,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bija  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ai1 #bjai    
,ms4 ,coll9s 7= h]self & ,mrs4 ,%ahe57  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to e/abli% )9 !    
,(fice ( ! ,secret>y ( ,heal? & ,human  
,s]vices a special task =ce on ensur+   
,m$ic>e b5efici>y access to innovative  
diabetes te*nologies & s]vices4  #a4    
,%ort title  ,?is ,act may be cit$ z !  
,improv+ ,m$ic>e ,b5efici>y ,access to  
,innovative ,diabetes ,te*nologies ,act 
( #bjai4  #b4 ,e/abli%m5t ( ,,hhs ,task 
,=ce on cov]age & paym5t = innovative   
diabetes te*nologies & s]vices  7a7     
,def9itions ,9 ?is section3 7#a7 ,,cms  
,! t]m ,,cms means ! ,c5t]s = ,m$ic>e   
,m$icaid ,s]vices4  7#b7 ,,fda ,! t]m   
,,fda means ! ,food & ,drug             
,adm9i/ration4  7#c7 ,innovative        
diabetes te*nologies & s]vices ,! t]m   
innovative diabetes te*nologies &       
s]vices means m$ical te*nologies &      

s]vices = ! treatm5t & managem5t (      
diabetes = :i* cov]age is n available "u
 ! ,m$ic>e fee-=-s]vice program4  7#d7  
,m$ic>e ,! t]m ,m$ic>e means ! program (
 heal? insurance = ! ag$ & disabl$      
e/abli%$ "u title ,,xviii ( ! ,social   
,security ,act4  7#e7 ,m$ic>e b5efici>y 
,! t]m ,m$ic>e b5efici>y means an       
individual :o is entitl$ to b5efits "u  
"p ,a ( title ,,xviii ( ! ,social       
,security ,act1 or enroll$ "u "p ,b (   
su* title1 or bo?4  7#f7 ,secret>y ,!   
t]m ,secret>y means ! ,secret>y ( ,heal?
 & ,human ,s]vices4  7b7 ,e/abli%m5t2   
mission  7#a7 ,e/abli%m5t ,!re is       
e/abli%$ )9 ! ,(fice ( ! ,secret>y !    
,task ,=ce on ,innovative ,diabetes     
,te*nologies & ,s]vices 79 ?is section  
ref]r$ to z ! ,task ,=ce74  7#b7        
,mission ,! mission ( ! ,task ,=ce is   
to-- 7,a7 advise ! ,secret>y ) respect  
to accessibility to innovative diabetes 
te*nologies & s]vices "u ,m$ic>e2  7,b7 
make recomm5dations to support curr5t & 
future access to innovative diabetes    

te*nologies & s]vices "u ,m$ic>e2 &     
7,c7 recomm5d *anges to ,m$ic>e to      
ensure appropriate access by ,m$ic>e    
b5efici>ies to su* innovative diabetes  
te*nologies & s]vices4  7c7 ,memb]%ip   
7#a7 ,appo9tm5t ,! ,secret>y %all appo9t
 individuals ) relevant exp]tise to !   
,task ,=ce1 :i* %all include ! foll[+   
vot+ memb]s3  7,a7 ,,cms (ficials  7i7  
,! ,director ( ! ,c5t] = ,m$ic>e4  7ii7 
,n m ?an #b additional (ficials or s5ior
 /aff ( ,,cms z ! ,secret>y may specify4
  7,b7 ,b5efici>y ombudsman ,! ,m$ic>e  
,b5efici>y ,ombudsman4  7,c7            
,ph>maceutical & ,te*nology ,ombudsman  
,! ,m$ic>e ,ph>maceutical & ,te*nology  
,ombudsman4  7,d7 ,,fda (ficials ,n m   
?an #b (ficials or s5ior /aff f !       
,diabetes ,bran* ( ! ,c5t] = ,devices & 
,radiological ,heal? ( ,,fda z !        
,commission] ( ,food & ,drugs may       
specify4  7,e7 ,pati5t gr\ps            
,repres5tatives (-- 7i7 ,m$ic>e         
b5efici>ies2  7ii7 individuals enroll$  
"u a ,/ate plan "u title ,,xix ( !      

