,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aidh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bd1 #bjai,mr4   
,?une 7= himself & ,mr4 ,c>p]7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,f9ance  ,a   
,,bill  ,to am5d ! ,int]nal ,rev5ue     
,code ( #aihf to p]mit high-d$uctible   
heal? plans to provide *ronic disease   
prev5tion s]vices to plan enrollees     
prior to satisfy+ _! plan d$uctible4    
#a4 ,%ort title2 f9d+s  7a7 ,%ort title 
,?is ,act may be cit$ z ! ,*ronic       
,disease ,managem5t ,act ( #bjai4  7b7  
,f9d+s ,congress f9ds ! foll[+3 7#a7 ,a 
small numb] ( *ronic diseases acc\nt = !
 majority ( heal? c>e sp5d+ 9 ! ,unit$  
,/ates4  7#b7 ,! ,(fice ( ! ,assi/ant   
,secret>y = ,heal? ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices us$ a          
delib]ative process involv+ ! ,multiple 
,*ronic ,conditions work+ gr\p subject  
matt] exp]ts 9 cl9ical m$ic9e1          
epidemiology1 & public heal? to develop 
a li/ ( #bj *ronic conditions t are     

preval5t & pot5tially am5able to public 
heal? or cl9ical int]v5tions1 or a      
comb9ation ( bo?4  7#c7 ,limit$ & t>get$
 int]v5tions = _m *ronic diseases prev5t
 ! ne$ = additional1 m co/ly !rapies    
associat$ ) untreat$ or unmanag$ *ronic 
diseases t lead to adv]se effects on    
quality ( life = pati5ts4  7#d7 ,^!     
types ( *ronic c>e prev5tive s]vices    
%\ld be enc\rag$ to maximize !          
effectiv5ess & positive outcomes ( ! c>e
 provid$ "u high-d$uctible heal? plans4 
7#e7 ,section #bbc7;c77#b77;,c7 ( !     
,int]nal ,rev5ue ,code ( #aihf          
explicitly grants ! ,secret>y ( !       
,treasury flexibility 9 def9+ ! scope ( 
prev5tive c>e = purposes ( ! prev5tive  
c>e safe h>bor4 ,z ( ! date (           
introduction ( ?is ,act1 ! ,secret>y ( !
 ,treasury has refra9$ f ex]cis+ exi/+  
au?ority "u su* section to exp& !       
prev5tive c>e safe h>bor to include     
*ronic disease prev5tion4  7#f7 ,9 !    
abs5ce ( an expansion ( ! prev5tive c>e 
safe h>bor by ! ,secret>y ( ! ,treasury1

 ! ,*ronic ,disease ,managem5t ,act (   
#bjai w\ld expressly p]mit              
high-d$uctible heal? plans to provide   
*ronic disease prev5tion & treatm5t1    
subject to c]ta9 limitations1 prior to a
 plan enrollee hav+ met _! plan         
d$uctible4  7#g7 ,all[+ heal? sav+s     
acc\nt-eligible high-d$uctible heal?    
plans to cov] *ronic disease prev5tion &
 treatm5t on a pre-d$uctible basis      
promotes ! concept ( ,value-,bas$       
,insurance ,design1 :i* is an effective 
tool to improve ! quality & r$uce ! co/ 
( c>e = ,am]icans ) *ronic diseases1 )  
improv$ outcomes via increas$ m$ication 
adh]5ce1 r$uc$ complications1 & decreas$
 em]g5cy dep>tm5t visits4  #b4 ,*ronic  
disease prev5tion  7a7 ,9 g5]al ,section
 #bbc7;c77#b7 ( ! ,int]nal ,rev5ue ,code
 ( #aihf is am5d$ by r$esignat+         
subp>agraph 7,d7 z subp>agraph 7,e7 & by
 ins]t+ aft] subp>agraph 7,c7 ! foll[+  
new subp>agraph3  7,d7 ,safe h>bor =    
abs5ce ( d$uctible = c>e relat$ to      
*ronic conditions ,a plan %all n fail to

 be treat$ z a high-d$uctible heal? plan
 by reason ( fail+ to h a d$uctible =   
c>e relat$ to ! treatm5t ( any *ronic   
condition1 z det]m9$ by ! ,assi/ant     
,secret>y = ,heal? ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices4  4  7b7       
,effective date ,! am5dm5ts made by ?is 
section %all apply to cov]age = mon?s   
beg9n+ aft] ! date ( ! enactm5t ( ?is   
,act4