,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #debd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #ab1 #bjbj,mr4  
,c>p] introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d titles     
,,xix & ,,xxi ( ! ,social ,security ,act
 to provide cov]age ( compreh5sive      
tobacco cessation s]vices "u su* titles1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,quit ,because (  
,,covid-#ai ,act4  #b4 ,cov]age (       
compreh5sive tobacco cessation s]vices 9
 ,m$icaid  7a7 ,requir+ ,m$icaid cov]age
 ( c\nsel+ & ph>maco!rapy = cessation ( 
tobacco use & dep5d5ce ,section #aije ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif;d7 is am5d$-- 7#a7 9 subsection   
7a77#d7-- 7,a7 by /rik+ & 7,d7 & ins]t+ 
7,d72 &  7,b7 by ins]t+ be=e ! semicolon
 at ! end ! foll[+3 2 & 7,e7 c\nsel+ &  
ph>maco!rapy = cessation ( tobacco use &
 dep5d5ce by individuals :o are eligible
 "u ! ,/ate plan 7z def9$ 9 subsection  
7gg77 dur+ ! p]iod beg9n+ on ! fir/ day 

( ! em]g5cy p]iod describ$ 9 section    
#aace7;g77#a77;,b7 & end+ on ! la/ day (
 ! #b-ye> p]iod t beg9s ) ! day aft] !  
la/ day ( su* em]g5cy p]iod2 &  7#b7 by 
add+ at ! end ! foll[+ new subsection3  
7gg7 ,c\nsel+ & ph>maco!rapy = cessation
 ( tobacco use & dep5d5ce  7#a7 ,9 g5]al
 ,= purposes ( ?is title1 ! t]m c\nsel+ 
& ph>maco!rapy = cessation ( tobacco use
 & dep5d5ce means diagno/ic1 !rapy1 &   
c\nsel+ s]vices & ph>maco!rapy 7includ+ 
! cov]age ( prescription &              
nonprescription tobacco cessation ag5ts 
approv$ by ! ,food & ,drug              
,adm9i/ration7 = ! cessation ( tobacco  
use & dep5d5ce by individuals :o use    
tobacco products or :o are be+ treat$ = 
tobacco use & dep5d5ce t are furni%$--  
7,a7 by or "u ! sup]vision ( a          
physician2 or  7,b7 by any o!r heal? c>e
 pr(essional :o-- 7i7 is legally        
au?oriz$ to furni% su* s]vices "u ,/ate 
law 7or ! ,/ate regulatory me*anism     
provid$ by ,/ate law7 ( ! ,/ate 9 :i* ! 
s]vices are furni%$2 &  7ii7 is au?oriz$

 to receive paym5t = o!r s]vices "u ?is 
title or is designat$ by ! ,secret>y =  
?is purpose4  7#b7 ,limitation ,su* t]m 
is limit$ to-- 7,a7 s]vices t are       
recomm5d$-- 7i7 9 ! guidel9e entitl$1   
,treat+ ,tobacco ,use & ,dep5d5ce3 #bjjh
 ,update3 ,a ,cl9ical ,practice         
,guidel9e publi%$ by ! ,public ,heal?   
,s]vice 9 ,may #bjjh 7or any subsequ5t  
modification ( su* guidel9e72 or  7ii7 =
 ! cessation ( tobacco use & dep5d5ce by
 ! ,unit$ ,/ates ,prev5tive ,s]vices    
,task ,=ce2 or  7,b7 any additional     
int]v5tions approv$ by ! ,food & ,drug  
,adm9i/ration z safe & effective 9 !    
cessation ( tobacco use & dep5d5ce by   
individuals :o use tobacco products or  
:o are be+ treat$ = tobacco use &       
dep5d5ce4  4  7b7 ,no co/ %>+  7#a7 ,9  
g5]al ,subsections 7a77#b7 & 7b77#b7 (  
section #aiaf ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acifo7 are ea* am5d$-- 
7,a7 9 subp>agraph 7,f71 by /rik+ or at 
! end2  7,b7 9 subp>agraph 7,g71 by     
/rik+ 2 & & ins]t+ 1 or2 &  7,c7 by add+

