,,ii  #aafth ,,congress  #b;d ,session  
,s4 #cbcg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,january #bh1  
#bjbj,mr4 ,king introduced the following
 bill2 which was read twice and referred
 to the ,committee on ,finance  ,a      
,,bill  ,to amend title ,,xviii of the  
,social ,security ,act to improve the   
annual wellness visit under the         
,medicare program4  #a4 ,short title    
,this ,act may be cited as the ,wellness
 and ,education for ,longer ,lives for  
,seniors ,act of #bjbj or the ,,well    
,seniors ,act of #bjbj4  #b4            
,improvements to the ,medicare annual   
wellness visit  7a7 ,additional elements
  7#a7 ,in general ,section             
#ahfa7;hhh77#b7 of the ,social ,security
 ,act 7#db ,u4,s4,c4 #aciex7hhh77#b77 is
 amended-- 7,a7 in subparagraph 7,f71 by
 striking and nutrition and inserting   
nutrition1 mobility1 food security1     
housing security1 transportation access1
 social support1 and other social       
determinants of health as determined by 

the ,secretary2  7,b7 by moving         
subparagraphs 7,g7 and 7,h7 two ems to  
the left2  7,c7 by redesignating        
subparagraph 7,i7 as subparagraph 7,j72 
and  7,d7 by inserting after            
subparagraph 7,h7 the following new     
subparagraph3  7,i7 ,screening for      
balance to identify risk for falls and  
referral for treatment as appropriate4  
4  7#b7 ,effective date ,the amendments 
made by paragraph 7#a7 shall apply to   
items and services furnished on or after
 ,january #a1 #bjba4  7b7 ,incentive    
payments ,section #ahcc of the ,social  
,security ,act 7#db ,u4,s4,c4 #aciel7 is
 amended by adding at the end the       
following new subsection3  7cc7         
,incentive payments for annual wellness 
visits that include certain elements    
7#a7 ,in general ,in the case of        
personalized prevention plan services   
7as defined in paragraph 7#a7 of section
 #ahfa7;hhh77 that are furnished on or  
after ,january #a1 #bjba1 and that      
include the element described in        

subparagraph 7,f7 of paragraph 7#b7 of  
such section #ahfa7;hhh7 and at least   
two additional elements described in    
subparagraphs 7,a7 through 7,e7 and 7,g7
 through 7,j7 of such paragraph 7#b71 in
 addition to the amount of payment that 
would otherwise be made for such        
personalized prevention plan services   
under this part1 there also shall be    
paid an amount equal to #aj percent of  
the payment amount for the service under
 this part4  7#b7 ,coordination with    
other payments ,the amount of the       
additional payment for a service under  
this subsection and subsection 7m7 shall
 be determined without regard to any    
additional payment for the service under
 subsection 7m7 and this subsection1    
respectively4 ,the amount of the        
additional payment for a service under  
this subsection and subsection 7z7 shall
 be determined without regard to any    
additional payment for the service under
 subsection 7z7 and this subsection1    
respectively4  4  7c7 ,education and    

outreach ,the ,secretary of ,health and 
,human ,services shall conduct education
 and outreach activities regarding the  
coverage of annual wellness visits under
 the ,medicare program1 including       
changes to such visits under the        
amendments made by subsections 7a7 and  
7b74