,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #fgbg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #e1 #bjbj,ms4 ,s*ri] 7= h]self & ,mr4 ,mc,eachin7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means1 & 9 addition to ! ,committees on ,en]gy & ,comm]ce1 & ,arm$ ,s]vices1 = 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$ ,a ,,bill ,to hold ,m$ic>e b5efici>ies h>mless = specifi$ ,,covid-#ai treatm5t s]vices furni%$ "u "p ,a or "p ,b ( ! ,m$ic>e program4 #a4 ,hold+ ,m$ic>e b5efici>ies h>mless = specifi$ ,,covid-#ai treatm5t s]vices furni%$ "u "p ,a or "p ,b ( ! ,m$ic>e program 7a7 ,9 g5]al ,not)/&+ any o!r provision ( law1 9 ! case ( a specifi$ ,,covid-#ai treatm5t s]vice 7z def9$ 9 subsection 7b77 furni%$ to an individual entitl$ to b5efits "u "p ,a or enroll$ "u "p ,b ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 = :i* paym5t is made "u su* "p ,a or su* "p ,b1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is section ref]r$ to z ! ,secret>y7 %all provide t-- 7#a7 any co/-%>+ requir$ 7includ+ any d$uctible1 copaym5t1 or co9surance7 applicable to su* individual "u su* "p ,a or su* "p ,b ) respect to su* item or s]vice is paid by ! ,secret>y2 & 7#b7 ! provid] ( s]vices or suppli] 7z def9$ 9 section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex77 does n hold su* individual liable = su* requirem5t4 7b7 ,def9ition ( specifi$ ,,covid-#ai treatm5t s]vices ,= purposes ( ?is section1 ! t]m specifi$ ,,covid-#ai treatm5t s]vice means any item or s]vice furni%$ to an individual = :i* paym5t may be made "u "p ,a or "p ,b ( title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 if su* item or s]vice is includ$ 9 a claim ) an ,,icd-#aj-;,,cm code relat+ to ,,covid-#ai 7z describ$ 9 ! docum5t entitl$ ,,icd-#aj-;,,cm ,(ficial ,cod+ ,guidel9es--,supplem5t ,cod+ enc\nt]s relat$ to ,,covid-#ai ,coronavirus ,outbreak publi%$ on ,febru>y #bj1 #bjbj1 or z o!rwise specifi$ by ! ,secret>y74 7c7 ,recov]y ( co/-,%>+ am\nts paid by ! ,secret>y 9 ! case ( supplem5tal insurance cov]age 7#a7 ,9 g5]al ,9 ! case ( any am\nt paid by ! ,secret>y pursuant to subsection 7a77#a7 t ! ,secret>y det]m9es w\ld o!rwise h be5 paid by a gr\p heal? plan or heal? insurance issu] 7z su* t]ms are def9$ 9 section #bgia ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ia771 a private entity (f]+ a m$ic>e supplem5tal policy "u section #ahhb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciess71 any o!r heal? plan (f]+ supplem5tal cov]age1 a ,/ate plan "u title ,,xix ( ! ,social ,security ,act1 or ! ,secret>y ( ,def5se "u ! ,,tric>e program1 su* plan1 issu]1 private entity1 o!r heal? plan1 ,/ate plan1 or ,secret>y ( ,def5se1 z applicable1 %all pay to ! ,secret>y1 n lat] ?an #a ye> aft] su* plan1 issu]1 private entity1 o!r heal? plan1 ,/ate plan1 or ,secret>y ( ,def5se receives a notice "u p>agraph 7#c71 su* am\nt 9 accordance ) ?is subsection4 7#b7 ,requir$ in=mation ,n lat] ?an #i mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ea* gr\p heal? plan1 heal? insurance issu]1 private entity1 o!r heal? plan1 ,/ate plan1 & ,secret>y ( ,def5se describ$ 9 p>agraph 7#a7 %all submit to ! ,secret>y su* in=mation z ! ,secret>y det]m9es necess>y = purposes ( c>ry+ out ?is subsection4 ,su* in=mation s submitt$ %all be updat$ by su* plan1 issu]1 private entity1 o!r heal? plan1 ,/ate plan1 or ,secret>y ( ,def5se1 z applicable1 at su* "t & 9 su* mann] z specifi$ by ! ,secret>y4 7#c7 ,review ( claims & notification ,! ,secret>y %all e/abli% a process "u :i* claims = items & s]vices = :i* ! ,secret>y has paid an am\nt pursuant to subsection 7a77#a7 are review$ = purposes ( id5tify+ if su* am\nt w\ld o!rwise h be5 paid by a plan1 issu]1 private entity1 o!r heal? plan1 ,/ate plan1 or ,secret>y ( ,def5se describ$ 9 p>agraph 7#a74 ,9 ! case su* a claim is s id5tifi$1 ! ,secret>y %all det]m9e ! am\nt t w\ld h be5 o!rwise payable by su* plan1 issu]1 private entity1 o!r heal? plan1 ,/ate plan1 or ,secret>y ( ,def5se & notify su* plan1 issu]1 private entity1 o!r heal? plan1 ,/ate plan1 or ,secret>y ( ,def5se ( su* am\nt4 7#d7 ,en=cem5t ,! ,secret>y may impose a civil monet>y p5alty 9 an am\nt det]m9$ appropriate by ! ,secret>y 9 ! case ( a plan1 issu]1 private entity1 o!r heal? plan1 or ,/ate plan t fails to comply ) a provision ( ?is section4 ,! provisions ( section #aabh;,a ( ! ,social ,security ,act %all apply to a civil monet>y p5alty impos$ "u ! previ\s s5t5ce 9 ! same mann] z su* provisions apply to a p5alty or proce$+ "u subsection 7a7 or 7b7 ( su* section4 7d7 ,fund+ ,! ,secret>y %all provide = ! transf] to ! ,c5t]s = ,m$ic>e ,m$icaid ,program ,managem5t ,acc\nt f ! ,f$]al ,hospital ,insurance ,tru/ ,fund & ! ,f$]al ,supplem5t>y ,m$ical ,tru/ ,fund 79 su* portions z ! ,secret>y det]m9es appropriate7 #ajj1jjj1jjj = purposes ( c>ry+ out ?is section4 7e7 ,report ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices %all submit to ,congress a report conta9+ an analysis ( am\nts paid pursuant to subsection 7a77#a7 comp>$ to am\nts paid to ! ,secret>y pursuant to subsection 7c74 7f7 ,implem5tation ,not)/&+ any o!r provision ( law1 ! ,secret>y may implem5t ! provisions ( ?is section by program in/ruction or o!rwise4