ance ,assay ,te/ ,! t]m pro/ate   
canc] ,,dna ,specim5 ,prov5ance ,assay  
,te/ 7,,dspa te/7 means a te/ t1 aft] a 
det]m9ation ( canc] 9 "o or m pro/ate   
biopsy specim5s obta9$ f an individual1 
assesses ! id5tity ( ! ,,dna 9 su*      
specim5s by comp>+ su* ,,dna ) ! ,,dna t
 0 sep>ately tak5 f su* individual at ! 
"t ( ! biopsy4  4  7#b7 ,exclusion f    
cov]age ,section #ahfb7;a77#a7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciey7a77#a77 is am5d$--  7,a7 9       
subp>agraph 7,o71 by /rik+ & at ! end2  
7,b7 9 subp>agraph 7,p71 by /rik+ !     
semicolon at ! end & ins]t+ 1 &2 &  7,c7
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,q7 9 ! case ( a pro/ate 
canc] ,,dna ,specim5 ,prov5ance ,assay  
te/ 7,,dspa te/7 7z def9$ 9 section     

#ahfa7kkk771 unless su* te/ is furni%$  
on or aft] ,janu>y #a1 #bjbj1 & be=e    
,janu>y #a1 #bjbe1 & su* te/ is ord]$ by
 ! physician :o furni%$ ! pro/ate canc] 
biopsy t obta9$ ! specim5 te/$2  4  7b7 
,paym5t am\nt & relat$ requirem5ts      
,section #ahcd ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by 
add+ at ! end ! foll[+ new subsection3  
7x7 ,pro/ate canc] ,,dna ,specim5       
,prov5ance ,assay te/s  7#a7 ,paym5t =  
cov]$ te/s  7,a7 ,9 g5]al ,subject to   
subp>agraph 7,b71 ! paym5t am\nt = a    
pro/ate canc] ,,dna ,specim5 ,prov5ance 
,assay te/ 7,,dspa te/7 7z def9$ 9      
section #ahfa7kkk77 %all be #bjj4 ,su*  
paym5t %all be paym5t = all ( ! specim5s
 obta9$ f ! biopsy furni%$ to an        
individual t are te/$4  7,b7 ,limitation
 ,paym5t = a ,,dspa te/ "u subp>agraph  
7,a7 may only be made on an             
assignm5t-relat$ basis4  7,c7           
,prohibition on sep>ate paym5t ,no      
sep>ate paym5t %all be made = obta9+    
,,dna t 0 sep>ately tak5 f an individual

 at ! "t ( a biopsy describ$ 9          
subp>agraph 7,a74  7#b7 ,,hcpcs code &  
modifi] assignm5t  7,a7 ,9 g5]al ,!     
,secret>y %all assign "o or m ,,hcpcs   
codes to a pro/ate canc] ,,dna ,specim5 
,prov5ance ,assay te/ & may use a       
modifi] to facilitate mak+ paym5t "u ?is
 section = su* te/4  7,b7 ,id5tification
 ( ,,dna mat* on claim ,! ,secret>y %all
 require an indication on a claim = a   
pro/ate canc] ,,dna ,specim5 ,prov5ance 
,assay te/ ( :e!r ! ,,dna ( ! pro/ate   
biopsy specim5s mat* ! ,,dna ( !        
individual diagnos$ ) pro/ate canc]4    
,su* indication may be made ?r\gh use ( 
a ,,hcpcs code1 a modifi]1 or o!r means1
 z det]m9$ appropriate by ! ,secret>y4  
7#c7 ,,dna mat* review  7,a7 ,9 g5]al ,!
 ,secret>y %all review at lea/ ?ree ye>s
 ( claims "u "p ,b = pro/ate canc] ,,dna
 ,specim5 ,prov5ance ,assay te/s to     
id5tify :e!r ! ,,dna ( ! pro/ate biopsy 
specim5s mat* ! ,,dna ( ! individuals   
diagnos$ ) pro/ate canc]4  7,b7 ,po/+ on
 int]net website ,n lat] ?an ,july #a1  

#bjbc1 ! ,secret>y %all po/ on ! int]net
 website ( ! ,c5t]s = ,m$ic>e  ,m$icaid 
,s]vices ! f9d+s ( ! review conduct$ "u 
subp>agraph 7,a74  4  7c7 ,co/-,%>+     
,section #ahcc7;a77#a7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciel7a77#a77 is am5d$-- 7#a7 by /rik+ 
& 7,,cc7 & ins]t+ 7,,cc72 &  7#b7 by    
ins]t+ be=e ! semicolon at ! end !      
foll[+3 1 & 7,,dd7 ) respect to a       
pro/ate canc] ,,dna ,specim5 ,prov5ance 
,assay te/ 7,,dspa te/7 7z def9$ 9      
section #ahfa7kkk771 ! am\nt paid %all  
be an am\nt equal to #hj p]c5t ( ! less]
 ( ! actual *>ge = ! te/ or ! am\nt     
specifi$ "u section #ahcd7x74