,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #ciaj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bc1 #bjai,mr4  
,lewis 7= himself1 ,mr4 ,l>son (        
,connecticut1 ,ms4 ,sewell ( ,alabama1  
,mr4 ,doggett1 ,mr4 ,evans1 ,mr4        
,pascrell1 ,mr4 ,gomez1 ,mr4 ,suozzi1 & 
,ms4 ,sn*ez7 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 ,,xi 
( ! ,social ,security ,act to improve   
access to c>e = all ,m$ic>e & ,m$icaid  
b5efici>ies ?r\gh models te/$ "u ! ,c5t]
 = ,m$ic>e & ,m$icaid ,innovation1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,equality 9 ,m$ic>e &  
,m$icaid ,treatm5t ,act ( #bjai4  #b4   
,improv+ access to c>e = ,m$ic>e &      
,m$icaid b5efici>ies ,section #aaae;,a (
 ! ,social ,security ,act 7#db ,u4,s4,c4

 #acae;a7 is am5d$--  7#a7 9 subsection 
7a77#c7-- 7,a7 by ins]t+ 1 ! causes (   
heal? disp>ities & social det]m9ants (  
heal?1 aft] m$ic9e2 &  7,b7 by ins]t+ 1 
! ,(fice ( ,m9ority ,heal? ( ! ,c5t]s = 
,m$ic>e  ,m$icaid ,s]vices1 ! ,(fice (  
,rural ,heal? ,policy1 & ! ,(fice on    
,wom5's ,heal?2  7#b7 9 subsection 7b7--
  7,a7 9 p>agraph 7#b7-- 7i7 9          
subp>agraph 7,a7--  7,i7 by ins]t+ aft] 
! fir/ s5t5ce1 ! foll[+ new s5t5ce3     
,prior to model selection1 ! ,secret>y  
%all consult ) ! ,(fice ( ,m9ority      
,heal? ( ! ,c5t]s = ,m$ic>e  ,m$icaid   
,s]vices1 ! ,f$]al ,(fice ( ,rural      
,heal? ,policy1 & ! ,(fice on ,wom5's   
,heal? to ensure t models "u            
consid]ation address heal? disp>ities & 
social det]m9ants ( heal? z appropriate 
= populations to be c>$ = "u ! model42  
7,,ii7 by ins]t+ 1 z well z improv+     
access to c>e receiv$ by individuals    
receiv+ b5efits "u su* title1 aft]      
title2 &  7,,iii7 by add+ at ! end !    
foll[+ new s5t5ce3 ,! models select$ "u 

?is subp>agraph %all include ! social   
det]m9ants ( heal? paym5t model describ$
 9 subp>agraph 7,d71 ! te/+ ( :i* %all  
beg9 n lat] ?an ,decemb] #ca1 #bjbj42   
7ii7 9 subp>agraph 7,c71 by add+ at !   
end ! foll[+ new clauses3  7ix7 ,:e!r ! 
model w affect access to c>e f provid]s 
& suppli]s c>+ = high risk pati5ts or   
op]at+ 9 und]s]v$ areas4  7x7 ,:e!r !   
model has ! pot5tial to produce         
r$uctions 9 m9ority & rural heal?       
disp>ities4  2 &  7iii7 by add+ at ! end
 ! foll[+ new subp>agraph3  7,d7 ,social
 det]m9ants ( heal? paym5t model  7i7 ,9
 g5]al ,! social det]m9ants ( heal?     
paym5t model describ$ 9 ?is subp>agraph 
is a paym5t model t te/s ea* ( ! paym5t 
& s]vice deliv]y innovations describ$ 9 
clause 7ii7 9 a region det]m9$          
appropriate by ! ,secret>y4  7ii7       
,paym5t & s]vice deliv]y innovations    
describ$ ,= purposes ( clause 7i71 !    
paym5t & s]vice deliv]y innovations     
describ$ 9 ?is clause are ! foll[+3     
7,i7 ,paym5t & s]vice deliv]y           

