,,ib ,union ,cal5d> ,no4 #egj #aaf? ,,congress #b;d ,session ,h4 ,r4 #eecd ,report ,no4 #aaf-fhg1 ,"p ,i ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,decemb] #bc1 #bjai,mr4 ,k9d 7= himself1 ,mr4 ,burgess1 ,ms4 ,e%oo1 ,mr4 ,smi? ( ,miss\ri1 ,mr4 ,mc,eachin1 & ,ms4 ,h]r]a ,beutl]7 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] #bd1 #bjbj;,additional sponsors3 ,mr4 ,ru%1 ,mr4 ,fitzpatrick1 ,mr4 ,m>*ant1 ,mr4 ,posey1 ,ms4 ,m5g1 ,mr4 ,cole1 ,mrs4 ,axne1 ,mr4 ,cisn]os1 ,mr4 ,kilm]1 ,ms4 ,blunt ,ro*e/]1 ,mr4 ,visclosky1 ,mr4 ,higg9s ( ,new ,york1 ,ms4 ,kelly ( ,ill9ois1 ,mrs4 ,luria1 ,mr4 ,latta1 ,mrs4 ,bu/os1 ,mrs4 ,rodg]s ( ,wa%+ton1 ,mr4 ,payne1 ,mr4 ,meeks1 ,mr4 ,case1 ,ms4 ,de,gette1 ,mr4 ,grijalva1 ,mr4 ,gonzalez ( ,texas1 ,mr4 ,deut*1 ,mr4 ,bilirakis1 ,mr4 ,ryan1 ,mr4 ,buc%on1 ,mr4 ,long1 ,ms4 ,norton1 ,mr4 ,lamb1 ,mr4 ,rupp]sb]g]1 ,ms4 ,port]1 ,ms4 ,br[nley ( ,cali=nia1 ,mr4 ,pocan1 ,mrs4 ,brooks ( ,indiana1 ,mr4 ,good51 ,mr4 ,%imkus1 ,mr4 ,curtis1 ,mr4 ,neguse1 ,mrs4 ,murphy ( ,florida1 ,mr4 ,kelly ( ,p5nsylvania1 ,mr4 ,olson1 ,mr4 ,smuck]1 ,ms4 ,mc,collum1 ,mr4 ,co/a1 ,mr4 ,coop]1 ,mr4 ,allr$1 ,mr4 ,kildee1 ,mrs4 ,beatty1 ,ms4 ,jackson ,lee1 ,mr4 ,r\da1 ,mr4 ,k5n$y1 ,ms4 ,wild1 ,mr4 ,ru!r=d1 ,mrs4 ,dem+s1 ,mr4 ,connolly1 ,ms4 ,l(gr51 ,mr4 ,mal9[ski1 ,mr4 ,rodney ,davis ( ,ill9ois1 ,mr4 ,riggleman1 ,mr4 ,mc,govern1 ,ms4 ,cl>ke ( ,new ,york1 ,ms4 ,*5ey1 ,mr4 ,soto1 ,mr4 ,evans1 ,mr4 ,k+ ( ,new ,york1 ,mr4 ,lujn1 ,mr4 ,craw=d1 ,mr4 ,wel*1 ,mr4 ,blum5au]1 ,mr4 ,l>son ( ,connecticut1 ,mr4 ,rose ( ,new ,york1 ,mr4 ,hors=d1 ,mr4 ,mc,kinley1 ,mr4 ,bi%op ( ,georgia1 ,mr4 ,trone1 ,mr4 ,gallego1 ,mr4 ,?ompson ( ,cali=nia1 ,mr4 ,w5/rup1 ,mr4 ,bur*ett1 ,mr4 ,price ( ,nor? ,c>ol9a1 ,mr4 ,bo/1 ,mr4 ,kim1 ,mr4 ,br9disi1 ,mr4 ,y>mu?1 ,mr4 ,nadl]1 ,ms4 ,kaptur1 ,mr4 ,lev9 ( ,mi*igan1 ,ms4 ,k5dra ,s4 ,horn ( ,oklahoma1 ,mr4 ,simpson1 ,mr4 ,aguil>1 ,ms4 ,velzquez1 ,mr4 ,lawson ( ,florida1 ,ms4 ,roybal-,all>d1 ,ms4 ,moore1 ,ms4 ,craig1 ,ms4 ,sewell ( ,alabama1 ,mr4 ,c>son ( ,indiana1 ,mr4 ,ri*mond1 ,mr4 ,baird1 ,ms4 ,johnson ( ,texas1 ,ms4 ,und]wood1 ,mr4 ,ha/+s1 ,mr4 ,gre5 ( ,texas1 ,mr4 ,van ,drew1 ,mrs4 ,mill]1 ,ms4 ,del,bene1 & ,ms4 ,f9k5au] ,decemb] #bd1 #bjbj,report$ f ! ,committee on ,en]gy & ,comm]ce ) an amendment,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,decemb] #bd1 #bjbj;,committee on ,ways & ,means dis*>g$2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be printed,for text ( introduc$ bill1 see copy ( bill z introduc$ on ,decemb] #bc1 #bjai ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to provide = ext5d$ mon?s ( ,m$ic>e cov]age ( immunosuppressive drugs = kidney transplant pati5ts1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,compreh5sive ,immunosuppressive ,drug ,cov]age = ,kidney ,transplant ,pati5ts ,act ( #bjbj4 #b4 ,ext5d$ mon?s ( cov]age ( immunosuppressive drugs = kidney transplant pati5ts & o!r r5al dialysis provisions 7a7 ,m$ic>e entitlem5t to immunosuppressive drugs = kidney transplant recipi5ts 7#a7 ,9 