,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #dhcj  ,,in ,,the ,,house ,,of  
,,representatives  ,october #bc1        
#bjai,mr4 ,de,saulnier 7for himself and 
,mr4 ,carter of ,georgia7 introduced the
 following bill2 which was referred to  
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to provide payment for      
patient navigator services under title  
,,xix of the ,social ,security ,act1 and
 for other purposes4  #a4 ,short title  
,this ,act may be cited as the ,patient 
,navigation ,assistance ,act4  #b4      
,medicaid coverage for patient navigator
 services  7a7 ,in general ,section     
#aijb7;a7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acif;a7a77 is amended-- 
7#a7 in paragraph 7#hb71 by striking and
 at the end2  7#b7 in paragraph 7#hc71  
by striking at the end the period and   
inserting 2 and2 and  7#c7 by inserting 
after paragraph 7#hc7 the following new 
paragraph3  7#hd7 provide that the      
,state shall reimburse an eligible      
entity 7as defined in subsection        

7nn77#a77 for any patient navigator     
service 7as defined in subsection       
7nn77#c77 that is provided--  7,a7 to an
 individual who is eligible for medical 
assistance under the ,state plan2 and   
7,b7 by a patient navigator 7as defined 
in subsection 7nn77#b77 through the     
eligible entity4  2 and  7#d7 by adding 
at the end the following new subsection3
  7nn7 ,patient navigator services      
definitions ,for purposes of this       
section3  7#a7 ,eligible entity ,the    
term eligible entity means an entity    
that-- 7,a7 is an eligible entity 7as   
defined in subsection 7l77#a7 of section
 #cdj;,a of the ,public ,health ,service
 ,act72 and  7,b7 complies with the     
following requirements of such section  
7insofar as they apply to a grant       
recipient under such section73  7i7     
,subsection 7b7 7relating to patient    
navigator duties and community          
knowledge74  7ii7 ,subsection 7c7       
7relating to prohibitions74  7iii7      
,subsection 7e7 7relating to            

applications74  7iv7 ,subsection 7j77#c7
 7relating to reports74  7#b7 ,patient  
navigator  7,a7 ,in general ,the term   
patient navigator has the meaning given 
such term in section #cdj;,a7l77#c7 of  
the ,public ,health ,service ,act4  7,b7
 ,consultation with advisory committee  
7i7 ,in general ,the ,secretary shall   
consult with the patient navigation     
advisory committee to the extent        
necessary to further clarify the        
definition of the term patient navigator
 for purposes of this section1 including
 establishing requirements to ensure    
adequate training for such navigators1  
such as developing a training curriculum
 and determining required qualifications
 and maintenance of qualifications4     
7ii7 ,membership ,the ,secretary shall  
convene a patient navigation advisory   
committee4 ,the members of such         
committee shall include--  7,i7         
representatives from relevant ,federal  
departments and agencies1 including the 
,national ,institutes of ,health1 the   

,centers for ,disease ,control and      
,prevention1 the ,health ,resources and 
,services ,administration1 the ,centers 
for ,medicare  ,medicaid ,services1 the 
,indian ,health ,service1 and the       
,office of ,rural ,health ,policy of the
 ,department of ,health and ,human      
,services2 and  7,,ii7 physicians1      
nurses1 stakeholder groups1 and other   
individuals and representatives of      
public and private organizations with   
expertise in patient navigation4  7#c7  
,patient navigator services ,the term   
patient navigator service means a       
service that is a duty specified under  
paragraphs 7#a7 through 7#f7 of         
subsection 7b7 of section #cdj;,a of the
 ,public ,health ,service ,act and that 
is provided by a patient navigator      
through an eligible entity4  4  7b7     
,treatment as medical assistance for    
purposes of ,,fmap ,section #aije7;a7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acif;d7a77 is amended-- 7#a7 
in paragraph 7#bh71 by striking and at  

the end2  7#b7 by redesignating         
paragraph 7#bi7 as paragraph 7#cj72 and 
7#c7 by inserting after paragraph 7#bh7 
the following new paragraph3  7#bi7     
patient navigator services 7as defined  
in section #aijb7nn77#c77 that are      
provided in a manner that meets the     
requirements of section #aijb7;a77#hd72 
and  4  7c7 ,effective date  7#a7 ,in   
general ,subject to paragraph 7#b71 the 
amendments made by this section shall   
apply to patient navigator services     
provided after the first day of the     
first calendar year that begins after   
the date of enactment of this ,act4     
7#b7 ,exception for ,state legislation  
,in the case of a ,state plan under     
title ,,xix of the ,social ,security    
,act1 which the ,secretary of ,health   
and ,human ,services determines requires
 ,state legislation in order for the    
respective plan to meet any requirement 
imposed by amendments made by this ,act1
 the respective plan shall not be       
regarded as failing to comply with the  

requirements of such title solely on the
 basis of its failure to meet such an   
additional requirement before the first 
day of the first calendar quarter       
beginning after the close of the first  
regular session of the ,state           
legislature that begins after the date  
of enactment of this ,act4 ,for purposes
 of the previous sentence1 in the case  
of a ,state that has a #b-year          
legislative session1 each year of the   
session shall be considered to be a     
separate regular session of the ,state  
legislature4