,social ,security ,act 7or a waiv] ( su*
 a plan72 &  7iii7 individuals n        
describ$ 9 clause 7i7 or 7ii7 :o h a    
diagnosis ( diabetes4  7,f7 ,heal? c>e  
provid]s ,repres5tatives ( provid]s (   
s]vices1 physicians1 & practition]s :o  
treat individuals ) a diagnosis (       
diabetes4  7,g7 ,manufactur]s           
,repres5tatives ( manufactur]s (        
diabetes te*nologies1 includ+ innovative
 diabetes te*nologies & s]vices4  7#b7  
,co-*airs  7,a7 ,9 g5]al ,( ! memb]s ( !
 ,task ,=ce-- 7i7 "o co-*air %all be !  
,director ( ! ,c5t] = ,m$ic>e2 &  7ii7  
"o co-*air %all be designat$ by !       
,secret>y f among vot+ memb]s appo9t$ "u
 subp>agraph 7,e71 7,f71 or 7,g7 (      
p>agraph 7#a74  7,b7 ,rotation (        
non-gov]nm5t co-*air ,! ,secret>y %all  
rotate designations ( co-*airs "u       
subp>agraph 7,a77ii7 f among vot+ memb]s
 appo9t$ "u subp>agraph 7,e71 7,f71 or  
7,g7 ( p>agraph 7#a74  7,c7 ,t]m (      
s]vice = non-gov]nm5t co-*air ,ea*      
co-*air designat$ "u subp>agraph        

7,a77ii7 %all s]ve a t]m ( #b ye>s4     
7#c7 ,comp5sation  7,a7 ,9 g5]al ,except
 z provid$ 9 subp>agraph 7,b71 memb]s ( 
! ,task ,=ce %all s]ve )\t comp5sation4 
7,b7 ,travel exp5ses ,a memb] ( ! ,task 
,=ce may be all[$ travel exp5ses1       
includ+ p] diem 9 lieu ( subsi/5ce1 at  
rates au?oriz$ = an employee ( an ag5cy 
"u sub*apt] ,i ( *apt] #eg ( title #e1  
,unit$ ,/ates ,code1 :ile away f ! home 
or regul> place ( bus9ess ( ! memb] 9 ! 
p]=mance ( ! duties ( ! ,task ,=ce4  7d7
 ,meet+s ,! ,secret>y %all conv5e !     
,task ,=ce n less frequ5tly ?an #d times
 ea* ye>4 ,! ,secret>y %all conv5e !    
fir/ meet+ ( ! ,task ,=ce no lat] ?an   
,july #a1 #bjbj4  7e7 ,duties ,! ,task  
,=ce %all c>ry out ! foll[+ duties3 7#a7
 ,id5tification ( innovative diabetes   
te*nologies & s]vices ,! ,task ,=ce     
%all--  7,a7 id5tify innovative diabetes
 te*nologies & s]vices = ! treatm5t (   
type ,i diabetes1 type ,,ii diabetes1 or
 bo?1 t are 9 developm5t or t h be5     
cle>$ or approv$ by ,,fda & t are :olly 

or p>tially inaccessible to ,m$ic>e     
b5efici>ies ) diabetes "u ,m$ic>e2  7,b7
 develop & consid] possible alt]native  
approa*es to enable ,m$ic>e b5efici>ies 
to access innovative diabetes           
te*nologies & s]vices2 &  7,c7 det]m9e  
:e!r ! exi/+ adm9i/rative sy/ems1 b5efit
 categories1 & cov]age1 cod+ & paym5t   
policies "u ,m$ic>e w\ld provide or     
imp$e access to1 & appropriate paym5t =1
 innovative diabetes te*nologies &      
s]vices4  7#b7 ,analysis ( access       
disp>ities  7,a7 ,private payor policies
 ,! ,task ,=ce %all review cov]age      
policies develop$ by private payors =   
innovative diabetes te*nologies &       
s]vices & det]m9e :e!r disp>ities exi/  
betwe5 pati5ts ) diabetes insur$ by     
private payors z comp>$ to ,m$ic>e      
b5efici>ies ) diabetes4  7,b7 ,case     
/udies ,! ,task ,=ce %all recomm5d to ! 
,secret>y ! developm5t ( real-_w pati5t 
case /udies & heal? c>e provid] case    
/udies t id5tify b>ri]s to access1 &    
access disp>ities1 "u ,m$ic>e ) respect 

to innovative diabetes te*nologies &    
s]vices4  7#c7 ,id5tification ( *anges 9
 relevant ,,fda approval & ,,cms cov]age
 policies  7,a7 ,,cms regulatory b>ri]s 
to cov]age ,! ,task ,=ce %all-- 7i7     
id5tify all ! categories ( items &      
s]vices = :i* cov]age is available "u   
,m$ic>e :e!r e/abli%$ by title ,,xviii (
 ! ,social ,security ,act or o!rwise 79 
?is section ref]r$ to z b5efit          
categories7 t may be us$ to provide =   
cov]age ( diabetes te*nologies &        
s]vices1 includ+ innovative diabetes    
te*nologies & s]vices2  7ii7 review     
regulations & subregulatory guidance = !
 b5efit categories id5tifi$ "u clause   
7i7 to id5tify policies t limit cov]age 
(1 & paym5t =1 diabetes te*nologies &   
s]vices "u ,m$ic>e1 especially          
innovative diabetes te*nologies &       
s]vices2 &  7iii7 recomm5d specific     
*anges to su* regulations &             
subregulatory guidance to provide =     
cov]age (1 & paym5t =1 innovative       
diabetes te*nologies & s]vices "u       

