,,ib ,union ,cal5d> ,no4 #daa #aaf?     
,,congress  #b;d ,session  ,h4 ,r4 #cice
 ,report ,no4 #aaf-eaa ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,july #bd1        
#bjai,mr4 ,c>t] ( ,georgia 7= himself1  
,mr4 ,crd5as1 ,mr4 ,graves ( ,georgia1 &
 ,mr4 ,bi%op ( ,georgia7 introduc$ !    
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce         
,septemb] #ag1 #bjbj;,additional        
sponsors3 ,mr4 ,luetkemey]1 ,ms4 ,ku/] (
 ,new ,hamp%ire1 ,mr4 ,ru%1 ,mr4        
,neguse1 ,mrs4 ,rodg]s ( ,wa%+ton1 ,mr4 
,kilm]1 ,mr4 ,griffi?1 & ,mr4 ,soto     
,septemb] #ag1 #bjbj,report$ ) an       
am5dm5t2 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union &     
ord]$ to be printed,strike out all aft] 
! enact+ clause & ins]t ! "p pr9t$ 9    
italic,for text ( introduc$ bill1 see   
copy ( bill z introduc$ on ,july #bd1   
#bjai  ,a ,,bill  ,to am5d title ,,xix (
 ! ,social ,security ,act to provide = !
 cont9u+ requirem5t ( ,m$icaid cov]age (
 nonem]g5cy transportation to m$ically  

necess>y s]vices4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,protect+ ,pati5ts 
,transportation to ,c>e ,act4  #b4      
,m$icaid cov]age ( c]ta9 m$ical         
transportation  7a7 ,cont9u+ requirem5t 
( m$icaid cov]age ( necess>y            
transportation  7#a7 ,requirem5t        
,section #aijb7;a77#d7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#d77 is am5d$-- 7,a7 by /rik+
 & includ+ provision = utilization &    
ins]t+ includ+ provision = utilization2 
&  7,b7 by ins]t+ aft] sup]vision (     
adm9i/ration ( ! plan ! foll[+3 1 &1    
subject to section #aijc7;i71 includ+ a 
specification t ! s+le ,/ate ag5cy      
describ$ 9 p>agraph 7#e7 w ensure       
necess>y transportation = b5efici>ies "u
 ! ,/ate plan to & f provid]s & a       
description ( ! me?ods t su* ag5cy w use
 to ensure su* transportation4  7#b7    
,application ) respect to b5*m>k b5efit 
packages & b5*m>k equival5t cov]age     
,section #aicg7;a77#a7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           

#acifu-#g7;a77#a77 is am5d$-- 7,a7 9    
subp>agraph 7,a71 by /rik+ subsection   
7,e7 & ins]t+ subp>agraphs 7,e7 & 7,f72 
&  7,b7 by add+ at ! end ! foll[+ new   
subp>agraph3  7,f7 ,necess>y            
transportation ,not)/&+ ! prec$+        
provisions ( ?is p>agraph1 a ,/ate may n
 provide m$ical assi/ance ?r\gh !       
enrollm5t ( an individual ) b5*m>k      
cov]age or b5*m>k equival5t cov]age     
describ$ 9 subp>agraph 7,a77i7 unless1  
subject to section #aijc7;i77#i7 & 9    
accordance ) section #aijb7;a77#d71 !   
b5*m>k b5efit package or b5*m>k         
equival5t cov]age 7or ! ,/ate7-- 7i7    
ensures necess>y transportation =       
individuals enroll$ "u su* package or   
cov]age to & f provid]s2 &  7ii7        
provides a description ( ! me?ods t w be
 us$ to ensure su* transportation4  4   
7#c7 ,limitation on f$]al f9ancial      
p>ticipation ,section #aijc7;i7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7i77 is am5d$ by ins]t+ aft]     
p>agraph 7#h7 ! foll[+ new p>agraph3    

