,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #bgaj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ad1 #bjai,mr4   
,danny ,k4 ,davis ( ,ill9ois 7= himself 
& ,mr4 ,holl+swor?7 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 improve access to innovative new    
m$ical devices furni%$ to individuals ) 
end /age r5al disease "u "p ,b ( !      
,m$ic>e program by e/abli%+ a new device
 add-on paym5t adju/m5t "u su* "p4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,pati5t ,access to ,,esrd ,new          
,innovative ,devices ,act4  #b4 ,f9d+s  
,congress f9ds ! foll[+3  7#a7 ,!re are 
approximately #djj1jjj ,m$ic>e          
b5efici>ies ) end-/age r5al disease1    
mak+ up #a p]c5t ( ! ,m$ic>e population 

b acc\nt+ = approximately #g p]c5t ( all
 ,m$ic>e sp5d+4  7#b7 ,expect$ rema9+   
lifetime = dialysis pati5ts "u #hj ye>s 
old is "o-?ird z long z _! c\nt]p>ts )\t
 ,,esrd1 & = dialysis pati5ts ov] #hj   
ye>s old1 x is "o-half z long z t ( _!  
c\nt]p>ts )\t ,,esrd4  7#c7 ,on av]age1 
hemodialysis pati5ts are hospitaliz$    
ne>ly twice p] ye> & ab\t #cj p]c5t h an
 unplann$ rehospitalization )9 ! #cj    
days foll[+ dis*>ge1 contribut+ to high 
co/s = treat+ ,,esrd ,m$ic>e            
b5efici>ies4  7#d7 ,!re is a lack (     
innovative new devices = ,,esrd ,m$ic>e 
b5efici>ies1 9 "p because ( ! lack (    
reimbursem5t inc5tives = novel devices4 
#c4 ,increas+ pati5t access to          
innovative devices = ! treatm5t ( ,,esrd
 ,z "p ( ! promulgation ( ! annual rule 
= ! ,m$ic>e end /age r5al disease       
prospective paym5t sy/em "u section     
#ahha7;b77#ad7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acierr7b77#ad77 =  
cal5d> ye> #bjbj1 ! ,secret>y ( ,heal? &
 ,human ,s]vices 79 ?is section ref]r$  

to z ! ,secret>y7 %all e/abli% a process
 to provide--  7#a7 an add-on paym5t    
adju/m5t = a new m$ical device review$  
by ! ,food & ,drug ,adm9i/ration "u     
section #eac7;f77#b7 or section #eae ( !
 ,f$]al ,food1 ,drug1 & ,cosmetic ,act  
7#ba ,u4,s4,c4 #cfj;c1 #cfj;e7 on or    
aft] ,janu>y #a1 #bjbj1 & furni%$ to a  
b5efici>y = ! diagnosis1 treatm5t1 or   
managem5t ( end /age r5al disease2 &    
7#b7 = su* adju/m5t to be implem5t$ 9 a 
nonbudget neutral mann] "u subp>agraph  
7,d77iv7 ( su* section #ahha7;b77#ad74