,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #cdcf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bd1 #bjai,ms4  
,del,bene 7= h]self & ,mr4 ,wel*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 remove co/-%>+
 responsibilities = *ronic c>e managem5t
 s]vices "u ! ,m$ic>e program4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,*ronic ,c>e ,managem5t ,improvem5t     
,act4  #b4 ,remov+ co/-%>+              
responsibilities = *ronic c>e managem5t 
s]vices "u "p ,b ( ! ,m$ic>e program    
7a7 ,9 g5]al ,section #ahcc ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #aciel7 is
 am5d$--  7#a7 9 subsection 7a77#a71 by 
/rik+ subp>agraph 7,z7 & ins]t+ !       
foll[+3 7,z7 ) respect to *ronic c>e    

managem5t s]vices 7z describ$ 9 section 
#ahdh7;b77#h77 furni%$ on or aft]       
,janu>y #a1 #bjba1 ! am\nt paid %all be 
an am\nt equal to #ajj p]c5t ( ! less] (
 ! actual *>ge = su* s]vices or ! am\nt 
det]m9$ "u section #ahdh12 &  7#b7 9    
subsection 7b7-- 7,a7 9 p>agraph 7#i71  
by /rik+ & at ! end2 &  7,b7 9 p>agraph 
7#aj71 by /rik+ ! p]iod at ! end &      
ins]t+ ! foll[+3 1 & 7#aa7 su* d$uctible
 %all n apply ) respect to *ronic c>e   
managem5t s]vices 7z describ$ 9 section 
#ahdh7;b77#h77 furni%$ on or aft]       
,janu>y #a1 #bjba44  7b7 ,te*nical      
am5dm5ts  7#a7 ,9 g5]al ,section        
#ahcc7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciel7a77 is am5d$--    
7,a7 9 p>agraph 7#c7--  7i7 9           
subp>agraph 7,a7-- 7,i7 by /rik+        
subp>agraph 7,b7 & ins]t+ subp>agraphs  
7,b71 7,c71 & 7,d72 &  7,,ii7 by /rik+  
or at ! end2 &  7ii7 by add+ at ! end ! 
foll[+ new subp>agraphs3  7,c7 ) respect
 to ,f$]ally qualifi$ heal? c5t] s]vices
 7o!r ?an su* s]vices t are describ$ 9  

clause 7i7 or 7ii7 ( subp>agraph 7,d77  
furni%$ on or aft] ! implem5tation date 
( ! prospective paym5t sy/em "u section 
#ahcd7o7 = :i* paym5t is made "u su*    
section1 ! am\nts paid %all be #hj p]c5t
 ( ! less] ( ! actual *>ge or ! am\nt   
det]m9$ "u su* section2 &  7,d7 )       
respect to ,f$]ally qualifi$ heal? c5t] 
s]vices & rural heal? cl9ic s]vices t   
are--  7i7 p]sonaliz$ prev5tion plan    
s]vices 7z describ$ 9 p>agraph 7#a77,x77
 or prev5tive s]vices 7z describ$ 9     
p>agraph 7#a77,y77 furni%$ on or aft]   
,janu>y #a1 #bjaa2 or  7ii7 *ronic c>e  
managem5t s]vices 7z describ$ 9 p>agraph
 7#a77,z77 furni%$ on or aft] ,janu>y   
#a1 #bjba2  ! am\nts paid %all be equal 
to #ajj p]c5t ( ! less] ( ! actual *>ge 
or ! am\nt det]m9$ "u subp>agraph 7,a71 
section #ahcd7o71 or section #ahdh1 z   
applicable72  2 &  7,b7 by /rik+ ! matt]
 foll[+ p>agraph 7#i74  7#b7 ,con=m+    
am5dm5ts ,section #ahcd7o7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4 #aciem7o77
 is am5d$--  7,a7 9 p>agraph 7#a77;,a71 

by ins]t+ 7o!r ?an su* s]vices describ$ 
9 clause 7i7 or 7ii7 ( section          
#ahcc7;a77#c77;,d77 aft] ,f$]ally       
qualifi$ heal? c5t] s]vices2 &  7,b7 9  
p>agraph 7#b7--  7i7 9 subp>agraph 7,a71
 by ins]t+ 7o!r ?an su* s]vices describ$
 9 clause 7i7 or 7ii7 ( section         
#ahcc7;a77#c77;,d77 aft] s]vices2 &     
7ii7 9 subp>agraph 7,b77i7--  7,i7 by   
ins]t+ 7o!r ?an su* s]vices describ$ 9  
clause 7i7 or 7ii7 ( section            
#ahcc7;a77#c77;,d77 aft] ,f$]ally       
qualifi$ heal? c5t] s]vices2 &  7,,ii7  
by /rik+ section #ahcc7;a77#a77,z7 &    
ins]t+ subp>agraphs 7,c7 & 7,d7 (       
section #ahcc7;a77#c74