,,ib ,union ,calendar ,no4 #egj #aafth ,,congress #b;d ,session ,h4 ,r4 #eecd ,report ,no4 #aaf-fhg1 ,part ,i ,,in ,,the ,,house ,,of ,,representatives ,december #bc1 #bjai,mr4 ,kind 7for himself1 ,mr4 ,burgess1 ,ms4 ,eshoo1 ,mr4 ,smith of ,missouri1 ,mr4 ,mc,eachin1 and ,ms4 ,herrera ,beutler7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,december #bd1 #bjbj;,additional sponsors3 ,mr4 ,rush1 ,mr4 ,fitzpatrick1 ,mr4 ,marchant1 ,mr4 ,posey1 ,ms4 ,meng1 ,mr4 ,cole1 ,mrs4 ,axne1 ,mr4 ,cisneros1 ,mr4 ,kilmer1 ,ms4 ,blunt ,rochester1 ,mr4 ,visclosky1 ,mr4 ,higgins of ,new ,york1 ,ms4 ,kelly of ,illinois1 ,mrs4 ,luria1 ,mr4 ,latta1 ,mrs4 ,bustos1 ,mrs4 ,rodgers of ,washington1 ,mr4 ,payne1 ,mr4 ,meeks1 ,mr4 ,case1 ,ms4 ,de,gette1 ,mr4 ,grijalva1 ,mr4 ,gonzalez of ,texas1 ,mr4 ,deutch1 ,mr4 ,bilirakis1 ,mr4 ,ryan1 ,mr4 ,bucshon1 ,mr4 ,long1 ,ms4 ,norton1 ,mr4 ,lamb1 ,mr4 ,ruppersberger1 ,ms4 ,porter1 ,ms4 ,brownley of ,california1 ,mr4 ,pocan1 ,mrs4 ,brooks of ,indiana1 ,mr4 ,gooden1 ,mr4 ,shimkus1 ,mr4 ,curtis1 ,mr4 ,neguse1 ,mrs4 ,murphy of ,florida1 ,mr4 ,kelly of ,pennsylvania1 ,mr4 ,olson1 ,mr4 ,smucker1 ,ms4 ,mc,collum1 ,mr4 ,costa1 ,mr4 ,cooper1 ,mr4 ,allred1 ,mr4 ,kildee1 ,mrs4 ,beatty1 ,ms4 ,jackson ,lee1 ,mr4 ,rouda1 ,mr4 ,kennedy1 ,ms4 ,wild1 ,mr4 ,rutherford1 ,mrs4 ,demings1 ,mr4 ,connolly1 ,ms4 ,lofgren1 ,mr4 ,malinowski1 ,mr4 ,rodney ,davis of ,illinois1 ,mr4 ,riggleman1 ,mr4 ,mc,govern1 ,ms4 ,clarke of ,new ,york1 ,ms4 ,cheney1 ,mr4 ,soto1 ,mr4 ,evans1 ,mr4 ,king of ,new ,york1 ,mr4 ,lujn1 ,mr4 ,crawford1 ,mr4 ,welch1 ,mr4 ,blumenauer1 ,mr4 ,larson of ,connecticut1 ,mr4 ,rose of ,new ,york1 ,mr4 ,horsford1 ,mr4 ,mc,kinley1 ,mr4 ,bishop of ,georgia1 ,mr4 ,trone1 ,mr4 ,gallego1 ,mr4 ,thompson of ,california1 ,mr4 ,wenstrup1 ,mr4 ,burchett1 ,mr4 ,price of ,north ,carolina1 ,mr4 ,bost1 ,mr4 ,kim1 ,mr4 ,brindisi1 ,mr4 ,yarmuth1 ,mr4 ,nadler1 ,ms4 ,kaptur1 ,mr4 ,levin of ,michigan1 ,ms4 ,kendra ,s4 ,horn of ,oklahoma1 ,mr4 ,simpson1 ,mr4 ,aguilar1 ,ms4 ,velzquez1 ,mr4 ,lawson of ,florida1 ,ms4 ,roybal-,allard1 ,ms4 ,moore1 ,ms4 ,craig1 ,ms4 ,sewell of ,alabama1 ,mr4 ,carson of ,indiana1 ,mr4 ,richmond1 ,mr4 ,baird1 ,ms4 ,johnson of ,texas1 ,ms4 ,underwood1 ,mr4 ,hastings1 ,mr4 ,green of ,texas1 ,mr4 ,van ,drew1 ,mrs4 ,miller1 ,ms4 ,del,bene1 and ,ms4 ,finkenauer ,december #bd1 #bjbj,reported from the ,committee on ,energy and ,commerce with an amendment,strike out all after the enacting clause and insert the part printed in italic ,december #bd1 #bjbj;,committee on ,ways and ,means discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed,for text of introduced bill1 see copy of bill as introduced on ,december #bc1 #bjai ,a ,,bill ,to amend title ,,xviii of the ,social ,security ,act to provide for extended months of ,medicare coverage of immunosuppressive drugs for kidney transplant patients1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,comprehensive ,immunosuppressive ,drug ,coverage for ,kidney ,transplant ,patients ,act of #bjbj4 #b4 ,extended months of coverage of immunosuppressive drugs for kidney transplant patients and other renal dialysis provisions 7a7 ,medicare entitlement to immunosuppressive drugs for kidney transplant recipients 7#a7 ,in general ,section #bbf;,a7b77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #dbf-a7;b77#b77 is amended by inserting 7except for eligibility for enrollment under part ,b solely for purposes of coverage of immunosuppressive drugs described in section #ahfa7s77#b77;,j77 before 1 with the thirty-sixth month4 7#b7 ,individuals eligible only for coverage of immunosuppressive drugs 7,a7 ,in general ,section #ahcf of the ,social ,security ,act 7#db ,u4,s4,c4 #acieo7 is amended-- 7i7 by striking ,every and inserting 7a7 ,in general4--,every2 and 7ii7 by adding at the end the following new subsection3 7b7 ,individuals eligible for immunosuppressive drug coverage 7#a7 ,in general ,except as provided under paragraph 7#b71 every individual whose entitlement to insurance benefits under part ,a ends 7whether before1 on1 or after ,january #a1 #bjbc7 by reason of section #bbf;,a7b77#b7 is eligible to enroll or to be deemed to have enrolled in the medical insurance program established by this part solely for purposes of coverage of immunosuppressive drugs in accordance with section #ahcg7m74 7#b7 ,exception if other coverage is available 7,a7 ,in general ,an individual described in paragraph 7#a7 shall not be eligible for enrollment in the