,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cbjj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,janu>y #ae1 #bjbj,mr4 
,?une 7= himself1 ,mr4 ,c>p]1 ,mr4      
,cram]1 ,ms4 ,smi?1 ,ms4 ,mc,sally1 &   
,ms4 ,s9ema7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d ! ,int]nal ,rev5ue ,code ( #aihf to
 p]mit high d$uctible heal? plans to    
provide *ronic disease prev5tion s]vices
 to plan enrollees prior to satisfy+ _! 
plan d$uctible4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,*ronic ,disease   
,managem5t ,act ( #bjbj4  #b4 ,*ronic   
disease prev5tion  7a7 ,9 g5]al ,section
 #bbc7;c77#b7 ( ! ,int]nal ,rev5ue ,code
 ( #aihf is am5d$ by r$esignat+         
subp>agraph 7,d7 z subp>agraph 7,e7 & by
 ins]t+ aft] subp>agraph 7,c7 ! foll[+  
new subp>agraph3  7,d7 ,prev5tive c>e   
s]vices & items = *ronic conditions ,=  
purposes ( subp>agraph 7,c71 prev5tive  
c>e %all include any s]vice or item us$ 
to treat an individual ) a *ronic       

condition if--  7i7 su* s]vice or item  
is l[-co/1  7ii7 9 reg>ds to su* s]vice 
or item1 !re is m$ical evid5ce support+ 
high co/ effici5cy ( prev5t+ exac]bation
 ( ! *ronic condition or ! developm5t ( 
a second>y condition1 &  7iii7 !re is a 
/rong likelihood1 docum5t$ by cl9ical   
evid5ce1 t ) respect to ! class (       
individuals utiliz+ su* s]vice or item1 
! specific s]vice or use ( ! item w     
prev5t ! exac]bation ( ! *ronic         
condition or ! developm5t ( a second>y  
condition t requires significantly high]
 co/ treatm5ts4  4  7b7 ,effective date 
,! am5dm5ts made by ?is section %all    
apply to cov]age = mon?s beg9n+ aft] !  
date ( ! enactm5t ( ?is ,act4