 at ! end ! foll[+ new subp>agraph3     
7,h7 c\nsel+ & ph>maco!rapy = cessation 
( tobacco use & dep5d5ce 7z def9$ 9     
section #aije7;gg77 & cov]$ outpati5t   
drugs 7z def9$ 9 subsection 7k77#b7 (   
section #aibg & includ+ nonprescription 
drugs describ$ 9 subsection 7d77#b7 (   
su* section7 t are prescrib$ = purposes 
( promot+1 & :5 us$ to promote1 tobacco 
cessation 9 accordance ) a guidel9e1    
recomm5dation1 or approval specifi$ 9   
section #aije7;gg77#b7 7z applicable7   
furni%$ dur+ ! p]iod beg9n+ on ! fir/   
day ( ! em]g5cy p]iod describ$ 9 section
 #aace7;g77#a77;,b7 & end+ on ! la/ day 
( ! #b-ye> p]iod t beg9s ) ! day aft] ! 
la/ day ( su* em]g5cy p]iod2 &  4  7#b7 
,application to alt]native co/ %>+      
,section #aiaf;,a7b77#c77;,b7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acifo-#a7;b77#c77;,b77 is am5d$ by add+
 at ! end ! foll[+ new clause3  7xii7   
,c\nsel+ & ph>maco!rapy = cessation (   
tobacco use & dep5d5ce 7z def9$ 9       
section #aije7;gg77 & cov]$ outpati5t   

drugs 7z def9$ 9 subsection 7k77#b7 (   
section #aibg & includ+ nonprescription 
drugs describ$ 9 subsection 7d77#b7 (   
su* section7 t are prescrib$ = purposes 
( promot+1 & :5 us$ to promote1 tobacco 
cessation 9 accordance ) a guidel9e1    
recomm5dation1 or approval specifi$ 9   
section #aije7;gg77#b7 7z applicable7   
furni%$ dur+ ! p]iod beg9n+ on ! fir/   
day ( ! em]g5cy p]iod describ$ 9 section
 #aace7;g77#a77;,b7 & end+ on ! la/ day 
( ! #b-ye> p]iod t beg9s ) ! day aft] ! 
la/ day ( su* em]g5cy p]iod4  4  7c7    
,exception f optional re/riction "u     
,m$icaid prescription drug cov]age      
,section #aibg7;d77#b77;,f7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acifr-#h7;d77#b77;,f77 is am5d$ to read
 z foll[s3  7,f7 ,nonprescription drugs1
 except1 9 ! case ( pregnant wom5 7&1   
dur+ ! p]iod beg9n+ on ! fir/ day ( !   
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 & end+ on ! la/ day (
 ! #b-ye> p]iod t beg9s ) ! day aft] !  
la/ day ( su* em]g5cy p]iod1 o!r        

individuals :o use tobacco products or  
are be+ treat$ = tobacco use &          
dep5d5ce71 :5 recomm5d$ 9 accordance ) !
 guidel9e specifi$ 9 section            
#aije7;bb77#b77;,a7 7or 9 accordance ) a
 guidel9e1 recomm5dation1 or approval   
specifi$ 9 section #aije7;gg77#b71 if   
applicable71 ag5ts approv$ by ! ,food & 
,drug ,adm9i/ration "u ! ov]-!-c\nt]    
monograph process = purposes ( promot+1 
& :5 us$ to promote1 tobacco cessation4 
4  7d7 ,/ate monitor+ & promot+ (       
compreh5sive tobacco cessation s]vices  
"u ,m$icaid ,section #aijb7;a7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7 is am5d$-- 7#a7 9 p>agraph     
7#he71 by /rik+ at ! end &2  7#b7 9     
p>agraph 7#hf71 by /rik+ ! p]iod at !   
end & ins]t+ 2 &2 &  7#c7 by ins]t+ aft]
 p>agraph 7#hf7 ! foll[+ new p>agraph3  
7#hg7 dur+ ! p]iod beg9n+ on ! fir/ day 
( ! em]g5cy p]iod describ$ 9 section    
#aace7;g77#a77;,b7 & end+ on ! la/ day (
 ! #b-ye> p]iod t beg9s ) ! day aft] !  
la/ day ( su* em]g5cy p]iod1 provide t !

