,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #fbdd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #ab1 #bjbj,ms4   
,kelly ( ,ill9ois 7= h]self1 ,ms4       
,sewell ( ,alabama1 & ,mr4 ,de,saulnier7
 introduc$ ! foll[+ bill2 :i* 0 ref]r$  
to ! ,committee on ,en]gy & ,comm]ce  ,a
 ,,bill  ,to am5d titles ,,xviii & ,,xix
 to provide = cov]age at no co/ %>+ (   
,,covid-#ai te/+ "u ! ,m$icaid program &
 ,*ildr5's ,heal? ,insurance ,program4  
#a4 ,cov]age at no co/ %>+ ( ,,covid-#ai
 te/+ "u ,m$icaid & ,,*ip  7a7 ,m$icaid 
7#a7 ,9 g5]al ,section #aije7;a77#c7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif;d7a77#c77 is am5d$-- 7,a7 by /rik+
 o!r laboratory & ins]t+ 7,a7 o!r       
laboratory2  7,b7 by ins]t+ & aft] !    
semicolon2 &  7,c7 by add+ at ! end !   
foll[+ new subp>agraph3  7,b7 9 vitro   
diagno/ic products 7z def9$ 9 section   
#hji4c7;a7 ( title #ba1 ,code ( ,f$]al  
,regulations7 adm9i/]$ dur+ any portion 
( ! em]g5cy p]iod def9$ 9 p>agraph      
7#a77;,b7 ( section #aace7;g7 beg9n+ on 

or aft] ! date ( ! enactm5t ( ?is       
subp>agraph = ! detection (             
,,s>s-,co,v-#b or ! diagnosis ( ! virus 
t causes ,,covid-#ai t are approv$1     
cle>$1 or au?oriz$ "u section #eaj7k71  
#eac1 #eae1 or #efd ( ! ,f$]al ,food1   
,drug1 & ,cosmetic ,act1 & !            
adm9i/ration ( su* 9 vitro diagno/ic    
products2  4  7#b7 ,no co/ %>+  7,a7 ,9 
g5]al ,subsections 7a77#b7 & 7b77#b7 (  
section #aiaf ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acifo7 are ea* am5d$-- 
7i7 9 subp>agraph 7,d71 by /rik+ or at !
 end2  7ii7 9 subp>agraph 7,e71 by /rik+
 2 & & ins]t+ a comma2 &  7iii7 by add+ 
at ! end ! foll[+ new subp>agraphs3     
7,f7 any 9 vitro diagno/ic product      
describ$ 9 section #aije7;a77#c77;,b7 t 
is adm9i/]$ dur+ any portion ( ! em]g5cy
 p]iod describ$ 9 su* section beg9n+ on 
or aft] ! date ( ! enactm5t ( ?is       
subp>agraph 7& ! adm9i/ration ( su*     
product71 or  7,g7 any m$ical visit =   
:i* paym5t may be made "u ! ,/ate plan1 
t is furni%$ dur+ any su* portion ( su* 

em]g5cy p]iod1 & t relates to te/+ =    
,,covid-#ai2 &  4  7,b7 ,application to 
alt]native co/ %>+ ,section             
#aiaf;,a7b77#c77;,b7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acifo-#a7;b77#c77;,b77 is am5d$ by add+
 at ! end ! foll[+ new clause3  7xi7    
,any 9 vitro diagno/ic product describ$ 
9 section #aije7;a77#c77;,b7 t is       
adm9i/]$ dur+ any portion ( ! em]g5cy   
p]iod describ$ 9 su* section beg9n+ on  
or aft] ! date ( ! enactm5t ( ?is clause
 7& ! adm9i/ration ( su* product7 & any 
visit describ$ 9 section                
#aiaf7;a77#b77;,g7 t is furni%$ dur+ any
 su* portion4  4  7,c7 ,cl>ification ,! 
am5dm5ts made ?is p>agraph %all apply ) 
respect to a ,/ate plan ( a t]ritory 9 !
 same mann] z a ,/ate plan ( "o ( ! #ej 
,/ates4  7#c7 ,/ate option to provide   
cov]age = un9sur$ individuals  7,a7 ,9  
g5]al ,section #aijb7;a77#aj7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#aj77 is am5d$-- 7i7 9       
subp>agraph 7,a77ii7-- 7,i7 9 subclause 

