,i #aag? ,,congress #a/ ,session ,h4 ,r4 #bjhj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #ai1 #bjba ,mr4 ,bi%op ( ,georgia 7= himself1 ,mr4 ,c>t] ( ,georgia1 ,mr4 ,crd5as1 ,mr4 ,griffi?1 ,mr4 ,grijalva1 ,ms4 ,pressley1 ,mr4 ,coh51 ,mr4 ,lev9 ( ,cali=nia1 ,mr4 ,c>bajal1 & ,ms4 ,sewell7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to provide = tempor>y cov]age ( c]ta9 transportation s]vices = c]ta9 individuals "u ! ,m$ic>e program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,s5ior ,access to ,vacc9es ,ensur$ ,act ( #bjba or ! ,,save ,act ( #bjba4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! ,kais] ,family ,f\ndation report$ t only ab\t #ab p]c5t ( ,m$ic>e b5efici>ies are full ,m$ic>e-,m$icaid dual eligibles &1 ?us1 h ,m$icaid cov]age = nonem]g5cy m$ical transportation 7,,nemt7 to access ,,covid-#ai vacc9ation appo9tm5ts & o!r heal? c>e appo9tm5ts4 ,accord+ to ! ,commonweal? ,fund1 al?\gh #de p]c5t ( ,m$ic>e b5efici>ies h incomes l[] ?an #bjj p]c5t ( ! f$]al pov]ty level 7,,fpl71 :i* c limit _! transportation options1 ,m$ic>e does n curr5tly cov] ,,nemt4 7#b7 ,m$ic>e b5efici>ies ov] ! age ( #fe1 accord+ to ! ,c5t]s = ,disease ,control1 are #bd times m likely to die f ,,covid-#ai ?an an adult ag$ #be-ed4 7#c7 ,a manag$ ,,nemt b5efit t (f]s s*$ul+ & o!r assi/ance w\ld improve b5efici>ies' access to ! ,,covid-#ai vacc9e4 ,x also w\ld r$uce ,m$ic>e exp5ditures by cov]+ m co/-effective alt]natives & avoid+ ! high co/ ( 9-pati5t ,,covid-#ai treatm5t4 #c4 ,cov]age ( manag$1 nonem]g5t transportation s]vices = c]ta9 individuals ,title ,,xviii ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #ahii;,c4 ,manag$1 nonem]g5t transportation s]vices b5efit program 7a7 ,e/abli%m5t ,! ,secret>y %all e/abli% a program to be kn[n z ! ,manag$1 ,nonem]g5t ,transportation ,s]vices ,b5efit ,program = purposes ( furni%+ qualify+ individuals n m ?an #b r\nd-trip manag$1 nonem]g5t transportation s]vices 7z def9$ 9 subsection 7c77 to ,,covid-#ai vacc9ation sites 7includ+ community ph>macies7 beg9n+ ,april #a1 #bjba1 & end+ on ! la/ day ( ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b74 7b7 ,contract ) qualifi$ transportation manag] 7#a7 ,9 g5]al ,= ea* m$ic>e adm9i/rative contractor jurisdiction = a ye> 7beg9n+ ) #bjba71 ! ,secret>y %all ent] into a contract ) "o qualifi$ transportation manag] = purposes ( arrang+ = ! provision ( manag$1 nonem]g5t transportation s]vices to qualify+ individuals 9 su* region4 ,su* contract %all provide t paym5t be made by ! ,secret>y = su* s]vice on ! basis ( prepaid capitation paym5ts 7tak+ into acc\nt ! *>ge describ$ 9 p>agraph 7#b77;,e774 7#b7 ,selection ,n lat] ?an #cj days aft] ! date ( ! enactm5t ( ?is section1 not)/&+ any o!r provision ( law1 ! ,secret>y %all aw>d contracts describ$ 9 p>agraph 7#a7 ?r\gh a competitive bidd+ process "u :i* ! ,secret>y evaluates applicant entities bas$ on exp]i5ce1 pa/ p]=mance1 ref]5ces1 available res\rces1 & co/ = purposes ( select+ qualifi$ transportation manag]s1 ) pref]5ce giv5 to applicants ) prior satisfactory p]=mance z a transportation brok] "u a program describ$ 9 section #aijb7;a77#gj74 ,n lat] ?an #ae days aft] su* date ( enactm5t1 ! ,secret>y %all publi% guidance = prospective qualifi$ transportation manag]s4 ,su* guidance %all include in=mation on h[ su* manag] may ent] into a contract describ$ 9 ?is subsection & a description ( t]ms & conditions applicable to su* manag]s ) su* contracts4 ,su* a manag] %all meet ! foll[+ requirem5ts3 7,a7 ,! manag] e/abli%es proc$ures meet+ crit]ia e/abli%$ by ! ,secret>y = address+ b5efici>y compla9ts & ensur+ network transportation provid]s are lic5s$ by ! ,/ate = purposes ( op]at+ vehicles & are compet5t & c\rte\s4 7,b7 ,! manag] is