,,ii  #aafth ,,congress  #b;d ,session  
,s4 #cbjj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,january #ae1  
#bjbj,mr4 ,thune 7for himself1 ,mr4     
,carper1 ,mr4 ,cramer1 ,ms4 ,smith1 ,ms4
 ,mc,sally1 and ,ms4 ,sinema7 introduced
 the following bill2 which was read     
twice and referred to the ,committee on 
,finance  ,a ,,bill  ,to amend the      
,internal ,revenue ,code of #aihf to    
permit high deductible health plans to  
provide chronic disease prevention      
services to plan enrollees prior to     
satisfying their plan deductible4  #a4  
,short title ,this ,act may be cited as 
the ,chronic ,disease ,management ,act  
of #bjbj4  #b4 ,chronic disease         
prevention  7a7 ,in general ,section    
#bbc7;c77#b7 of the ,internal ,revenue  
,code of #aihf is amended by            
redesignating subparagraph 7,d7 as      
subparagraph 7,e7 and by inserting after
 subparagraph 7,c7 the following new    
subparagraph3  7,d7 ,preventive care    
services and items for chronic          

conditions ,for purposes of subparagraph
 7,c71 preventive care shall include any
 service or item used to treat an       
individual with a chronic condition if--
  7i7 such service or item is low-cost1 
7ii7 in regards to such service or item1
 there is medical evidence supporting   
high cost efficiency of preventing      
exacerbation of the chronic condition or
 the development of a secondary         
condition1 and  7iii7 there is a strong 
likelihood1 documented by clinical      
evidence1 that with respect to the class
 of individuals utilizing such service  
or item1 the specific service or use of 
the item will prevent the exacerbation  
of the chronic condition or the         
development of a secondary condition    
that requires significantly higher cost 
treatments4  4  7b7 ,effective date ,the
 amendments made by this section shall  
apply to coverage for months beginning  
after the date of the enactment of this 
,act4