g5]al ,section #bbf;,a7b77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #dbf-a7;b77#b77 is am5d$ by ins]t+ 7except = eligibility = enrollm5t "u "p ,b solely = purposes ( cov]age ( immunosuppressive drugs describ$ 9 section #ahfa7s77#b77;,j77 be=e 1 ) ! ?irty-six? mon?4 7#b7 ,individuals eligible only = cov]age ( immunosuppressive drugs 7,a7 ,9 g5]al ,section #ahcf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieo7 is am5d$-- 7i7 by /rik+ ,e & ins]t+ 7a7 ,9 g5]al4--,e2 & 7ii7 by add+ at ! end ! foll[+ new subsection3 7b7 ,individuals eligible = immunosuppressive drug cov]age 7#a7 ,9 g5]al ,except z provid$ "u p>agraph 7#b71 e individual ^: entitlem5t to insurance b5efits "u "p ,a ends 7:e!r be=e1 on1 or aft] ,janu>y #a1 #bjbc7 by reason ( section #bbf;,a7b77#b7 is eligible to enroll or to be deem$ to h enroll$ 9 ! m$ical insurance program e/abli%$ by ?is "p solely = purposes ( cov]age ( immunosuppressive drugs 9 accordance ) section #ahcg7m74 7#b7 ,exception if o!r cov]age is available 7,a7 ,9 g5]al ,an individual describ$ 9 p>agraph 7#a7 %all n be eligible = enrollm5t 9 ! program = purposes ( cov]age describ$ 9 su* p>agraph ) respect to any p]iod 9 :i* ! individual1 z det]m9$ 9 accordance ) subp>agraph 7,b7-- 7i7 is enroll$ 9 a gr\p heal? plan or gr\p or individual heal? insurance cov]age1 z su* t]ms are def9$ 9 section #bgia ( ! ,public ,heal? ,s]vice ,act2 7ii7 is enroll$ = cov]age "u ! ,,tric>e = ,life program "u section #ajhf7;d7 ( title #aj1 ,unit$ ,/ates ,code2 7iii7 is enroll$ "u a ,/ate plan 7or waiv] ( su* plan7 "u title ,,xix2 7iv7 is enroll$ "u a ,/ate *ild heal? plan "u title ,,xxi2 or 7v7 7,i7 is enroll$ 9 ! pati5t enrollm5t sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs e/abli%$ & op]at$ "u section #agje ( title #ch1 ,unit$ ,/ates ,code2 7,,ii7 is n requir$ to enroll "u section #agje ( su* title to receive immunosuppressive drugs describ$ 9 ?is subsection2 or 7,,iii7 is o!rwise eligible "u a provision ( title #ch1 ,unit$ ,/ates ,code1 o!r ?an section #agaj ( su* title to receive immunosuppressive drugs describ$ 9 ?is subsection4 7,b7 ,eligibility det]m9ations 7i7 ,9 g5]al ,! ,secret>y1 9 coord9ation ) ! ,commission] ( ,social ,security1 %all e/abli% a process = det]m9+ :e!r an individual describ$ 9 p>agraph 7#a7 :o is to be enroll$ or deem$ to be enroll$ 9 ! m$ical insurance program describ$ 9 su* p>agraph meets ! requirem5ts = su* enrollm5t "u ?is subsection1 includ+ ! requirem5t t ! individual n be enroll$ 9 o!r cov]age z describ$ 9 subp>agraph 7,a74 7ii7 ,atte/ation reg>d+ o!r cov]age ,! process e/abli%$ "u clause 7i7 %all include1 at a m9imum1 a requirem5t t-- 7,i7 ! individual provide to ! ,commission] an atte/ation t ! individual is n enroll$ & does n expect to enroll 9 su* o!r cov]age2 & 7,,ii7 ! individual agree to notify ! ,commission] )9 #fj days ( enrollm5t 9 su* o!r cov]age4 4 7,b7 ,con=m+ am5dm5t 7i7 ,9 g5]al ,sections #ahcg1 #ahch1 & #ahci ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciep1 #db ,u4,s4,c4 #acieq1 #db ,u4,s4,c4 #acier7 are ea* am5d$ by /rik+ #ahcf & ins]t+ #ahcf7;a7 ea* place x appe>s4 7ii7 ,additional am5dm5t ,section #ahcg7;j77#a7 ( su* ,act 7#db ,u4,s4,c4 #aciep7j77#a77 is am5d$ by /rik+ #ahcf7a7 & ins]t+ #ahcf7;a77#a74 7b7 ,enrollm5t = individuals only eligible = cov]age ( immunosuppressive drugs ,section #ahcg ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciep7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7m7 7#a7 ,any individual :o is eligible = cov]age ( immunosuppressive drugs "u section #ahcf7;b7 may enroll or be deem$ to h enroll$ only 9 su* mann] & =m z may be prescrib$ by regulations1 & only dur+ an enrollm5t p]iod describ$ 9 ?is subsection4 7#b7 ,an individual describ$ 9 p>agraph 7#a7 ^: entitlem5t = hospital insurance b5efits "u "p ,a ends by reason ( section #bbf;,a7b77#b7 prior to ,janu>y #a1 #bjbc1 may enroll beg9n+ on ,octob] #a1 #bjbb1 or ! day on :i* ! individual fir/ satisfies section #ahcf7;b71 :i*ev] is lat]4 7#c7 ,an individual describ$ 9 p>agraph 7#a7 ^: entitlem5t = hospital insurance b5efits "u "p ,a ends by reason ( section #bbf;,a7b77#b7 on or aft] ,janu>y #a1 #bjbc1 %all be deem$ to h enroll$ 9 ! m$ical insurance program e/abli%$ by ?is "p = purposes ( cov]age ( immunosuppressive drugs4 7#d7 ,! ,secret>y %all e/abli% a process "u :i* an individual describ$ 9 p>agraph 7#a7 ^: o!r cov]age describ$ 9 section #ahcf7;b77#b77;,a71 or cov]age "u ?is "p 7includ+ ! m$ical insurance program e/abli%$ "u ?is "p = purposes ( cov]age ( immunosuppressive drugs7 is t]m9at$ volunt>ily or involunt>y may enroll or re5roll1 if applicable1 9 ! m$ical insurance program e/abli%$ "u ?is "p = purposes ( cov]age ( immunosuppressive drugs4 4 7c7 ,cov]age p]iod = individuals only eligible = cov]age ( immunosuppressive drugs 7#a7 ,9 g5]al ,section #ahch ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieq7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7g7 ,9 ! case ( an individual describ$ 9 section #ahcf7;b77#a71 ! foll[+ rules %all apply3 7#a7 ,9 ! case ( su* an individual :o is deem$ to h enroll$ 9 "p ,b = cov]age ( immunosuppressive drugs "u section #ahcg7m77#c71 su* individual's cov]age p]iod %all beg9 on ! fir/ day ( ! mon? 9 :i* ! individual fir/ satisfies section #ahcf7;b74 7#b7 ,9 ! case ( su* an individual :o enrolls 7or re5rolls1 if applicable7 9 "p ,b = cov]age ( immunosuppressive drugs "u p>agraph 7#b7 or 7#d7 ( section #ahcg7m71 su* individual's cov]age p]iod %all beg9 on ,janu>y #a1 #bjbc1 or ! mon? foll[+ ! mon? 9 :i* ! individual s enrolls 7or re5rolls71 :i*ev] is lat]4 7#c7 ,! provisions ( subsections 7b7 & 7d7 %all apply ) respect to an individual describ$ 9 p>agraph 7#a7 or 7#b74 7#d7 ,9 addition to ! reasons = t]m9ation "u subsection 7b71 ! cov]age p]iod ( an individual describ$ 9 p>agraph 7#a7 or 7#b7 %all end :5 ! individual becomes entitl$ to b5efits "u ?is title "u section #bbf7;a7 or #bbf;,a or is no long] eligible = su* cov]age z a result ( ! application ( section #ahcf7;b77#b74 7#e7 ,! ,secret>y may conduct public education activities to raise aw>5ess ( ! availability ( m compreh5sive1 qualifi$ heal? plans = individuals eligible "u section #ahcf7;b7 to enroll or to be deem$ enroll$ 9 ! m$ical insurance program e/abli%$ "u ?is "p = purposes ( cov]age ( immunosuppressive drugs4 4 7#b7 ,con=m+ am5dm5ts ,section #ahch7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieq7b77 is am5d$1 9 ! matt] foll[+ p>agraph 7#b71 by ins]t+ or section #ahcg7m77#c7 aft] section #ahcg7;f7 ea* place x appe>s4 7d7 ,premiums = individuals only eligible = cov]age ( immunosuppressive drugs ,section #ahci ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acier7 is am5d$-- 7#a7 9 subsection 7b71 by add+ at ! end ! foll[+ new s5t5ce3 ,no increase 9 ! premium %all be effect$ = individuals :o are enroll$ pursuant to section #ahcf7;b7 = cov]age only ( immunosuppressive drugs42 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7j7 ,det]m9ation ( premium = individuals only eligible = cov]age ( immunosuppressive drugs ,! ,secret>y %all1 dur+ ,septemb] ( ea* ye> 7beg9n+ ) #bjbb71 det]m9e & promulgate a mon?ly premium rate = ! succe$+ cal5d> ye> = individuals enroll$ only = ! purpose ( cov]age ( immunosuppressive drugs "u section #ahcf7;b74 ,su* premium %all be equal to #ce p]c5t ( ! mon?ly actu>ial rate = enrollees age #fe & ov] 7z w\ld be det]m9$ 9 accordance ) subsection 7a77#a7 if ! ref]5ce to "o-half 9 su* subsection 7 a ref]5ce to #ajj p]c5t7 = t succe$+ cal5d> ye>4 ,! mon?ly premium ( ea* individual enroll$ = cov]age ( immunosuppressive drugs "u section #ahcf7;b7 = ea* mon? %all be ! am\nt promulgat$ 9 ?is subsection4 ,su* am\nt %all be adju/$ 9 accordance ) subsections 7c71 7f71 & 7i71 b %all n be adju/$ "u subsection 7b74 4 7e7 ,ensur+ cov]age "u ! ,m$ic>e sav+s program ,section #aije7p77#a77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7p77#a77;,a77 is am5d$ by ins]t+ or :o is enroll$ "u "p ,b = ! purpose ( cov]age ( immunosuppressive drugs "u section #ahcf7;b7 aft] "u section #ahah;,a74 7f7 ,"p ,d ,section #ahfj;,d-#a7;a77#c77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aja7;a77#c77;,a77 is am5d$ by ins]t+ 7b n includ+ an individual enroll$ solely = cov]age ( immunosuppressive drugs "u section #ahcf7;b77 be=e ! p]iod at ! end4 #c4 ,,gao /udy & report 7a7 ,/udy ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates 79 ?is section ref]r$ to z ! ,comptroll] ,g5]al7 %all conduct a /udy on ! implem5tation ( cov]age ( immunosuppressive drugs = kidney transplant pati5ts "u ! ,m$ic>e program pursuant to ! provisions (1 & am5dm5ts made by1 ?is ,act4 7b7 ,report ,n lat] ?an ,janu>y #a1 #bjbe1 ! ,comptroll] ,g5]al %all submit to ,congress a report on ! /udy conduct$ "u subsection 7a71 toge!r ) recomm5dations z ! ,comptroll] ,g5]al det]m9es appropriate4 ,decemb] #bd1 #bjbj,report$ f ! ,committee on ,en]gy & ,comm]ce ) an amendment,december #bd1 #bjbj;,committee on ,ways & ,means dis*>g$2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be pr9t$