,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cbcg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,janu>y #bh1 #bjbj,mr4 
,k+ introduc$ ! foll[+ bill2 :i* 0 read 
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
improve ! annual wellness visit "u !    
,m$ic>e program4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,wellness &        
,education = ,long] ,lives = ,s5iors    
,act ( #bjbj or ! ,,well ,s5iors ,act ( 
#bjbj4  #b4 ,improvem5ts to ! ,m$ic>e   
annual wellness visit  7a7 ,additional  
elem5ts  7#a7 ,9 g5]al ,section         
#ahfa7;hhh77#b7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciex7hhh77#b77 is 
am5d$-- 7,a7 9 subp>agraph 7,f71 by     
/rik+ & nutrition & ins]t+ nutrition1   
mobility1 food security1 h\s+ security1 
transportation access1 social support1 &
 o!r social det]m9ants ( heal? z det]m9$
 by ! ,secret>y2  7,b7 by mov+          
subp>agraphs 7,g7 & 7,h7 two ems to !   
left2  7,c7 by r$esignat+ subp>agraph   

7,i7 z subp>agraph 7,j72 &  7,d7 by     
ins]t+ aft] subp>agraph 7,h7 ! foll[+   
new subp>agraph3  7,i7 ,scre5+ = balance
 to id5tify risk = falls & ref]ral =    
treatm5t z appropriate4  4  7#b7        
,effective date ,! am5dm5ts made by     
p>agraph 7#a7 %all apply to items &     
s]vices furni%$ on or aft] ,janu>y #a1  
#bjba4  7b7 ,inc5tive paym5ts ,section  
#ahcc ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #aciel7 is am5d$ by add+ at ! 
end ! foll[+ new subsection3  7cc7      
,inc5tive paym5ts = annual wellness     
visits t include c]ta9 elem5ts  7#a7 ,9 
g5]al ,9 ! case ( p]sonaliz$ prev5tion  
plan s]vices 7z def9$ 9 p>agraph 7#a7 ( 
section #ahfa7;hhh77 t are furni%$ on or
 aft] ,janu>y #a1 #bjba1 & t include !  
elem5t describ$ 9 subp>agraph 7,f7 (    
p>agraph 7#b7 ( su* section #ahfa7;hhh7 
& at lea/ two additional elem5ts        
describ$ 9 subp>agraphs 7,a7 ?r\gh 7,e7 
& 7,g7 ?r\gh 7,j7 ( su* p>agraph 7#b71 9
 addition to ! am\nt ( paym5t t w\ld    
o!rwise be made = su* p]sonaliz$        

prev5tion plan s]vices "u ?is "p1 !re   
also %all be paid an am\nt equal to #aj 
p]c5t ( ! paym5t am\nt = ! s]vice "u ?is
 "p4  7#b7 ,coord9ation ) o!r paym5ts ,!
 am\nt ( ! additional paym5t = a s]vice 
"u ?is subsection & subsection 7m7 %all 
be det]m9$ )\t reg>d to any additional  
paym5t = ! s]vice "u subsection 7m7 &   
?is subsection1 respectively4 ,! am\nt (
 ! additional paym5t = a s]vice "u ?is  
subsection & subsection 7z7 %all be     
det]m9$ )\t reg>d to any additional     
paym5t = ! s]vice "u subsection 7z7 &   
?is subsection1 respectively4  4  7c7   
,education & outrea* ,! ,secret>y (     
,heal? & ,human ,s]vices %all conduct   
education & outrea* activities reg>d+ ! 
cov]age ( annual wellness visits "u !   
,m$ic>e program1 includ+ *anges to su*  
visits "u ! am5dm5ts made by subsections
 7a7 & 7b74