subject to regul> audit & ov]sight by ! ,/ate 9 :i* su* manag] op]ates 9 ord] to ensure ! quality & timel9ess ( transportation s]vices manag$ & ! adequacy ( qualify+ individuals' access to m$ical c>e & s]vices4 7,c7 ,! manag] complies ) all requirem5ts specifi$ 9 ! contract describ$ 9 p>agraph 7#a74 ,su* requirem5ts %all include requirem5ts relat$ to-- 7i7 reviews & evaluations to ensure ! quality1 appropriat5ess1 & timel9ess ( su* s]vices arrang$ by su* manag]2 7ii7 prohibitions on ref]rals & conflict ( int]e/ z ! ,secret>y %all e/abli% 7bas$ on ! prohibitions on physician ref]rals "u section #ahgg & su* o!r prohibitions & requirem5ts z ! ,secret>y det]m9es to be appropriate72 & 7iii7 ! developm5t & implem5tation ( a corrective action plan to address any contract defici5cies4 7,d7 ,! manag] e/abli%es proc$ures = det]m9+ an individual's eligibility = manag$1 nonem]g5t transportation s]vices "u ! program e/abli%$ "u subsection 7a7 us+ crit]ia e/abli%$ by ! ,secret>y "u subsection 7c77#c7 & = s*$ul+ & organiz+ ! furni%+ ( su* s]vices4 7c7 ,def9ition ,= purposes ( ?is section3 7#a7 ,manag$1 nonem]g5t transportation s]vices ,! t]m manag$1 nonem]g5t transportation s]vices means ! transportation ( an individual by c>1 taxi1 bus1 or o!r simil> means 7z specifi$ by ! ,secret>y7 to a provid] or suppli] ( s]vices :]e su* individual is to be furni%$ items or s]vices payable "u ?is title4 7#b7 ,qualifi$ transportation manag] ,! t]m qualifi$ transportation manag] means an entity t arranges1 "u contract ) ! ,secret>y1 = ! provision ( manag$1 nonem]g5t transportation s]vices to qualify+ individuals4 7#c7 ,qualify+ individual ,! t]m qualify+ individual means an individual entitl$ to b5efits "u "p ,a :o is n enroll$ "u a ,m$ic>e ,advantage plan "u "p ,c & :o is n a full-b5efit dual eligible individual 7z def9$ 9 p>agraph 7#d77 :o has no readily-available means ( transportation 7z det]m9$ by ! ,secret>y74 ,9 det]m9+ :e!r an individual has no readily-available means ( transportation = purposes ( ! previ\s s5t5ce1 ! ,secret>y %all e/abli% crit]ia simil> to ^? us$ by ,/ates 9 mak+ su* det]m9ations "u a non-em]g5cy m$ical transportation program "u a ,/ate plan "u title ,,xix 7or a waiv] ( su* plan71 su* z evaluat+ :e!r su* individual-- 7,a7 has a driv]'s lic5se2 7,b7 has a work+ vehicle available to su* individual at su* individual's resid5ce2 7,c7 is incapable ( driv+ due to a m$ical condition2 & 7,d7 has inadequate f9ancial res\rces to pay = transportation4 7#d7 ,full-b5efit dual eligible individual 7,a7 ,9 g5]al ,! t]m full-b5efit dual eligible individual means = a ,/ate = a mon? an individual :o-- 7i7 is entitl$ to b5efits "u "p ,a or enroll$ "u "p ,b2 & 7ii7 is det]m9$ eligible by ! ,/ate = m$ical assi/ance = full b5efits "u title ,,xix = su* mon? "u section #aijb7;a77#aj77;,a7 or #aijb7;a77#aj77;,c71 by reason ( section #aijb7;f71 or "u any o!r category ( eligibility = m$ical assi/ance = full b5efits "u su* title1 z det]m9$ by ! ,secret>y4 7,b7 ,treatm5t ( m$ically ne$y & o!r individuals requir$ to sp5d d[n ,9 apply+ p>agraph 7#a7 9 ! case ( an individual det]m9$ to be eligible by ! ,/ate = m$ical assi/ance "u section #aijb7;a77#aj77;,c7 or by reason ( section #aijb7;f71 ! individual %all be treat$ z meet+ ! requirem5t ( p>agraph 7#a77;,b7 = any mon? if su* m$ical assi/ance is provid$ = 9 any "p ( ! mon?4 7d7 ,fund+ ,! ,secret>y %all provide = ! transf]1 f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda to ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ,program ,managem5t ,acc\nt1 ( su* sums z may be necess>y = purposes ( c>ry+ out ?is section4 7e7 ,cl>ification ,! provisions ( section #ahfb7;a7 %all n apply to paym5ts made "u a contract describ$ 9 subsection 7b77#a74 4