 ,/ate w monitor & promote ! use (      
compreh5sive tobacco cessation s]vices  
"u ! ,/ate plan 7includ+ by conduct+ an 
outrea* campaign to increase aw>5ess ( !
 b5efits ( us+ su* s]vices7 among-- 7,a7
 individuals entitl$ to m$ical assi/ance
 "u ! ,/ate plan :o use tobacco         
products2 &  7,b7 cl9icians & o!rs :o   
provide s]vices to individuals entitl$  
to m$ical assi/ance "u ! ,/ate plan4  4 
7e7 ,f$]al reimbursem5t = cov]age (     
tobacco cessation s]vices & outrea*     
campaign  7#a7 ,cov]age ( tobacco       
cessation s]vices ,section #aije ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d71 z am5d$ by subsection 7a71 is 
am5d$-- 7,a7 9 subsection 7b71 by /rik+ 
& 7ff7 & ins]t+ 7ff71 & 7gg77#c72 &     
7,b7 9 subsection 7gg71 z add$ by       
subsection 7a71 by add+ at ! end !      
foll[+ new p>agraph3  7#c7 ,increas$    
,,fmap ,not)/&+ subsection 7b71 ! ,f$]al
 m$ical assi/ance p]c5tage = a ,/ate1 ) 
respect to am\nts exp5d$ by su* ,/ate = 
m$ical assi/ance furni%$ dur+ ! em]g5cy 

p]iod describ$ 9 section                
#aace7;g77#a77;,b7 = c\nsel+ &          
ph>maco!rapy = cessation ( tobacco use &
 dep5d5ce by eligible individuals1 %all 
be equal to #ajj p]c5t4  4  7#b7        
,outrea* campaign ,section #aijc7;a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c   
#acif;b7a77 is am5d$-- 7,a7 by /rik+ !  
p]iod at ! end ( p>agraph 7#g7 & ins]t+ 
2 plus2 &  7,b7 by ins]t+ aft] p>agraph 
7#g7 ! foll[+ new p>agraph3  7#h7 an    
am\nt equal to #ajj p]c5t ( ! sums      
exp5d$ 9 a qu>t] t occurs dur+ ! em]g5cy
 p]iod describ$ 9 section               
#aace7;g77#a77;,b7 :i* are attributable 
to ! developm5t1 implem5tation1 &       
evaluation ( ! outrea* campaign requir$ 
"u section #aijb7;a77#hg74  4  7f7 ,no  
prior au?orization = tobacco cessation  
drugs "u ,m$icaid ,section #aibg7;d7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acifr-#h7;d77 is am5d$-- 7#a7 9        
p>agraph 7#a77;,a71 by /rik+ ,a ,/ate & 
ins]t+ ,subject to p>agraph 7#h71 a     
,/ate2 &  7#b7 by add+ at ! end ! foll[+

 new p>agraph3  7#h7 ,no prior          
au?orization programs = tobacco         
cessation drugs ,dur+ ! p]iod beg9n+ on 
! fir/ day ( ! em]g5cy p]iod describ$ 9 
section #aace7;g77#a77;,b7 & end+ on !  
la/ day ( ! #b-ye> p]iod aft] ! la/ day 
( su* em]g5cy p]iod1 a ,/ate plan may n 
require1 z a condition ( cov]age or     
paym5t = a cov]$ outpati5t drug t is an 
ag5t to promote smok+ cessation 7includ+
 ag5ts approv$ by ! ,food & ,drug       
,adm9i/ration7 or tobacco cessation1 !  
approval ( su* drug be=e its disp5s+4  4
  7g7 ,exclusion ( enhanc$ paym5ts f    
t]ritorial caps ,not)/&+ any o!r        
provision ( law1 = purposes ( section   
#aajh ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acjh71 ) respect to any      
additional am\nt paid to a t]ritory z a 
result ( ! application ( p>agraph 7#h7 (
 section #aijc7;a7 or subsection        
7gg77#c7 ( section #aije ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acif;b7a71 #acif;d7-- 7#a7 ! limitation
 on paym5ts to t]ritories "u subsections