program for purposes of coverage described in such paragraph with respect to any period in which the individual1 as determined in accordance with subparagraph 7,b7-- 7i7 is enrolled in a group health plan or group or individual health insurance coverage1 as such terms are defined in section #bgia of the ,public ,health ,service ,act2 7ii7 is enrolled for coverage under the ,,tricare for ,life program under section #ajhf7;d7 of title #aj1 ,united ,states ,code2 7iii7 is enrolled under a ,state plan 7or waiver of such plan7 under title ,,xix2 7iv7 is enrolled under a ,state child health plan under title ,,xxi2 or 7v7 7,i7 is enrolled in the patient enrollment system of the ,department of ,veterans ,affairs established and operated under section #agje of title #ch1 ,united ,states ,code2 7,,ii7 is not required to enroll under section #agje of such title to receive immunosuppressive drugs described in this subsection2 or 7,,iii7 is otherwise eligible under a provision of title #ch1 ,united ,states ,code1 other than section #agaj of such title to receive immunosuppressive drugs described in this subsection4 7,b7 ,eligibility determinations 7i7 ,in general ,the ,secretary1 in coordination with the ,commissioner of ,social ,security1 shall establish a process for determining whether an individual described in paragraph 7#a7 who is to be enrolled or deemed to be enrolled in the medical insurance program described in such paragraph meets the requirements for such enrollment under this subsection1 including the requirement that the individual not be enrolled in other coverage as described in subparagraph 7,a74 7ii7 ,attestation regarding other coverage ,the process established under clause 7i7 shall include1 at a minimum1 a requirement that-- 7,i7 the individual provide to the ,commissioner an attestation that the individual is not enrolled and does not expect to enroll in such other coverage2 and 7,,ii7 the individual agree to notify the ,commissioner within #fj days of enrollment in such other coverage4 4 7,b7 ,conforming amendment 7i7 ,in general ,sections #ahcg1 #ahch1 and #ahci of the ,social ,security ,act 7#db ,u4,s4,c4 #aciep1 #db ,u4,s4,c4 #acieq1 #db ,u4,s4,c4 #acier7 are each amended by striking #ahcf and inserting #ahcf7;a7 each place it appears4 7ii7 ,additional amendment ,section #ahcg7;j77#a7 of such ,act 7#db ,u4,s4,c4 #aciep7j77#a77 is amended by striking #ahcf7a7 and inserting #ahcf7;a77#a74 7b7 ,enrollment for individuals only eligible for coverage of immunosuppressive drugs ,section #ahcg of the ,social ,security ,act 7#db ,u4,s4,c4 #aciep7 is amended by adding at the end the following new subsection3 7m7 7#a7 ,any individual who is eligible for coverage of immunosuppressive drugs under section #ahcf7;b7 may enroll or be deemed to have enrolled only in such manner and form as may be prescribed by regulations1 and only during an enrollment period described in this subsection4 7#b7 ,an individual described in paragraph 7#a7 whose entitlement for hospital insurance benefits under part ,a ends by reason of section #bbf;,a7b77#b7 prior to ,january #a1 #bjbc1 may enroll beginning on ,october #a1 #bjbb1 or the day on which the individual first satisfies section #ahcf7;b71 whichever is later4 7#c7 ,an individual described in paragraph 7#a7 whose entitlement for hospital insurance benefits under part ,a ends by reason of section #bbf;,a7b77#b7 on or after ,january #a1 #bjbc1 shall be deemed to have enrolled in the medical insurance program established by this part for purposes of coverage of immunosuppressive drugs4 7#d7 ,the ,secretary shall establish a process under which an individual described in paragraph 7#a7 whose other coverage described in section #ahcf7;b77#b77;,a71 or coverage under this part 7including the medical insurance program established under this part for purposes of coverage of immunosuppressive drugs7 is terminated voluntarily or involuntary may enroll or reenroll1 if applicable1 in the medical insurance program established under this part for purposes of coverage of immunosuppressive drugs4 4 7c7 ,coverage period for individuals only eligible for coverage of immunosuppressive drugs 7#a7 ,in general ,section #ahch of the ,social ,security ,act 7#db ,u4,s4,c4 #acieq7 is amended by adding at the end the following new subsection3 7g7 ,in the case of an individual described in section #ahcf7;b77#a71 the following rules shall apply3 7#a7 ,in the case of such an individual