,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #badd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #bc1 #bjba,mr4   
,higg9s ( ,new ,york 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 = exp&$ cov]age ( s]vices   
furni%$ by g5etic c\nselors "u "p ,b ( !
 ,m$ic>e program1 & = o!r purposes4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,access to ,g5etic ,c\nselor ,s]vices   
,act ( #bjba4  #b4 ,m$ic>e cov]age (    
g5etic c\nsel+ s]vices  7a7 ,9 g5]al    
,section #ahfa ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7 is am5d$--  
7#a7 9 subsection 7s77#b7-- 7,a7 by     
/rik+ & at ! end ( subp>agraph 7,,gg72  
7,b7 by add+ & at ! end ( subp>agraph   
7,,hh72 &  7,c7 by add+ at ! end !      

foll[+ new subp>agraph3  7,,ii7 cov]$   
g5etic c\nsel+ s]vices 7z def9$ 9       
subsection 7kkk77#a772  2 &  7#b7 by    
add+ at ! end ! foll[+ new subsection3  
7kkk7 ,cov]$ ,g5etic ,c\nsel+ ,s]vices  
7#a7 ,! t]m #8cov]$ g5etic c\nsel+      
s]vices' means g5etic c\nsel+ s]vices   
furni%$ by a g5etic c\nselor 7z def9$ 9 
p>agraph 7#b77 7& su* s]vices & supplies
 furni%$ z an incid5t to ! provision (  
su* s]vices7 z w\ld o!rwise be cov]$ "u 
?is title if furni%$ by a physician 7or 
z incid5t to a physician's s]vice74     
7#b7 ,! t]m g5etic c\nselor means an    
individual :o-- 7,a7 is lic5s$ z a      
g5etic c\nselor by ! ,/ate 9 :i* !      
individual furni%es g5etic c\nsel+      
s]vices2 or  7,b7 9 ! case ( an         
individual practic+ 9 a ,/ate t does n  
lic5se g5etic c\nselors1 meets su* o!r  
crit]ia z ! ,secret>y e/abli%es4  ,!    
provisions ( ?is p>agraph %all n be     
con/ru$ z prev5t+ o!r practition]s1     
includ+ ^? provid+ teleheal? s]vices1 f 
provid+ cov]$ g5etic c\nsel+ s]vices )9 

! scope ( _! practice4 4  7b7           
,physicians' s]vices ,section           
#ahdh7;j77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#d7;j77#c77 is   
am5d$ by ins]t+ 7#b77;,,ii71 aft]       
#8#87#b77;,,ff7 7includ+ adm9i/ration ( 
! heal? risk assessm5t71''4  7c7 ,paym5t
  7#a7 ,9 g5]al ,section #ahcc7;a77#a7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciel7a77#a77 is am5d$-- 7,a7 by /rik+
 & 7,,cc7 & ins]t+ 7,,cc72 &  7,b7 by   
ins]t+ be=e ! semicolon at ! end !      
foll[+3 #8#81 & 7,,dd7 ) respect to     
cov]$ g5etic c\nsel+ s]vices "u section 
#ahfa7s77#b77;,,ii71 furni%$ by a g5etic
 c\nselor1 ! am\nt ( paym5t = su* s]vice
 %all be an am\nt equal to #he p]c5t ( !
 less] ( ! actual *>ge = ! s]vices or ! 
am\nt det]m9$ "u ! fee s*$ule e/abli%$  
"u section #ahdh7;b7 = ! same s]vices if
 furni%$ by a physician''4  7#b7        
,modifi] ,section #ahcd ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #aciem7 is
 am5d$ by add+ at ! end ! foll[+ new    
subsection3  7x7 ,use ( modifi] )       

respect to g5etic c\nsel+ s]vices  7#a7 
,e/abli%m5t ,n lat] ?an ,janu>y #a1     
#bjbb1 ! ,secret>y %all e/abli% a       
modifi] to be utiliz$ ) evaluation &    
managem5t ,,cpt codes to indicate 79 a  
=m & mann] specifi$ by ! ,secret>y71 9 !
 case ( cov]$ g5etic c\nsel+ s]vices "u 
section #ahfa7s77#b77;,,ii71 if su*     
s]vices 7 furni%$ by a g5etic c\nselor4 
7#b7 ,requir$ use ,ea* reque/ = paym5t1 
or bill submitt$ us+ evaluation &       
managem5t ,,cpt codes1 = cov]$ g5etic   
c\nsel+ s]vices 7z def9$ 9 section      
#ahfa7kkk77#a77 furni%$ by a g5etic     
c\nselor 7z def9$ 9 section             
#ahfa7kkk77#b77 on or aft] ,janu>y #a1  
#bjbb1 %all include ! modifi] e/abli%$  
"u subp>agraph 7,a7 = ea* su* s]vice4  4
  7d7 ,assignm5t ( paym5t ,section      
#ahcc7r7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #aciel7r77 is am5d$ by add+  
at ! end ! foll[+ new p>agraph3  7#c7   
,application to g5etic c\nselors ,!     
provisions ( p>agraphs 7#a7 & 7#b7 %all 
apply ) respect to cov]$ g5etic c\nsel+ 

s]vices describ$ 9 section              
#ahfa7s77#b77;,,ii7 & g5etic c\nselors  
7z def9$ 9 section #ahfa7kkk77#b77 9 !  
same mann] z su* provisions apply )     
respect to s]vices describ$ 9 section   
#ahfa7s77#b77,k77ii7 & nurse            
practition]s4  4  7e7 ,con=m+ am5dm5t   
,section #ahfb7;a77#ad7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acie7y77a77#ad77 is am5d$ by ins]t+    
#8#8cov]$ g5etic c\nsel+ s]vices1'' aft]
 #8#8qualifi$ psy*ologi/ s]vices1''4    
7f7 ,effective date  7#a7 ,9 g5]al ,!   
am5dm5ts made by ?is section %all apply 
to s]vices furni%$ on or aft] ,janu>y   
#a1 #bjbb4  7#b7 ,implem5tation ,!      
,secret>y ( ,heal? & ,human ,s]vices may
 implem5t ! am5dm5ts made by ?is section
 by int]im f9al rule ) comm5t p]iod4