 7f7 & 7g7 ( su* section #aajh %all n   
apply to su* additional am\nts2 &  7#b7 
su* additional am\nts %all be disreg>d$ 
9 apply+ su* subsections4  #c4 ,cov]age 
( compreh5sive tobacco cessation s]vices
 9 ,,*ip  7a7 ,requir+ ,,*ip cov]age (  
c\nsel+ & ph>maco!rapy = cessation (    
tobacco use & dep5d5ce  7#a7 ,9 g5]al   
,section #bajc7;c77#b7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acig;cc7c77#b77 is am5d$ by add+ at !  
end ! foll[+ new subp>agraph3  7,d7     
,c\nsel+ & ph>maco!rapy = cessation (   
tobacco use & dep5d5ce by individuals :o
 are eligible "u ! ,/ate *ild heal? plan
 dur+ ! p]iod beg9n+ on ! fir/ day ( !  
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7 & end+ on ! la/ day (
 ! #b-ye> p]iod t beg9s ) ! day aft] !  
la/ day ( su* em]g5cy p]iod4  4  7#b7   
,c\nsel+ & ph>maco!rapy = cessation (   
tobacco use & dep5d5ce def9$ ,section   
#baaj7;c7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acig;jj7c77 is am5d$ by 
add+ at ! end ! foll[+ new p>agraph3    

7#aj7 ,c\nsel+ & ph>maco!rapy =         
cessation ( tobacco use & dep5d5ce  7,a7
 ,9 g5]al ,! t]m c\nsel+ & ph>maco!rapy 
= cessation ( tobacco use & dep5d5ce    
means diagno/ic1 !rapy1 & c\nsel+       
s]vices & ph>maco!rapy 7includ+ !       
cov]age ( prescription & nonprescription
 tobacco cessation ag5ts approv$ by !   
,food & ,drug ,adm9i/ration7 = !        
cessation ( tobacco use & dep5d5ce by   
individuals :o use tobacco products or  
:o are be+ treat$ = tobacco use &       
dep5d5ce t are furni%$-- 7i7 by or "u ! 
sup]vision ( a physician2 or  7ii7 by   
any o!r heal? c>e pr(essional :o-- 7,i7 
is legally au?oriz$ to furni% su*       
s]vices "u ,/ate law 7or ! ,/ate        
regulatory me*anism provid$ by ,/ate    
law7 ( ! ,/ate 9 :i* ! s]vices are      
furni%$2 &  7,,ii7 is au?oriz$ to       
receive paym5t = o!r s]vices "u ?is     
title or is designat$ by ! ,secret>y =  
?is purpose4  7,b7 ,limitation ,su* t]m 
is limit$ to-- 7i7 s]vices t are        
recomm5d$-- 7,i7 9 ! guidel9e entitl$1  

,treat+ ,tobacco ,use & ,dep5d5ce3 #bjjh
 ,update3 ,a ,cl9ical ,practice         
,guidel9e publi%$ by ! ,public ,heal?   
,s]vice 9 ,may #bjjh 7or any subsequ5t  
modification ( su* guidel9e72 or  7,,ii7
 = ! cessation ( tobacco use & dep5d5ce 
by ! ,unit$ ,/ates ,prev5tive ,s]vices  
,task ,=ce2 or  7ii7 any additional     
int]v5tions approv$ by ! ,food & ,drug  
,adm9i/ration z safe & effective 9 !    
cessation ( tobacco use & dep5d5ce by   
individuals :o use tobacco products or  
:o are be+ treat$ = tobacco use &       
dep5d5ce4  4  7b7 ,no co/ %>+ ,section  
#bajc7;e7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acig;cc7e77 is am5d$ by 
add+ at ! end ! foll[+ new p>agraph3    
7#e7 ,no co/ %>+ on b5efits = c\nsel+ & 
ph>maco!rapy = cessation ( tobacco use &
 dep5d5ce ,! ,/ate *ild heal? plan may n
 impose d$uctibles1 co9surance1 or o!r  
co/ %>+ ) respect to b5efits = c\nsel+ &
 ph>maco!rapy = cessation ( tobacco use 
& dep5d5ce 7z def9$ 9 section           
#baaj7;c77#aj77 & prescription drugs t  

