,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #hghj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,novemb] #ah1 #bjbj   
,mr4 ,wald5 7= himself & ,ms4 ,blunt    
,ro*e/]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$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = additional requirem5ts )      
respect to electrodiagno/ic s]vices "u !
 ,m$ic>e program4  #a4 ,additional      
requirem5ts = electrodiagno/ic s]vices  
,section #ahcd ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by 
add+ at ! end ! foll[+ new subsection3  
7x7 ,paym5t = electrodiagno/ic s]vices  
7#a7 ,9 g5]al ,no paym5t may be made "u 
?is "p = electrodiagno/ic s]vices       
describ$ 9 p>agraph 7#b7 furni%$ on or  
aft] a date det]m9$ appropriate by !    

,secret>y t is n less ?an #c ye>s aft] !
 date ( ! enactm5t ( ?is subsection & n 
lat] ?an #d ye>s aft] su* date (        
enactm5t t are n furni%$ at a qualifi$  
facility4  7#b7 ,electrodiagno/ic       
s]vices ,! s]vices describ$ 9 ?is       
p>agraph are ! foll[+3 7,a7 ,n]ve       
conduction /udies4  7,b7 ,ne$le         
electromyography te/s4  7#c7 ,qualifi$  
facility ,9 ?is subsection1 ! t]m       
qualifi$ facility means a facility      
accr$it$ by an organization specifi$ by 
! ,secret>y pursuant to p>agraph 7#d74  
7#d7 ,accr$itation organizations  7,a7  
,9 g5]al ,n lat] ?an #b ye>s aft] ! date
 ( ! enactm5t ( ?is subsection1 !       
,secret>y %all specify "o or m accr$it+ 
organizations1 9 consultation ) !       
advisory committee describ$ 9 p>agraph  
7#e71 = purposes det]m9+ :e!r a facility
 is a qualifi$ facility4 ,! ,secret>y   
may specify an organization pursuant to 
! prec$+ s5t5ce only if su* organization
 requires1 z a condition ( accr$itation 
( a facility by su* organization1 t su* 

facility meet ! requirem5ts describ$ 9  
subp>agraph 7,b74  7,b7 ,facility       
requirem5ts ,! requirem5ts describ$ 9   
?is subp>agraph are1 ) respect to a     
facility & electrodiagno/ic s]vices     
furni%$ at su* facility1 ! foll[+3  7i7 
,! facility e/abli%es & ma9ta9s a       
quality assurance & control program to  
ensure ! reliability1 safety1 & accuracy
 ( su* s]vice4  7ii7 ,! facility ensures
 t su* s]vice is conduct$ us+ a device  
capable ( p]=m+ bo? n]ve conduction     
/udies t record amplitude & lat5cy &    
ne$le electromyography te/s capable (   
real-"t wave=m display & analysis4      
7iii7 ,9 ! case t su* s]vice is a ne$le 
electromyography te/1 ! facility ensures
 t ! physician furni%+ su* te/ has      
complet$ n less ?an ?ree mon?s ( tra9+ 9
 furni%+ electrodiagno/ic s]vices ?r\gh 
a resid5cy or fell[%ip program accr$it$ 
by ! ,accr$itation ,c\ncil = ,graduate  
,m$ical ,education or ! ,royal ,college 
( ,physicians & ,surgeons ( ,canada4    
7iv7 ,! facility ensures t ! results are

 int]pret$ on-site & at ! "t ( !        
proc$ure--  7,i7 9 ! case ( a ne$le     
electromyography te/1 by ! physician :o 
p]=m$ su* te/2 &  7,,ii7 9 ! case ( a   
n]ve conduction /udy1 by ! physician :o 
p]=m$ or sup]vis$ su* /udy4  7v7 ,any   
o!r requirem5t det]m9$ appropriate by ! 
,secret>y4  7,c7 ,regulations ,n lat]   
?an #a ye> aft] ! date ( ! enactm5t (   
?is subsection1 ! ,secret>y %all f9alize
 regulations t outl9e--  7i7 ! process  
by :i* an accr$it+ organization may be  
specifi$ "u subp>agraph 7,a72  7ii7 !   
duration & ! m9imum "t p]iod betwe5     
reviews = reaccr$itation an organization
 s specifi$ mu/ provide = ) respect to  
an accr$itation ( a facility made by su*
 organization2  7iii7 ! process by :i* !
 ,secret>y may )draw approval ( an      
accr$it+ organization s specifi$ if !   
,secret>y det]m9es t su* organization no
 long] requires1 z a condition (        
accr$itation ( a facility by su*        
organization1 t su* facility meet !     
requirem5ts describ$ 9 subp>agraph 7,b72

 &  7iv7 ! effect su* a )drawal w h on  
facilities accr$it$ by su* organization 
z ( ! date ( su* )drawal4  7#e7         
,advisory committee  7,a7 ,9 g5]al ,n   
lat] ?an #b ye>s aft] ! date ( !        
enactm5t ( ?is subsection1 ! ,secret>y  
%all e/abli% an advisory committee to be
 kn[n z ! ,national ,electrodiagno/ic   
,s]vices ,advisory ,committee 79 ?is    
subsection ref]r$ to z ! committee7 =   
purposes ( c>ry+ out ! duties specifi$ 9
 subp>agraph 7,b74  7,b7 ,duties ,!     
duties ( ! committee are ! foll[+3  7i7 
,to provide to ! ,secret>y              
recomm5dations ) respect to requirem5ts 
t may be det]m9$ appropriate by !       
,secret>y pursuant to p>agraph          
7#d77;,b77v71 includ+ any propos$       
additions to su* requirem5ts or         
modifications ( su* requirem5ts4 ,9     
develop+ su* recomm5dations1 ! committee
 %all prioritize-- 7,i7 r$uc+ unnecess>y
 treatm5ts & surg]ies2  7,,ii7 decreas+ 
! ne$ = rete/+ ( individuals2  7,,iii7  
enhanc+ ! reliability ( diagnoses &     

promot+ positive heal? outcomes =       
individuals2  7,,iv7 address+ em]g+     
wa/e1 fraud1 & abuse s*emes2 &  7,v7    
o!rwise improv+ ! quality ( c>e =       
individuals4  7ii7 ,to provide to !     
,secret>y recomm5dations reg>d+ !       
regulations describ$ 9 p>agraph         
7#d77;,c74  7iii7 ,to provide to !      
,secret>y recomm5dations ) respect to   
:e!r accr$it+ organizations seek+ to be 
specifi$ pursuant to p>agraph 7#d77;,a7 
%\ld be s specifi$4  7,c7 ,composition  
,! committee %all be compos$ ( n few]   
?an #i & n m ?an #aa individuals select$
 by ! ,secret>y4 ,su* individuals %all n
 be (fic]s or employees ( ! ,f$]al      
,gov]nm5t & %all include-- 7i7          
physicians2  7ii7 o!r heal? c>e         
practition]s2 &  7iii7 o!r individuals  
det]m9$ appropriate by ! ,secret>y4     
7,d7 ,meet+s ,! committee %all conv5e n 
less ?an twice ea* ye>4  4