,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #dfah  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #h1 #bjai,mrs4
 ,mc,bath 7= h]self & ,mrs4 ,d+ell7     
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 provide       
cov]age = c]ta9 he>+ items & s]vices "u 
"p ,b ( ! ,m$ic>e program4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,m$ic>e 
,he>+ ,act ( #bjai4  #b4 ,provid+       
cov]age = he>+ c>e "u ! ,m$ic>e program 
7a7 ,provision ( aural rehabilitation & 
treatm5t s]vices by qualifi$ audiologi/s
 ,section #ahfa7ll77#c7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciex7ll77#c77 is am5d$ by ins]t+ 7&1  
beg9n+ ,janu>y #a1 #bjbb1 su* aural     
rehabilitation & treatm5t s]vices7 aft] 

assessm5t4  7b7 ,cov]age ( he>+ aids    
7#a7 ,inclusion ( he>+ aids z pro/hetic 
devices ,section #ahfa7s77#h7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7s77#h77 is am5d$ by ins]t+ 1 &   
includ+ he>+ aids be=e ! semicolon at ! 
end4  7#b7 ,paym5t limitations = he>+   
aids ,section #ahcd7;h7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #aciem7h77
 is am5d$ by add+ at ! end ! foll[+ new 
p>agraph3  7#f7 ,limitations = he>+ aids
 ,paym5t may be made "u ?is "p ) respect
 to an individual1 ) respect to he>+    
aids-- 7,a7 n m ?an once dur+ any #e-ye>
 p]iod2  7,b7 only if su* individual has
 be5 diagnos$ ) pr(\nd or sev]e he>+    
loss 9 "o or bo? e>s2  7,c7 only = types
 ( su* he>+ aids t are n ov]-!-c\nt]    
he>+ aids 7z def9$ 9 section #ebj7q77#a7
 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic   
,act7 & t are det]m9$ appropriate by !  
,secret>y2 &  7,d7 only if furni%$      
pursuant to a writt5 ord] ( a doctor or 
qualifi$ audiologi/ 7z describ$ 9       
section #ahfa7ll77#e774  4  7#c7        

,application ( competitive acquisition  
7,a7 ,9 g5]al ,section                  
#ahcd7;h77#a77;,h7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciem7h77#a77;,h77
 is am5d$-- 7i7 9 ! head]1 by ins]t+ &  
he>+ aids be=e ! semicolon2  7ii7 by    
ins]t+ & ( he>+ aids describ$ 9 p>agraph
 7#b77;,d7 ( su* section1 aft] #bjji12 &
  7iii7 9 clause 7i71 by ins]t+ or su*  
he>+ aids aft] su* or?otics4  7,b7      
,con=m+ am5dm5t  7i7 ,9 g5]al ,section  
#ahdg7;a77#b7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#c7;a77#b77 is   
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,d7 ,he>+ aids ,he>+ aids
 = :i* paym5t w\ld o!rwise be made "u   
section #ahcd7;h74  4  7ii7 ,exemption (
 c]ta9 items f competitive acquisition  
,section #ahdg7;a77#g7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciew-#c7;a77#g771 z am5d$ by section  
#b7;f77#b71 is fur!r am5d$ by add+ at ! 
end ! foll[+ new subp>agraph3  7,c7     
,c]ta9 he>+ aids ,^? items & s]vices    
describ$ 9 p>agraph 7#b77;,d7 if furni%$

 by a physician or o!r practition] 7z   
def9$ by ! ,secret>y7 to ! physician's  
or practition]'s own pati5ts z "p ( !   
physician's or practition]'s pr(essional
 s]vice4  4  7c7 ,exclusion modification
 ,section #ahfb7;a77#g7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciey7a77#g77 is am5d$-- 7#a7 by /rik+ 
he>+ aids or exam9ations !re=1 or2 &    
7#b7 by ins]t+ 1 or1 ) respect to items 
& s]vices furni%$ be=e ,janu>y #a1      
#bjbb1 he>+ aids or exam9ations !re=    
be=e ! semicolon4  #c4 ,implem5tation   
fund+  ,! ,secret>y ( ,heal? & ,human   
,s]vices %all provide = ! transf] f !   
,f$]al ,supplem5t>y ,m$ical ,insurance  
,tru/ ,fund "u section #ahda ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #aciet7  
to ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices
 ,program ,managem5t ,acc\nt = ! p]iod (
 #bjbj ?r\gh #bjbd ( su* sums z may be  
necess>y = purposes ( implem5t+ !       
am5dm5ts made by section #b4