are cov]$ "u a ,/ate *ild heal? plan t  
are prescrib$ = purposes ( promot+      
tobacco cessation 9 accordance ) a      
guidel9e1 recomm5dation1 or approval    
specifi$ 9 section #baaj7;c77#aj77;,b7  
furni%$ dur+ ! p]iod beg9n+ on ! fir/   
day ( ! em]g5cy p]iod describ$ 9 section
 #aace7;g77#a77;,b7 & end+ on ! la/ day 
( ! #b-ye> p]iod t beg9s ) ! day aft] ! 
la/ day ( su* em]g5cy p]iod4  4  7c7    
,exception f optional re/riction "u     
,,*ip prescription drug cov]age ,section
 #bajc ( ! ,social ,security ,act 7#db  
,u4,s4,c4 #acig;cc7 is am5d$ by add+ at 
! end ! foll[+ new subsection3  7g7     
,exception f optional re/riction "u     
,,*ip prescription drug cov]age ,! ,/ate
 *ild heal? plan may exclude or o!rwise 
re/rict nonprescription drugs1 except-- 
7#a7 9 ! case ( pregnant wom51 :5       
recomm5d$ 9 accordance ) a guidel9e1    
recomm5dation1 or approval specifi$ 9   
section #baaj7;c77#aj77;,b71 ag5ts      
approv$ by ! ,food & ,drug ,adm9i/ration
 "u ! ov]-!-c\nt] monograph process =   

purposes ( promot+1 & :5 us$ to promote1
 tobacco cessation2 &  7#b7 9 ! case (  
individuals :o are eligible "u ! ,/ate  
*ild heal? plan1 :5 recomm5d$ 9         
accordance ) a guidel9e1 recomm5dation1 
or approval specifi$ 9 section          
#baaj7;c77#aj77;,b7 ref]r$ to 9 section 
#baaj7;c77#aj77;,b71 ag5ts approv$ by ! 
,food & ,drug ,adm9i/ration "u !        
ov]-!-c\nt] monograph process = purposes
 ( promot+1 & :5 us$ to promote1 tobacco
 cessation dur+ ! p]iod beg9n+ on ! fir/
 day ( ! em]g5cy p]iod describ$ 9       
section #aace7;g77#a77;,b7 & end+ on !  
la/ day ( ! #b-ye> p]iod t beg9s on !   
day aft] ! la/ day ( su* em]g5cy p]iod4 
4  7d7 ,/ate monitor+ & promot+ (       
compreh5sive tobacco cessation s]vices  
"u ,,*ip ,section #bajb ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acig;bb7 
is am5d$ by add+ at ! end ! foll[+ new  
subsection3  7d7 ,/ate monitor+ &       
promot+ ( compreh5sive tobacco cessation
 s]vices "u ,,*ip ,a ,/ate *ild heal?   
plan %all include a description ( !     

proc$ures to be us$ by ! ,/ate dur+ !   
p]iod beg9n+ on ! fir/ day ( ! em]g5cy  
p]iod describ$ 9 section                
#aace7;g77#a77;,b7 & end+ on ! la/ day (
 ! #b-ye> p]iod aft] ! la/ day ( su*    
em]g5cy p]iod to monitor & promote ! use
 ( compreh5sive tobacco cessation       
s]vices "u ! ,/ate plan 7includ+        
conduct+ an outrea* campaign to increase
 aw>5ess ( ! b5efits ( us+ su* s]vices7 
among-- 7#a7 individuals entitl$ to *ild
 heal? assi/ance "u ! ,/ate *ild heal?  
plan :o use tobacco products2 &  7#b7   
cl9icians & o!rs :o provide s]vices to  
individuals entitl$ to *ild heal?       
assi/ance "u ! ,/ate *ild heal? plan4  4
  7e7 ,f$]al reimbursem5t = ,,*ip       
cov]age & outrea* campaign ,section     
#baje7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acig;ee7a77 is am5d$ by 
add+ at ! end ! foll[+ new p>agraph3    
7#e7 ,f$]al reimbursem5t = ,,*ip cov]age
 ( compreh5sive tobacco cessation       
s]vices & outrea* campaign ,9 addition  
to ! paym5ts made "u p>agraph 7#a7 7&1 9