who is deemed to have enrolled in part ,b for coverage of immunosuppressive drugs under section #ahcg7m77#c71 such individual's coverage period shall begin on the first day of the month in which the individual first satisfies section #ahcf7;b74 7#b7 ,in the case of such an individual who enrolls 7or reenrolls1 if applicable7 in part ,b for coverage of immunosuppressive drugs under paragraph 7#b7 or 7#d7 of section #ahcg7m71 such individual's coverage period shall begin on ,january #a1 #bjbc1 or the month following the month in which the individual so enrolls 7or reenrolls71 whichever is later4 7#c7 ,the provisions of subsections 7b7 and 7d7 shall apply with respect to an individual described in paragraph 7#a7 or 7#b74 7#d7 ,in addition to the reasons for termination under subsection 7b71 the coverage period of an individual described in paragraph 7#a7 or 7#b7 shall end when the individual becomes entitled to benefits under this title under section #bbf7;a7 or #bbf;,a or is no longer eligible for such coverage as a result of the application of section #ahcf7;b77#b74 7#e7 ,the ,secretary may conduct public education activities to raise awareness of the availability of more comprehensive1 qualified health plans for individuals eligible under section #ahcf7;b7 to enroll or to be deemed enrolled in the medical insurance program established under this part for purposes of coverage of immunosuppressive drugs4 4 7#b7 ,conforming amendments ,section #ahch7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieq7b77 is amended1 in the matter following paragraph 7#b71 by inserting or section #ahcg7m77#c7 after section #ahcg7;f7 each place it appears4 7d7 ,premiums for individuals only eligible for coverage of immunosuppressive drugs ,section #ahci of the ,social ,security ,act 7#db ,u4,s4,c4 #acier7 is amended-- 7#a7 in subsection 7b71 by adding at the end the following new sentence3 ,no increase in the premium shall be effected for individuals who are enrolled pursuant to section #ahcf7;b7 for coverage only of immunosuppressive drugs42 and 7#b7 by adding at the end the following new subsection3 7j7 ,determination of premium for individuals only eligible for coverage of immunosuppressive drugs ,the ,secretary shall1 during ,september of each year 7beginning with #bjbb71 determine and promulgate a monthly premium rate for the succeeding calendar year for individuals enrolled only for the purpose of coverage of immunosuppressive drugs under section #ahcf7;b74 ,such premium shall be equal to #ce percent of the monthly actuarial rate for enrollees age #fe and over 7as would be determined in accordance with subsection 7a77#a7 if the reference to one-half in such subsection were a reference to #ajj percent7 for that succeeding calendar year4 ,the monthly premium of each individual enrolled for coverage of immunosuppressive drugs under section #ahcf7;b7 for each month shall be the amount promulgated in this subsection4 ,such amount shall be adjusted in accordance with subsections 7c71 7f71 and 7i71 but shall not be adjusted under subsection 7b74 4 7e7 ,ensuring coverage under the ,medicare savings program ,section #aije7p77#a77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7p77#a77;,a77 is amended by inserting or who is enrolled under part ,b for the purpose of coverage of immunosuppressive drugs under section #ahcf7;b7 after under section #ahah;,a74 7f7 ,part ,d ,section #ahfj;,d-#a7;a77#c77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aja7;a77#c77;,a77 is amended by inserting 7but not including an individual enrolled solely for coverage of immunosuppressive drugs under section #ahcf7;b77 before the period at the end4 #c4 ,,gao study and report 7a7 ,study ,the ,comptroller ,general of the ,united ,states 7in this section referred to as the ,comptroller ,general7 shall conduct a study on the implementation of coverage of immunosuppressive drugs for kidney transplant patients under the ,medicare program pursuant to the provisions of1 and amendments made by1 this ,act4 7b7 ,report ,not later than ,january #a1 #bjbe1 the ,comptroller ,general shall submit to ,congress a report on the study conducted under subsection 7a71 together with recommendations as the ,comptroller ,general determines appropriate4 ,december #bd1 #bjbj,reported from the ,committee on ,energy and ,commerce with an amendment,december #bd1 #bjbj;,committee on ,ways and ,means discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed