,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #cdcf  ,,in ,,the ,,house ,,of  
,,representatives  ,june #bd1 #bjai,ms4 
,del,bene 7for herself and ,mr4 ,welch7 
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce1 and in addition to the   
,committee on ,ways and ,means1 for a   
period to be subsequently determined by 
the ,speaker1 in each case for          
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to remove cost-sharing   
responsibilities for chronic care       
management services under the ,medicare 
program4  #a4  ,short title ,this ,act  
may be cited as the ,chronic ,care      
,management ,improvement ,act4  #b4     
,removing cost-sharing responsibilities 
for chronic care management services    
under part ,b of the ,medicare program  
7a7 ,in general ,section #ahcc of the   
,social ,security ,act 7#db ,u4,s4,c4   

#aciel7 is amended--  7#a7 in subsection
 7a77#a71 by striking subparagraph 7,z7 
and inserting the following3 7,z7 with  
respect to chronic care management      
services 7as described in section       
#ahdh7;b77#h77 furnished on or after    
,january #a1 #bjba1 the amount paid     
shall be an amount equal to #ajj percent
 of the lesser of the actual charge for 
such services or the amount determined  
under section #ahdh12 and  7#b7 in      
subsection 7b7-- 7,a7 in paragraph 7#i71
 by striking and at the end2 and  7,b7  
in paragraph 7#aj71 by striking the     
period at the end and inserting the     
following3 1 and 7#aa7 such deductible  
shall not apply with respect to chronic 
care management services 7as described  
in section #ahdh7;b77#h77 furnished on  
or after ,january #a1 #bjba44  7b7      
,technical amendments  7#a7 ,in general 
,section #ahcc7;a7 of the ,social       
,security ,act 7#db ,u4,s4,c4 #aciel7a77
 is amended-- 7,a7 in paragraph 7#c7--  
7i7 in subparagraph 7,a7-- 7,i7 by      

striking subparagraph 7,b7 and inserting
 subparagraphs 7,b71 7,c71 and 7,d72 and
  7,,ii7 by striking or at the end2 and 
7ii7 by adding at the end the following 
new subparagraphs3  7,c7 with respect to
 ,federally qualified health center     
services 7other than such services that 
are described in clause 7i7 or 7ii7 of  
subparagraph 7,d77 furnished on or after
 the implementation date of the         
prospective payment system under section
 #ahcd7o7 for which payment is made     
under such section1 the amounts paid    
shall be #hj percent of the lesser of   
the actual charge or the amount         
determined under such section2 and  7,d7
 with respect to ,federally qualified   
health center services and rural health 
clinic services that are--  7i7         
personalized prevention plan services   
7as described in paragraph 7#a77,x77 or 
preventive services 7as described in    
paragraph 7#a77,y77 furnished on or     
after ,january #a1 #bjaa2 or  7ii7      
chronic care management services 7as    

described in paragraph 7#a77,z77        
furnished on or after ,january #a1      
#bjba2  the amounts paid shall be equal 
to #ajj percent of the lesser of the    
actual charge or the amount determined  
under subparagraph 7,a71 section        
#ahcd7o71 or section #ahdh1 as          
applicable72  2 and  7,b7 by striking   
the matter following paragraph 7#i74    
7#b7 ,conforming amendments ,section    
#ahcd7o7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #aciem7o77 is amended--  
7,a7 in paragraph 7#a77;,a71 by         
inserting 7other than such services     
described in clause 7i7 or 7ii7 of      
section #ahcc7;a77#c77;,d77 after       
,federally qualified health center      
services2 and  7,b7 in paragraph 7#b7-- 
7i7 in subparagraph 7,a71 by inserting  
7other than such services described in  
clause 7i7 or 7ii7 of section           
#ahcc7;a77#c77;,d77 after services2 and 
7ii7 in subparagraph 7,b77i7--  7,i7 by 
inserting 7other than such services     
described in clause 7i7 or 7ii7 of      

section #ahcc7;a77#c77;,d77 after       
,federally qualified health center      
services2 and  7,,ii7 by striking       
section #ahcc7;a77#a77,z7 and inserting 
subparagraphs 7,c7 and 7,d7 of section  
#ahcc7;a77#c74