,m$ic>e4  7,b7 ,int]ag5cy collaboration 
,! ,task ,=ce %all id5tify /rategies to 
improve collaboration betwe5 ,,fda &    
,,cms t facilitate exp$iti\s cle>ance or
 approval ( innovative diabetes         
te*nologies & s]vices by ,,fda &        
exp$iti\s cov]age ( innovative diabetes 
te*nologies & s]vices "u ,m$ic>e4  7#d7 
,id5tification ( /rategies to support   
cov]age ( innovative diabetes           
te*nologies & s]vices ,! ,task ,=ce %all
 id5tify /rategies n o!rwise describ$ 9 
?is subsection to facilitate access to  
innovative diabetes te*nologies &       
s]vices by ,m$ic>e b5efici>ies z well z 
by o!r pati5ts & _! heal? c>e provid]s4 
7f7 ,recomm5dations ,n less frequ5tly   
?an annually1 ! ,task ,=ce %all make    
recomm5dations to ! ,secret>y ) respect 
to--  7#a7 exi/+ b5efit categories "u   
:i* innovative diabetes te*nologies &   
s]vices %\ld be cov]$2  7#b7 legislative
 *anges to title ,,xviii ( ! ,social    
,security ,act & adm9i/rative *anges to 
regulations promulgat$ & subregulatory  

guidance issu$ ) respect to exi/+ b5efit
 categories t are necess>y to provide = 
cov]age (1 & paym5t =1 innovative       
diabetes te*nologies & s]vices2  7#c7   
elim9ation ( o!r unnecess>y burd5s t    
imp$e cov]age (1 & paym5t =1 innovative 
diabetes te*nologies & s]vices "u       
,m$ic>e2  7#d7 proposals = a new ,m$ic>e
 b5efit category to provide = cov]age ( 
innovative diabetes te*nologies &       
s]vices t _c o!rwise be cov]$ ?r\gh     
adm9i/rative *anges to regulations &    
subregulatory guidance = exi/+ b5efit   
categories1 & specifications = any new  
b5efit category2 &  7#e7 proposals to   
/reaml9e int]ag5cy adm9i/rative         
processes ?r\gh great] collaboration    
betwe5 ,,fda & ,,cms to facilitate      
prompt approval or cle>ance & cov]age "u
 ,m$ic>e ( innovative diabetes          
te*nologies & s]vices = ,m$ic>e         
b5efici>ies ) diabetes4  7g7 ,response  
7#a7 ,9 g5]al ,) respect to ea*         
recomm5dation made by ! ,task ,=ce "u   
subsection 7f71 n lat] ?an #ij days aft]

 ! date ( receipt ( ea* su*             
recomm5dation1 ! ,secret>y %all make a  
det]m9ation :e!r to implem5t or reject !
 recomm5dation4  7#b7 ,implem5tation ,9 
! case ( a det]m9ation by ! ,secret>y to
 implem5t a recomm5dation "u p>agraph   
7#a71 ! ,secret>y %all provide ! ,task  
,=ce ) a plan = su* implem5tation1      
includ+ specific details ab\t & a       
timetable = ! implem5tation4  7#c7      
,rejection ,9 ! case ( a det]m9ation by 
! ,secret>y to reject a recomm5dation "u
 p>agraph 7#a71 ! ,secret>y %all provide
 ! ,task ,=ce )--  7,a7 a detail$       
explanation ( ! rationale = !           
det]m9ation2 &  7,b7 recomm5dations =   
alt]native policies = consid]ation by ! 
,task ,=ce4  7h7 ,report ,! ,secret>y   
%all submit an annual report to         
,congress t describes ! activities ( !  
,task ,=ce = ! ye> involv$4 ,ea* su*    
report %all include su* recomm5dations =
 improv+ access to innovative diabetes  
te*nologies & s]vices z ! ,task ,=ce    
det]m9es appropriate4  7i7 ,application 

( ,,faca ,! ,f$]al ,advisory ,committee 
,act 7#e ,u4,s4,c4 ,app471 o!r ?an      
section #ad ( su* ,act1 %all apply to ! 
,task ,=ce4  7j7 ,rule ( con/ruction ,! 
delib]ations ( ! ,task ,=ce %all n be   
con/ru$ z int]f]+ ) or imp$+ any        
decision1 det]m9ation1 rulemak+1 or     
issuance ( subregulatory guidance by !  
,secret>y t provides = cov]age (1 &     
paym5t =1 innovative diabetes           
te*nologies & s]vices4