,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #ghci  ,,in ,,the ,,house ,,of  
,,representatives  ,july #bi1 #bjbj,ms4 
,matsui 7for herself and ,mr4 ,brady7   
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  ,a ,,bill  ,to     
amend the ,medicare ,,ivig ,access and  
,strengthening ,medicare and ,repaying  
,taxpayers ,act of #bjab to extend the  
,medicare ,patient ,,ivig ,access       
,demonstration ,project4  #a4 ,short    
title ,this ,act may be cited as the    
,continuing ,access to ,in-,home ,,ivig 
,act4  #b4 ,extension of ,medicare      
patient ,,ivig access demonstration     
project  7a7 ,extension of demonstration
 project ,section #aja7;b7 of the       
,medicare ,,ivig ,access and            

,strengthening ,medicare and ,repaying  
,taxpayers ,act of #bjab 7#db ,u4,s4,c4 
#aciea note7 is amended-- 7#a7 by       
striking paragraph 7#a7 and inserting   
the following3  7#a7 ,duration          
,beginning not later than one year after
 the date of enactment of this ,act1 the
 ,secretary shall conduct the           
demonstration project for a period of #c
 years and1 subject to the availability 
of funds under subsection 7g71 the      
period beginning on ,october #a1 #bjag1 
and ending on ,december #ca1 #bjbb4  2  
and  7#b7 in paragraph 7#b7-- 7,a7 by   
striking #d1jjj and inserting #f1ejj2   
and  7,b7 by striking #bjbj and         
inserting #bjbb4  7b7 ,updated          
evaluation and report ,section #aja7;f7 
is amended-- 7#a7 by redesignating      
paragraph 7#b7 as paragraph 7#c72 and   
7#b7 by inserting after paragraph 7#a7  
the following new paragraph3  7#b7      
,updated evaluation and report ,not     
later than one year after the date of   
the enactment of the ,continuing ,access

 to ,in-,home ,,ivig ,act1 the          
,secretary shall submit to ,congress an 
updated report that contains the        
following3 7,a7 ,the total number of    
beneficiaries enrolled in the           
demonstration project during the updated
 report period4  7,b7 ,the total number 
of claims submitted for services during 
the updated report period1 disaggregated
 by month4  7,c7 ,an analysis of the    
impact of the demonstration on          
beneficiary access to the in-home       
administration of intravenous immune    
globin1 including the impact on         
beneficiary health and well-being4  7,d7
 ,an analysis of the impact of in-home  
administration of intravenous immune    
globin on overall costs to ,medicare1   
including the cost differential between 
in-home administration of intravenous   
immune globin and administration of     
intravenous immune globin in a          
healthcare facility4  7,e7 ,a survey of 
providers and enrolled beneficiaries    
that participated in the demonstration  

project that identifies barriers to     
accessing services1 including           
reimbursement for items and services4   
7,f7 ,recommendations to ,congress on   
the appropriateness of establishing a   
permanent bundled services payment for  
the in-home administration of           
intravenous immune globin for ,medicare 
beneficiaries4  4  7c7 ,definition of   
updated report period ,section #aja7;h7 
is amended by adding at the end the     
following new paragraph3  7#d7 ,updated 
report period ,the term updated report  
period means the period beginning on    
,october #a1 #bjad1 and ending on       
,september #cj1 #bjbj4  4