,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bgea  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #cj1 #bjai,mr4 
,cornyn 7= himself1 ,ms4 ,s9ema1 ,mrs4  
,hyde-,smi?1 & ,mr4 ,jones7 introduc$ ! 
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to improve access to     
innovative new m$ical devices furni%$ to
 individuals ) end /age r5al disease "u 
"p ,b ( ! ,m$ic>e program by e/abli%+ a 
new device add-on paym5t adju/m5t "u su*
 "p4  #a4 ,%ort title ,?is ,act may be  
cit$ z ! ,pati5t ,access to ,,esrd ,new 
,innovative ,devices ,act4  #b4 ,f9d+s  
,congress f9ds ! foll[+3 7#a7 ,!re are  
approximately #djj1jjj ,m$ic>e          
b5efici>ies ) end-/age r5al disease1    
mak+ up #a p]c5t ( ! ,m$ic>e population 
b acc\nt+ = approximately #g p]c5t ( all
 ,m$ic>e sp5d+4  7#b7 ,expect$ rema9+   
lifetime = dialysis pati5ts "u #hj ye>s 
old is "o-?ird z long z _! c\nt]p>ts )\t
 ,,esrd1 & = dialysis pati5ts ov] #hj   

ye>s old1 x is "o-half z long z t ( _!  
c\nt]p>ts )\t ,,esrd4  7#c7 ,on av]age1 
hemodialysis pati5ts are hospitaliz$    
ne>ly twice p] ye> & ab\t #cj p]c5t h an
 unplann$ rehospitalization )9 ! #cj    
days foll[+ dis*>ge1 contribut+ to high 
co/s = treat+ ,,esrd ,m$ic>e            
b5efici>ies4  7#d7 ,!re is a lack (     
innovative new devices = ,,esrd ,m$ic>e 
b5efici>ies1 9 "p because ( ! lack (    
reimbursem5t inc5tives = novel devices4 
#c4 ,increas+ pati5t access to          
innovative devices = ! treatm5t ( ,,esrd
 ,z "p ( ! promulgation ( ! annual rule 
= ! ,m$ic>e end /age r5al disease       
prospective paym5t sy/em "u section     
#ahha7;b77#ad7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acierr7b77#ad77 =  
cal5d> ye> #bjba1 ! ,secret>y ( ,heal? &
 ,human ,s]vices 79 ?is section ref]r$  
to z ! ,secret>y7 %all e/abli% a process
 to provide--  7#a7 a #c-ye> tempor>y   
add-on paym5t adju/m5t = a new m$ical   
device approv$ by ! ,food & ,drug       
,adm9i/ration "u section #eac7;f77#b7 or

 section #eae ( ! ,f$]al ,food1 ,drug1 &
 ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;c1  
#cfj;e7 on or aft] ,janu>y #a1 #bjbj1 t 
provides mean+ful cl9ical improvem5t &  
is furni%$ to a b5efici>y = ! diagnosis1
 treatm5t1 or managem5t ( end /age r5al 
disease2 &  7#b7 = su* adju/m5t to be   
implem5t$ 9 a nonbudget neutral mann] "u
 section #ahha7;b77#ad74