,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #gabg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #h1 #bjbj ,mr4  
,butt]field 7= himself & ,mr4 ,mull97   
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$  ,a
 ,,bill  ,to am5d title ,,xviii ( !     
,social ,security ,act to make te*nical 
am5dm5ts to ! sep>ate paym5t "u !       
,m$ic>e program = disposable negative   
pressure w\nd !rapy devices4  #a4       
,te*nical am5dm5ts to ,m$ic>e sep>ate   
paym5t = disposable negative pressure   
w\nd !rapy devices  7a7 ,9 g5]al        
,section #ahcd7s7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7s77 is       
am5d$-- 7#a7 9 p>agraph 7#a71 by add+ at
 ! end ! foll[+ new s5t5ce3 ,su* sep>ate
 paym5t %all be a national paym5t rate  
e/abli%$ ea* ye> = ! applicable         

disposable device itself1 & n = ! relat$
 pr(essional s]vices or home visit to   
furni% ! device1 & %all be made "u !    
prospective paym5t sy/em e/abli%$ "u    
section #ahie1 z an add-on paym5t = !   
device 9 addition to o!r paym5ts        
available to a home heal? ag5cy "u su*  
section42  7#b7 9 p>agraph 7#c71 by add+
 at ! end ! foll[+ new s5t5ces3 ,9      
calculat+ ! sep>ate paym5t am\nt =      
applicable disposable devices 9 a giv5  
ye>1 ! ,secret>y %all assume no facility
 level adju/m5ts are appli$ & ! wage    
adju/m5t factor %all be #a4j1 reg>dless 
( ! wage adju/m5t factor t w\ld o!rwise 
apply "u section #ahcc7t74 ,! sep>ate   
paym5t = ! applicable disposable device 
%all be made "u ! prospective paym5t    
sy/em e/abli%$ "u section #ahie1 & no?+ 
9 ?is p>agraph %all be con/ru$ to       
au?orize ! sep>ate paym5t = ! applicable
 disposable device to be "u a diff]5t   
paym5t sy/em42 &  7#c7 by add+ at ! end 
! foll[+ new p>agraph3  7#d7            
,implem5tation ,z "p ( submitt+ claims  

eligible = or relat$ to ! sep>ate add-on
 paym5t e/abli%$ "u ?is subsection1 !   
,secret>y %all accept & process claims  
submitt$ us+ ! type ( bill t is mo/     
commonly us$ by home heal? ag5cies to   
bill s]vices "u a home heal? plan ( c>e1
 & ! ,secret>y %all n require home heal?
 ag5cies to acc\nt = ! "t sp5t apply+ ! 
applicable disposable device sep>ately f
 ! "t sp5t treat+ o!r conditions or to  
submit claims = paym5t "u a paym5t sy/em
 o!r ?an ! prospective paym5t sy/em     
e/abli%$ "u section #ahie4  4  7b7      
,regulations ,n lat] ?an #ahj days aft] 
! date ( ! enactm5t ( ?is ,act1 !       
,secret>y ( ,heal? & ,human ,s]vices    
%all promulgate int]im f9al regulations 
implem5t+ ! provisions (1 includ+       
am5dm5ts made by1 subsection 7a74