7#i7 ) respect to any am\nt exp5d$ =    
non-em]g5cy transportation au?oriz$ "u  
section #aijb7;a77#d71 unless ! ,/ate   
plan provides = ! me?ods & proc$ures    
requir$ "u section #aijb7;a77#cj77;,a72 
or  4  7#d7 ,effective date ,! am5dm5ts 
made by ?is subsection %all take effect 
on ! date ( ! enactm5t ( ?is ,act & %all
 apply to transportation furni%$ on or  
aft] su* date4  7b7 ,m$icaid program    
integrity measures relat$ to cov]age (  
nonem]g5cy m$ical transportation  7#a7  
,gao /udy ,n lat] ?an two ye>s aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all conduct a /udy1 & submit to        
,congress1 a report on cov]age "u !     
,m$icaid program "u title ,,xix ( !     
,social ,security ,act ( nonem]g5cy     
transportation to m$ically necess>y     
s]vices4 ,su* /udy %all take into acc\nt
 ! #bjji report ( ! ,(fice ( !          
,inspector ,g5]al ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices1 titl$ ,fraud &      
,abuse ,safegu>ds = ,m$icaid ,nonem]g5cy

 ,m$ical ,transportation                
7,,oei-#jf-jg-jjcbjj74 ,su* report %all 
include ! foll[+3 7,a7 ,an exam9ation ( 
! #ej ,/ates & ! ,di/rict ( ,columbia to
 id5tify safegu>ds to prev5t & detect   
fraud & abuse ) respect to cov]age "u ! 
,m$icaid program ( nonem]g5cy           
transportation to m$ically necess>y     
s]vices4  7,b7 ,an exam9ation (         
transportation brok]s to id5tify ! range
 ( safegu>ds aga9/ su* fraud & abuse to 
prev5t improp] paym5ts = su*            
transportation4  7,c7 ,id5tification ( !
 numb]s1 types1 & outcomes ( in/ances ( 
fraud & abuse1 ) respect to cov]age "u !
 ,m$icaid program ( su* transportation1 
t ,/ate ,m$icaid ,fraud ,control ,units 
h inve/igat$ 9 rec5t ye>s4  7,d7        
,id5tification ( commonalities or tr5ds 
9 program integrity1 ) respect to su*   
cov]age1 to in=m risk managem5t         
/rategies ( ,/ates & ! ,c5t]s = ,m$ic>e 
,m$icaid ,s]vices4  7#b7 ,/akehold]     
work+ gr\p  7,a7 ,9 g5]al ,n lat] ?an "o
 ye> aft] ! date ( ! enactm5t ( ?is     

,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices1 ?r\gh ! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices1 %all conv5e a s]ies (
 meet+s to obta9 input f appropriate    
/akehold]s to facilitate discussion &   
%>$ le>n+ ab\t ! lead+ practices =      
improv+ ,m$icaid program integrity1 )   
respect to cov]age ( nonem]g5cy         
transportation to m$ically necess>y     
s]vices4  7,b7 ,topics ,! meet+s conv5$ 
"u subp>agraph 7,a7 %all-- 7i7 focus on 
ongo+ *all5ges to ,m$icaid program      
integrity z well z lead+ practices to   
address su* *all5ges2 &  7ii7 address   
specific *all5ges rais$ by /akehold]s   
involv$ 9 cov]age "u ! ,m$icaid program 
( nonem]g5cy transportation to m$ically 
necess>y s]vices1 includ+ unique        
consid]ations = specific gr\ps (        
,m$icaid b5efici>ies m]it+ p>ticul>     
att5tion1 su* z ,am]ican ,indians &     
tribal l& issues or accommodations =    
individuals ) disabilities4  7,c7       
,/akehold]s ,/akehold]s describ$ 9      
subp>agraph 7,a7 %all include           

