,i #aaf? ,,congress #a/ ,session ,h4 ,r4 #bije ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #bb1 #bjai,mr4 ,blum5au] 7= himself1 ,mr4 ,hold+1 & ,mr4 ,butt]field7 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 provide = a demon/ration project to fur!r exam9e ! b5efits ( provid+ cov]age & paym5t = items & s]vices necess>y to adm9i/] intrav5\s immune globul9 7,,ivig7 9 ! home1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,m$ic>e ,,ivig ,access ,enhancem5t ,act4 #b4 ,m$ic>e pati5t ,,ivig access demon/ration project 7a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all e/abli% & implem5t a demon/ration project "u "p ,b ( title ,,xviii ( ! ,social ,security ,act to evaluate ! b5efits ( provid+ paym5t = items & s]vices ne$$ = ! 9-home adm9i/ration ( intrav5\s immune globul9 = ! treatm5t ( *ronic inflammatory demyel9at+ polyneuropa?y or multifocal motor neuropa?y4 7b7 ,duration & scope 7#a7 ,duration ,beg9n+ n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all conduct ! demon/ration project = a p]iod ( #c ye>s4 7#b7 ,scope ,! ,secret>y %all1 subject to subsection 7d71 enroll n great] ?an #c1jjj ,m$ic>e b5efici>ies :o h be5 diagnos$ ) *ronic inflammatory demyel9at+ polyneuropa?y or multifocal motor neuropa?y = p>ticipation 9 ! demon/ration project4 ,subject to subsection 7d71 a ,m$ic>e b5efici>y may p>ticipate 9 ! demon/ration project on a volunt>y basis & may t]m9ate p>ticipation at any "t4 7c7 ,cov]age ,except z o!rwise provid$ 9 ?is section1 items & s]vices = :i* paym5t may be made "u ! demon/ration program %all be treat$ & cov]$ "u "p ,b ( title ,,xviii ( ! ,social ,security ,act 9 ! same mann] z simil> items & s]vices cov]$ "u su* "p4 7d7 ,eligibility ,9 ord] to p>ticipate 9 ! demon/ration project1 a ,m$ic>e b5efici>y mu/-- 7#a7 be cov]$ "u ! orig9al ,m$ic>e fee-=-s]vice program "u p>ts ,a & ,b ( title ,,xviii ( ! ,social ,security ,act & n enroll$ 9 a ,m$ic>e ,advantage plan "u "p ,c ( su* ,act2 7#b7 require intrav5\s immunoglobul9 = ! treatm5t ( *ronic inflammatory demyel9at+ polyneuropa?y or multifocal motor neuropa?y2 & 7#c7 meet any o!r eligibility requirem5ts specifi$ by ! ,secret>y4 7e7 ,paym5t 7#a7 ,intrav5\s immune globul9 ,= intrav5\s immune globul9 furni%$ "u ?is section1 ! ,secret>y %all make paym5t us+ ! paym5t me?odology "u section #ahdg;,a ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c;a74 7#b7 ,o!r items & s]vices 7,a7 ,9 g5]al ,! ,secret>y %all e/abli%1 subject to subp>agraph 7,b71 a p]-visit paym5t am\nt = items & s]vices 7o!r ?an intrav5\s immune globul97 ne$$ = ! 9-home infusion ( intrav5\s immune globul9 = ! treatm5t ( *ronic inflammatory demyel9at+ polyneuropa?y or multifocal motor neuropa?y bas$ on ! national p] visit l[-utilization paym5t am\nt "u ! prospective paym5t sy/em = home heal? s]vices e/abli%$ "u section #ahie ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;fff74 7,b7 ,limitation ,9 e/abli%+ ! p]-visit paym5t am\nt e/abli%$ "u subp>agraph 7,a7 = items & s]vices describ$ 9 su* subp>agraph1 ! ,secret>y %all consid]-- 7i7 includ+ a compon5t = requisite nurs+ c>e2 7ii7 e/abli%+ an appropriate furni%+ fee = intrav5\s immune globul9 simil> to ! sep>ate paym5t = clott+ factors "u section #ahdb7o77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieu7o77#e772 7iii7 o!rwise ackn[l$g+ ! l5g? ( infusions = individuals ne$+ 9-home infusion ( intrav5\s globul9 = treatm5t describ$ 9 subp>agraph 7,a72 7iv7 t1 9 total1 su* am\nt pot5tially n be+ less ?an at lea/ twice ! paym5t am\nt appli$ "u ! demon/ration project e/abli%$ "u section #aja ( ! ,m$ic>e ,,ivig ,access & ,/r5g!n+ ,m$ic>e & ,repay+ ,taxpay]s ,act ( #bjab 7,public ,law #aab-bdb7 = items & s]vices ne$$ = ! 9-home adm9i/ration ( intrav5\s immune globul9 = ! treatm5t ( prim>y immune defici5cy diseases 9 recognition ( ! fact t pati5ts ) *ronic inflammatory demyel9at+ polyneuropa?y or multifocal motor neuropa?y t5d to h long] infusion times1 require m product1 & h additional heal? c>e ne$s relat$ to und]ly+ neuromuscul> *all5ges2 & 7v7 develop+ su* am\nt 9 consultation ) /akehold]s4 7f7 ,waiv] au?ority ,! ,secret>y may waive su* requirem5ts ( title ,,xviii ( ! ,social ,security ,act z may be necess>y to c>ry out ! demon/ration project4 7g7 ,f9al evaluation & report ,n lat] ?an "o ye> aft] ! date ( completion ( ! demon/ration project1 ! ,secret>y %all submit to ,congress a report t conta9s-- 7#a7 a f9al evaluation ( ! impact ( ! demon/ration project on access = ,m$ic>e b5efici>ies ) *ronic inflammatory demyel9at+ polyneuropa?y & ,m$ic>e b5efici>ies ) multifocal motor neuropa?y to items & s]vices ne$$ = ! 9-home adm9i/ration ( intrav5\s immune glob92 & 7#b7 a f9al analysis ( ! appropriat5ess ( exp&+ or ext5d+ ! demon/ration project or implem5t+ a new me?odology = paym5t = intrav5\s immune globul9s 9 all c>e sett+s "u "p ,b ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciek et seq47 &1 to ! ext5t su* analysis det]m9es su* an expansion1 ext5sion1 or me?odology appropriate1 recomm5dations = su* expansion1 ext5sion1 or me?odology1 respectively4 7h7 ,def9itions ,9 ?is section3 7#a7 ,demon/ration project ,! t]m demon/ration project means ! demon/ration project conduct$ "u ?is ,act4 7#b7 ,m$ic>e b5efici>y ,! t]m ,m$ic>e b5efici>y means an individual :o is enroll$ = b5efits "u "p ,b ( title ,,xviii ( ! ,social ,security ,act4