7,,xxi71 by /rik+ or at ! end2  7,,ii7 9
 subclause 7,,xxii71 by add+ or at !    
end2 &  7,,iii7 by add+ at ! end !      
foll[+ new subclause3  7,,xxiii7 dur+   
any portion ( ! em]g5cy p]iod def9$ 9   
p>agraph 7#a77;,b7 ( section #aace7;g7  
beg9n+ on or aft] ! date ( ! enactm5t ( 
?is subclause1 :o are un9sur$           
individuals 7z def9$ 9 subsection 7ss772
  2 &  7ii7 9 ! matt] foll[+ subp>agraph
 7,g7-- 7,i7 by /rik+ & 7,,xvii7 &      
ins]t+ 1 7,,xvii72 &  7,,ii7 by ins]t+  
aft] in/ead ( ?r\gh subclause 7,,viii7 !
 foll[+3 1 & 7,,xviii7 ! m$ical         
assi/ance made available to an un9sur$  
individual 7z def9$ 9 subsection 7ss77  
:o is eligible = m$ical assi/ance only  
because ( subp>agraph 7,a77ii77,,xxiii7 
%all be limit$ to m$ical assi/ance = any
 9 vitro diagno/ic product describ$ 9   
section #aije7;a77#c77;,b7 t is adm9i/]$
 dur+ any portion ( ! em]g5cy p]iod     
describ$ 9 su* section beg9n+ on or aft]
 ! date ( ! enactm5t ( ?is subclause 7& 
! adm9i/ration ( su* product7 & any     

visit describ$ 9 section                
#aiaf7;a77#b77;,g7 t is furni%$ dur+ any
 su* portion4  7,b7 ,receipt & initial  
process+ ( applications at c]ta9        
locations ,section #aijb7;a77#ee7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#ee77 is am5d$1 9 ! matt]    
prec$+ subp>agraph 7,a71 by /rik+ or    
7a77#aj77;,a77ii77,,ix7 & ins]t+        
7a77#aj77;,a77ii77,,ix71 or             
7a77#aj77;,a77ii77,,xxiii74  7,c7       
,un9sur$ individual def9$ ,section #aijb
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acif;a7 is am5d$ by add+ at !
 end ! foll[+ new subsection3  7ss7     
,un9sur$ individual def9$ ,= purposes ( 
?is section1 ! t]m un9sur$ individual   
means1 not)/&+ any o!r provision ( ?is  
title1 any individual :o is-- 7#a7 n    
describ$ 9 subsection 7a77#aj77;,a77i72 
&  7#b7 n enroll$ 9 a ,f$]al heal? c>e  
program 7z def9$ 9 section #aabh;,b7f771
 a gr\p heal? plan1 gr\p or individual  
heal? insurance cov]age (f]$ by a heal? 
insurance issu] 7z su* t]ms are def9$ 9 

section #bgia ( ! ,public ,heal? ,s]vice
 ,act71 or a heal? plan (f]$ "u *apt]   
#hi ( title #e1 ,unit$ ,/ates ,code4  4 
7,d7 ,f$]al m$ical assi/ance p]c5tage   
,section #aije7;b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;d7b77 is     
am5d$ by add+ at ! end ! foll[+ new     
s5t5ce3 ,not)/&+ ! fir/ s5t5ce ( ?is    
section1 ! ,f$]al m$ical assi/ance      
p]c5tage %all be #ajj p] c5tum ) respect
 to 7&1 not)/&+ any o!r provision ( ?is 
title1 available =7 m$ical assi/ance    
provid$ to un9sur$ individuals 7z def9$ 
9 section #aijb7ss77 :o are eligible =  
su* assi/ance only on ! basis ( section 
#aijb7;a77#aj77;,a77ii77,,xxiii7 & )    
respect to exp5ditures describ$ 9       
section #aijc7;a77#g7 t a ,/ate         
demon/rates to ! satisfaction ( !       
,secret>y are attributable to           
adm9i/rative co/s relat$ to provid+ =   
su* m$ical assi/ance to su* individuals 
"u ! ,/ate plan44  7b7 ,,*ip  7#a7 ,9   
g5]al ,section #bajc7;c7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           

#acig;cc7c77 is am5d$ by add+ at ! end !
 foll[+ p>agraph3  7#i7 ,c]ta9 9 vitro  
diagno/ic products = ,,covid-#ai te/+ ,!
 *ild heal? assi/ance provid$ to a      
t>get$ l[-income *ild %all include      
cov]age ( any 9 vitro diagno/ic product 
describ$ 9 section #aije7;a77#c77;,b7 t 
is adm9i/]$ dur+ any portion ( ! em]g5cy
 p]iod describ$ 9 su* section beg9n+ on 
or aft] ! date ( ! enactm5t ( ?is       
subp>agraph 7& ! adm9i/ration ( su*     
product74  4  7#b7 ,cov]age = t>get$    
l[-income pregnant wom5 ,section        
#baab7;b77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acigll7b77#d77 is am5d$
 by ins]t+ "u section #bajc7;c7 aft]    
same requirem5ts4  7#c7 ,prohibition (  
co/ %>+ ,section #bajc7;e77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acig;cc7e77#b77 is am5d$-- 7,a7 9 !    
p>agraph head]1 by ins]t+ 1 ,,covid-#ai 
te/+1 be=e or pregnancy-relat$          
assi/ance2 &  7,b7 by /rik+ category (  
s]vices describ$ 9 subsection           
7c77#a77;,d7 or & ins]t+ categories (   

s]vices describ$ 9 subsection           
7c77#a77;,d71 9 vitro diagno/ic products
 describ$ 9 subsection 7c77#i7 7&       
adm9i/ration ( su* products71 visits    
describ$ 9 section #aiaf7;a77#b77;,g71  
or4