individuals f ,/ate ,m$icaid programs1  
brok]s = nonem]g5cy transportation to   
m$ically necess>y s]vices t meet !      
crit]ia describ$ 9 section              
#aijb7;a77#gj77;,b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#gj77;,b771 provid]s 7includ+
 transportation network companies71     
,m$icaid pati5t advocates1 & su* o!r    
individuals specifi$ by ! ,secret>y4    
7#c7 ,guidance review ,n lat] ?an #ah   
mon?s aft] ! date ( ! enactm5t ( ?is    
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices1 ?r\gh ! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices1 %all assess guidance 
issu$ to ,/ates by ! ,c5t]s = ,m$ic>e   
,m$icaid ,s]vices relat+ to ,f$]al      
requirem5ts = nonem]g5cy transportation 
to m$ically necess>y s]vices "u !       
,m$icaid program "u title ,,xix ( !     
,social ,security ,act & update su*     
guidance z necess>y to ensure ,/ates h  
appropriate & curr5t guidance 9 design+ 
& adm9i/]+ cov]age "u ! ,m$icaid program
 ( nonem]g5cy transportation to m$ically

 necess>y s]vices4  7#d7 ,nemt          
transportation provid] & driv]          
requirem5ts  7,a7 ,/ate plan requirem5t 
,section #aijb7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;a7a77 is     
am5d$-- 7i7 by /rik+ & at ! end (       
p>agraph 7#he72  7ii7 by /rik+ ! p]iod  
at ! end ( p>agraph 7#hf7 & ins]t+ 2 &2 
&  7iii7 by ins]t+ aft] p>agraph 7#hf7 !
 foll[+ new p>agraph3  7#hg7 provide = a
 me*anism1 :i* may include atte/ation1 t
 ensures t1 ) respect to any provid]    
7includ+ a transportation network       
company7 or individual driv] (          
nonem]g5cy transportation to m$ically   
necess>y s]vices receiv+ paym5ts "u su* 
plan 7b exclud+ any public transit      
au?ority71 at a m9imum-- 7,a7 ea* su*   
provid] & individual driv] is n exclud$ 
f p>ticipation 9 any ,f$]al heal? c>e   
program 7z def9$ 9 section #aabh;,b7f77 
& is n li/$ on ! exclusion li/ ( !      
,inspector ,g5]al ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices2  7,b7 ea* su*       
individual driv] has a valid driv]'s    

lic5se2  7,c7 ea* su* provid] has 9     
place a process to address any violation
 ( a ,/ate drug law2 &  7,d7 ea* su*    
provid] has 9 place a process to        
disclose to ! ,/ate ,m$icaid program !  
driv+ hi/ory1 includ+ any traffic       
violations1 ( ea* su* individual driv]  
employ$ by su* provid]1 includ+ any     
traffic violations4  4  7,b7 ,effective 
date  7i7 ,9 g5]al ,except z provid$ 9  
clause 7ii71 ! am5dm5ts made by         
subp>agraph 7,a7 %all take effect on !  
date ( ! enactm5t ( ?is ,act & %all     
apply to s]vices furni%$ on or aft] !   
date t is "o ye> aft] ! date ( !        
enactm5t ( ?is ,act4  7ii7 ,exception if
 /ate legislation requir$ ,9 ! case ( a 
,/ate plan = m$ical assi/ance "u title  
,,xix ( ! ,social ,security ,act :i* !  
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5t impos$ by ! am5dm5ts made by 
subp>agraph 7,a71 ! ,/ate plan %all n be

 reg>d$ z fail+ to comply ) !           
requirem5ts ( su* title solely on !     
basis ( its failure to meet ?is         
additional requirem5t be=e ! fir/ day ( 
! fir/ cal5d> qu>t] beg9n+ aft] ! close 
( ! fir/ regul> session ( ! ,/ate       
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4  7#e7 ,analysis ( t-msis   
data ,n lat] ?an "o ye> aft] ! date ( ! 
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices1 ?r\gh ! ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices1 %all     
analyze1 & submit to ,congress a report 
on1 ! nation-wide data set "u !         
,trans=m$ ,m$icaid ,/ati/ical ,in=mation
 ,sy/em to id5tify recomm5dations relat+
 to cov]age "u ! ,m$icaid program "u    
title ,,xix ( ! ,social ,security ,act (
 nonem]g5cy transportation to m$ically  
necess>y s]vices4  ,septemb] #ag1       

#bjbj,report$ ) an am5dm5t2 committ$ to 
! ,committee ( ! ,:ole ,h\se on ! ,/ate 
( ! ,union & ord]$ to be pr9t$