innovations = behavioral heal? s]vices1 
focus+ on ga!r+ actionable data to      
address ! high] co/s associat$ )        
b5efici>ies ) diagnos$ behavioral       
conditions4  7,,ii7 ,paym5t & s]vice    
deliv]y innovations t>get+ conditions or
 comorbidities ( individuals entitl$ or 
enroll$ "u ! ,m$ic>e program "u title   
,,xviii & enroll$ "u a ,/ate plan "u !  
,m$icaid program "u title ,,xix to      
increase capacity 9 und]s]v$ areas4     
7,,iii7 ,paym5t & s]vice deliv]y        
innovations t>get$ on ,m$icaid-eligible 
pregnant & po/p>tum wom51 up to "o ye>  
aft] deliv]y4  2 &  7,b7 9 p>agraph     
7#d77;,a7-- 7i7 9 clause 7i7 at ! end1  
by /rik+ &2  7ii7 9 clause 7ii71 at !   
end1 by /rik+ ! p]iod & ins]t+ 2 &2 &   
7iii7 by add+ at ! end ! foll[+ new     
clause3  7iii7 ! ext5t to :i* ! model   
improves access to c>e or ! ext5t to :i*
 ! model improves c>e = high risk       
pati5ts1 pati5ts f racial or e?nic      
m9orities1 or pati5ts 9 und]s]v$ areas4 
2  7#c7 9 subsection 7c7-- 7,a7 9       

p>agraph 7#b71 by /rik+ at ! end &2     
7,b7 by r$esignat+ p>agraph 7#c7 z      
p>agraph 7#d72  7,c7 by ins]t+ aft]     
p>agraph 7#b7 ! foll[+ new p>agraph3    
7#c7 ! ,(fice ( ,m9ority ,heal? ( !     
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices     
c]tifies t su* expansion w n r$uce      
access to c>e = l[-income1 m9ority1 or  
rural b5efici>ies2 &  2  7,d7 9 p>agraph
 7#d71 z r$esignat$ by subp>agraph 7,b71
 by ins]t+ be=e ! p]iod at ! end !      
foll[+3 nor increase heal? disp>ities   
exp]i5c$ by l[-income1 m9ority1 or rural
 b5efici>ies2 &  7,e7 9 ! matt] foll[+  
p>agraph 7#d71 z r$esignat$ by          
subp>agraph 7,b71 by ins]t+ 1 improve   
access to c>e1 aft] c>e2 &  7#d7 9      
subsection 7g7--  7,a7 by ins]t+ 7or1   
beg9n+ ) #bjba1 once e ye> !reaft]7 aft]
 !reaft]2 &  7,b7 by add+ at ! end !    
foll[+ new s5t5ce3  ,= reports = #bjba &
 ea* subsequ5t ye>1 ea* su* report %all 
include in=mation on ! foll[+3 7#a7 ,!  
ext5t & sev]ity ( m9ority & rural heal? 
disp>ities 9 ,m$ic>e & ,m$icaid         

b5efici>ies4  7#b7 ,! int]v5tions t     
address social det]m9ants ( heal? 9     
paym5t models select$ by ! ,c5t] =      
,m$ic>e & ,m$icaid ,innovation = te/+4  
7#c7 ,! int]v5tions t address social    
det]m9ants ( heal? 9 paym5t models n    
select$ by ! ,c5t] = ,m$ic>e & ,m$icaid 
,innovation = te/+4  7#d7 ,!            
effectiv5ess ( int]v5tions 9 mitigat+   
negative heal? outcomes & high] co/s    
associat$ ) social det]m9ants ( heal? )9
 models select$ by ! ,c5t] = ,m$ic>e &  
,m$icaid ,innovation = te/+4  7#e7      
,*anges 9 disp>ities among m9orities &  
,m$ic>e & ,m$icaid b5efici>ies 9        
und]s]v$ areas t are attributable to    
provid] & suppli] p>ticipation 9 a      
,phase ,,ii model4  7#f7 ,9 consultation
 ) ! ,comptroll] ,g5]al ( ! ,unit$      
,/ates1 e/imat$ ,f$]al sav+s a*iev$     
?r\gh ! r$uction ( rural & m9ority heal?
 disp>ities4  7#g7 ,o!r areas det]m9$   
appropriate by ! ,secret>y4  4