,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bhdf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ac1 #bjai,mr4
 ,isakson 7= himself & ,mr4 ,br[n7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to provide =
 ! cont9u+ requirem5t ( ,m$icaid cov]age
 ( nonem]g5cy transportation to m$ically
 necess>y items & s]vices1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,protect+ ,pati5ts         
,transportation to ,c>e ,act4  #b4      
,cont9u+ requirem5t ( m$icaid cov]age ( 
nonem]g5cy transportation to m$ically   
necess>y items & s]vices  7a7           
,requirem5t ,section #aijb7;a77#aj7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#aj77 is am5d$--  7#a7 9     
subp>agraph 7,a71 9 ! matt] prec$+      
clause 7i71 by /rik+ & 7#bi7 & ins]t+ 1 
7#bi71 & 7#cj72 &  7#b7 9 subp>agraph   
7,c77iv71 by /rik+ & 7#ag7 & ins]t+ 1   
7#ag71 & 7#cj74  7b7 ,description (     

items & s]vices ,section #aije ( su*    
,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 
7#a7 9 subsection 7a7--  7,a7 9 p>agraph
 7#bi71 by /rik+ & at ! end2  7,b7 by   
r$esignat+ p>agraph 7#cj7 z p>agraph    
7#ca72 &  7,c7 by ins]t+ aft] p>agraph  
7#bi7 ! foll[+ new p>agraph3  7#cj7     
subject to subsection 7gg71 nonem]g5cy  
transportation to m$ically necess>y     
items & s]vices1 consi/5t ) ! requirem5t
 ( section #dca4ec ( title #db1 ,code ( 
,f$]al ,regulations1 z 9 effect z (     
,june #a1 #bjai2 &  2 &  7#b7 by add+ at
 ! end ! foll[+ new subsection3  7gg7   
,nonem]g5cy transportation to m$ically  
necess>y items & s]vices  7#a7          
,limitation on ,f$]al f9ancial          
p>ticipation ,not)/&+ any o!r provision 
( ?is title1 to be eligible = f$]al     
f9ancial p>ticipation "u ?is title =    
exp5ses incurr$ z m$ical assi/ance or z 
an adm9i/rative exp5se = nonem]g5cy     
transportation to m$ically necess>y     
items & s]vices describ$ 9 subsection   
7a77#cj71 ! ,/ate ,m$icaid ag5cy ( su*  

,/ate mu/ h 9 place a transportation    
coord9ation plan & utilization managem5t
 guidel9es = ! design & deliv]y (       
nonem]g5cy transportation to m$ically   
necess>y items & s]vices4  7#b7         
,transportation coord9ation plan ,=     
purposes ( p>agraph 7#a71 ! t]m         
transportation coord9ation plan means a 
process t provides & improves-- 7,a7    
access to non-em]g5cy transportation to 
m$ically necess>y items & s]vices to    
improve--  7i7 att5dance at appo9tm5ts =
 ! furni%+ ( items & s]vices = :i*      
m$ical assi/ance is available "u ?is    
title2 &  7ii7 heal? outcomes2 &  7,b7  
coord9ation 9 ! plann+ ( transportation 
s]vices provid$ ) ,f$]al assi/ance1     
includ+ coord9ation ) transportation    
provid]s receiv+ assi/ance "u ?is title 
or f o!r ,f$]al s\rces4  4  7c7         
,int]ag5cy ,transportation ,coord9at+   
,c\ncil on ,access & ,mobility ,!       
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices %all be a memb] ( !   
,int]ag5cy ,transportation ,coord9at+   

,c\ncil on ,access & ,mobility e/abli%$ 
"u ,executive ,ord] ,no4 #acccj 7#di    
,u4,s4,c4 #aja note7 & %all p>ticipate  
fully 9 ! activities ( ! ,c\ncil4  7d7  
,effective date ,! am5dm5ts made by ?is 
section %all take effect on ! date ( !  
enactm5t ( ?is ,act & %all apply to     
transportation on or aft] su* date4