,,ii #aaf? ,,congress #a/ ,session ,s4 #bbdf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #bd1 #bjai,mr4 ,moran introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d titles ,,xviii & ,,xix ( ! ,social ,security ,act to provide equal cov]age ( 9 vitro specific ,ig,e te/s & p]cutane\s te/s = all]gies "u ! ,m$ic>e & ,m$icaid programs1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,all]gy ,te/+ ,access ,act ( #bjai4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,all]gies1 :5 n prop]ly diagnos$1 _c be effectively treat$4 7#b7 ,all]gies to food1 inhal$ p>ticles1 or o!r s\rces c cause debilitat+ &1 9 "s cases1 fatal reactions4 7#c7 ,all]gies c sub/antially comp\nd o!r illnesses1 includ+ a/hma1 emphysema1 & adult ob/ructive pulmon>y diseases1 lead+ to social & economic co/s = families & our ,nation's heal? c>e sy/em4 7#d7 ,accord+ to cl9ical guidel9es f ! ,national ,in/itutes ( ,heal? & recomm5dations f pe]-review$ lit]ature1 9 vitro specific ,ig,e te/s & p]cutane\s te/s are consid]$ equival5t z confirmatory te/s 9 t]ms ( _! s5sitivity & accuracy4 7#e7 ,despite ^! recomm5dations1 "s curr5t ,m$ic>e local cov]age det]m9ations & ,m$icaid cov]age policies d5y equal access to 9 vitro specific ,ig,e te/s & p]cutane\s te/s4 7#f7 ,9 vitro specific ,ig,e te/s & p]cutane\s te/s mu/ be equally accessible = cl9icians & pati5ts to improve heal? outcomes1 r$uce sy/em co/s1 & r$uce curr5t heal? c>e disp>ities caus$ by ! lack ( equal cov]age4 #c4 ,m$icaid cov]age = all]gy diagno/ic te/+ s]vices 7a7 ,9 g5]al ,title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 is am5d$-- 7#a7 9 section #aijb7;a7-- 7,a7 9 p>agraph 7#he71 by /rik+ & at ! end2 7,b7 9 p>agraph 7#hf71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by ins]t+ aft] p>agraph 7#hf7 ! foll[+ new p>agraph3 7#hg7 provide1 ) respect to ! provision ( all]gy diagno/ic te/+ s]vices 7z def9$ 9 section #aije7;ff77 "u ! ,/ate plan1 = equality 9 ! treatm5t ( 9 vitro specific ,ig,e te/s & p]cutane\s te/s ) respect to-- 7,a7 any m$ical necessity or o!r cov]age requirem5ts e/abli%$ = su* 9 vitro specific ,ig,e & p]cutane\s te/s2 7,b7 any frequ5cy limits e/abli%$ = su* te/s2 & 7,c7 any all]g5 unit limits e/abli%$ = su* te/s4 2 & 7#b7 9 section #aije-- 7,a7 9 subsection 7r7-- 7i7 by r$esignat+ p>agraph 7#e7 z p>agraph 7#f72 & 7ii7 by ins]t+ aft] p>agraph 7#d7 ! foll[+ new p>agraph3 7#e7 ,all]gy diagno/ic te/+ s]vices 7z def9$ 9 subsection 7ff774 2 & 7,b7 by add+ at ! end ! foll[+ new subsection3 7ff7 ,all]gy diagno/ic te/+ s]vices def9$ ,! t]m all]gy diagno/ic te/+ s]vices means 9 vitro specific ,ig,e te/s & p]cutane\s te/s t-- 7#a7 h be5 cle>$ "u section #eja7k71 classifi$ "u section #eac7;f77#b71 or approv$ "u section #eae ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act2 & 7#b7 are provid$ to individuals = ! purpose ( evaluat+ immunologic response to c]ta9 antig5s4 4 7b7 ,effective date 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! am5dm5ts made by ?is section %all apply ) respect to items & s]vices provid$ on or aft] ,janu>y #a1 #bjba4 7#b7 ,exception = ,/ate legislation ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 t ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 9 ord] = ! respective plan to meet any requirem5t impos$ by am5dm5ts made by ?is section1 ! respective plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet su* an additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( ! enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 #d4 ,m$ic>e cov]age = all]gy diagno/ic te/+ s]vices 7a7 ,cov]age ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$-- 7#a7 9 subsection 7s77#b7-- 7,a7 9 subp>agraph 7,,gg71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,,hh71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,,ii7 all]gy diagno/ic te/+ s]vices 7z def9$ 9 subsection 7kkk772 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7kkk7 ,all]gy diagno/ic te/+ s]vices 7#a7 ,9 g5]al ,! t]m all]gy diagno/ic te/+ s]vices means 9 vitro specific ,ig,e te/s & p]cutane\s te/s-- 7,a7 t h be5 cle>$ "u section #eja7k71 classifi$ "u section #eac7;f77#b71 or approv$ "u section #eae ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act2 & 7,b7 :i* are furni%$ to individuals = ! purpose ( evaluat+ immunologic response to c]ta9 antig5s1 z det]m9$ appropriate by ! practition] ord]+ su* te/4 7#b7 ,equal access to te/+ me?ods ,! ,secret>y %all ensure equality 9 ! treatm5t ( 9 vitro specific ,ig,e te/s & p]cutane\s te/s describ$ 9 p>agraph 7#a7 ) respect to-- 7,a7 any m$ical necessity or o!r cov]age requirem5ts e/abli%$ = su* 9 vitro specific ,ig,e & p]cutane\s te/s2 7,b7 any frequ5cy limits e/abli%$ = su* te/s2 & 7,c7 any all]g5 unit limits e/abli%$ = a ye> = su* te/s4 4 7b7 ,paym5t ,section #ahcd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7x7 ,all]gy diagno/ic te/+ s]vices ,= purposes ( paym5t only1 9 ! case ( all]gy diagno/ic te/+ s]vices 7z def9$ 9 section #ahfa7kkk77-- 7#a7 9 vitro specific ,ig,e te/s %all be treat$ z cl9ical diagno/ic laboratory te/s2 & 7#b7 p]cutane\s te/s %all be treat$ z physicians' s]vices4 4 7c7 ,effective date ,! am5dm5ts made by ?is section %all apply ) respect to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjba4