,,ib ,union ,cal5d> ,no4 #cjb #aaf? ,,congress #b;d ,session ,h4 ,r4 #dfah ,report ,no4 #aaf-cbf1 ,p>ts ,i & ,,ii ,,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$ ,decemb] #f1 #bjai,report$ f ! ,committee on ,ways & ,means ) an amendment,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,janu>y #bd1 #bjbj;,additional sponsors3 ,ms4 ,ca/or ( ,florida1 ,mr4 ,cuell>1 ,ms4 ,norton1 ,mr4 ,higg9s ( ,new ,york1 & ,mr4 ,wel* ,janu>y #bd1 #bjbj,report$ f ! ,committee on ,en]gy & ,comm]ce1 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & ord]$ to be printed,for text ( introduc$ bill1 see copy ( bill z introduc$ on ,octob] #h1 #bjai ,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] assessm5t s]vices4 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 furni%$ on or aft] ,janu>y #a1 #bjbb1 to individuals diagnos$ ) pr(\nd or sev]e he>+ loss 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 furni%$ on or aft] ,janu>y #a1 #bjbb-- 7,a7 n m ?an once dur+ any #e-ye> p]iod2 7,b7 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,c7 only if furni%$ pursuant to a writt5 ord] ( a physician or qualifi$ audiologi/ 7z def9$ 9 section #ahfa7ll77#d77;,b774 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#g77 is 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 7#d7 ,inclusion ( audiologi/s z c]ta9 practition]s to receive paym5t on an assignm5t-relat$ basis ,section #ahdb7;b77#ah77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieu7b77#ah77;,c77 is am5d$ by add+ at ! end ! foll[+ new clause3 7vii7 ,) respect to #bjbb & ea* subsequ5t ye>1 a qualifi$ audiologi/ 7z def9$ 9 section #ahfa7ll77#d77;,b774 4 7c7 ,exclusion modification ,section #ahfb7;a77#g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7a77#g77 is am5d$ by ins]t+ 7except su* he>+ aids or exam9ations z describ$ 9 & o!rwise all[$ "u section #ahfa7s77#h77 aft] he>+ aids or exam9ations !re=4 #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 #d4 ,report 7a7 ,report ,n lat] ?an ! date t is #b ye>s aft] ! date ( ! enactm5t ( ! ,m$ic>e ,he>+ ,act ( #bjai1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all-- 7#a7 det]m9e ! feasibility ( qualifi$ audiologi/s 7z def9$ 9 p>agraph 7#d77;,b7 ( #ahfa7ll7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ll777 furni%+ audiology s]vices 7z def9$ 9 p>agraph 7#c7 ( su* section7 to individuals entitl$ to b5efits "u "p ,a ( title ,,xviii ( su* ,act 7#db ,u4,s4,c4 #acie;c et seq47 & enroll$ = b5efits "u "p ,b ( su* title 7#db ,u4,s4,c4#acie;j et seq47 )\t su* individuals be+ ref]r$ by a physician 7z def9$ 9 section #ahfa7r7 ( su* ,act 7#db ,u4,s4,c4 #aciex7r777 or practition] 7z describ$ 9 section #ahdb7;b77#ah77;,c7 ( su* ,act 7#db ,u4,s4,c4 #acieu7b77#ah77;,c777 to qualifi$ audiologi/s2 & 7#b7 submit to ! ,secret>y ( ,heal? & ,human ,s]vices a report on ! feasibility ( ! ref]ral describ$ 9 p>agraph 7#a7 & any program integrity or ov]utilization conc]ns ) respect to su* ref]ral4 7b7 ,regulations ,! ,secret>y ( ,heal? & ,human ,s]vices may promulgate regulations to all[ qualifi$ audiologi/s to furni% audiology s]vices )\t a ref]ral f a physician or practition]1 consi/5t ) ! f9d+s submitt$ to ! ,secret>y pursuant to subsection 7a77#b74 ,janu>y #bd1 #bjbj ,report$ f ! ,committee on ,en]gy & ,comm]ce1 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & ord]$ to be pr9t$