 ! case ( a paym5t t may be made bo? "u 
p>agraph 7#a7 & "u ?is p>agraph1 in/ead 
( a paym5t "u p>agraph 7#a771 = ! p]iod 
beg9n+ on ! fir/ day ( ! em]g5cy p]iod  
describ$ 9 section #aace7;g77#a77;,b7 & 
end+ on ! la/ day ( ! #b-ye> p]iod t    
beg9s on ! day aft] ! la/ day ( su*     
em]g5cy p]iod1 ! ,secret>y %all pay--   
7,a7 an am\nt equal to #ajj p]c5t ( !   
sums exp5d$ dur+ ea* qu>t] :i* are      
attributable to ! co/ ( furni%+ c\nsel+ 
& ph>maco!rapy = cessation ( tobacco use
 & dep5d5ce by individuals :o are       
eligible "u ! ,/ate *ild heal? plan2    
plus  7,b7 an am\nt equal to #ajj p]c5t 
( ! sums exp5d$ dur+ ea* qu>t] :i* are  
attributable to ! developm5t1           
implem5tation1 & evaluation ( an outrea*
 campaign to-- 7i7 increase aw>5ess (   
compreh5sive tobacco cessation s]vices  
cov]$ 9 ! ,/ate *ild heal? plan among-- 
7,i7 individuals :o are likely to be    
eligible = m$ical assi/ance "u ! ,/ate  
*ild heal? plan2 &  7,,ii7 cl9icians &  
o!rs :o provide s]vices to individuals  

:o are likely to be eligible = m$ical   
assi/ance "u ! ,/ate *ild heal? plan2 & 
7ii7 increase aw>5ess ( ! b5efits ( us+ 
compreh5sive tobacco cessation s]vices  
cov]$ 9 ! ,/ate *ild heal? plan among-- 
7,i7 individuals :o are likely to be    
eligible = m$ical assi/ance "u ! ,/ate  
*ild heal? plan2 &  7,,ii7 cl9icians &  
o!rs :o provide s]vices to individuals  
:o are likely to be eligible = m$ical   
assi/ance "u ! ,/ate *ild heal? plan    
ab\t ! b5efits ( us+ compreh5sive       
tobacco cessation s]vices4  4  7f7 ,no  
prior au?orization = tobacco cessation  
drugs "u ,,*ip ,section #bajc ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acig;cc71 z am5d$ by subsection 7c71 is
 fur!r am5d$-- 7#a7 9 subsection        
7c77#b77;,a71 by ins]t+ 79 accordance ) 
subsection 7h77 aft] ,cov]age (         
prescription drugs2 &  7#b7 by add+ at !
 end ! foll[+ new subsection3  7h7 ,no  
prior au?orization programs = tobacco   
cessation drugs ,dur+ ! p]iod beg9n+ on 
! fir/ day ( ! em]g5cy p]iod describ$ 9 

section #aace7;g77#a77;,b7 & end+ on !  
la/ day ( ! #b-ye> p]iod t beg9s ) ! day
 aft] ! la/ day ( su* em]g5cy p]iod1 a  
,/ate *ild heal? plan may n require1 z a
 condition ( cov]age or paym5t = a      
prescription drug t is an ag5t to       
promote smok+ cessation 7includ+ ag5ts  
approv$ by ! ,food & ,drug              
,adm9i/ration7 or tobacco cessation1 !  
approval ( su* drug be=e its disp5s+4  4
  #d4 ,con=m+ am5dm5ts ,title ,,xix ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 is am5d$ 9 ea* ( sections
 #aije7;a77#d77;,d71 #aije7;bb77#a71    
#aije7;bb77#b77;,b71 #aiaf7;a77#b77;,b71
 #aiaf7;b77#b77;,b71 &                  
#aiaf;,a7b77#c77;,b77iii7 by /rik+      
tobacco use ea* place x appe>s & ins]t+ 
tobacco use & dep5d5ce4  #e4 ,rule (    
con/ruction ,none ( ! am5dm5ts made by  
?is ,act %all be con/ru$ to limit       
cov]age ( any c\nsel+ or ph>maco!rapy = 
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