,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #djgd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bc1 #bjba,mr4  
,bilirakis introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,ways &     
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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   
exp& ! availability ( supplem5tal       
b5efits to c]ta9 ,m$ic>e ,advantage     
enrollees4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,address+ ,social       
,det]m9ants 9 ,m$ic>e ,advantage ,act ( 
#bjba4  #b4 ,exp&+ ! availability (     
supplem5tal b5efits to c]ta9 ,m$ic>e    
,advantage enrollees  7a7 ,9 g5]al      
,section #aheb7;a77#c77;,d7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciew-#bb7;a77#c77;,d77 is am5d$-- 7#a7
 9 ! head]1 by /rik+ *ronically ill &   
ins]t+ c]ta92  7#b7 9 clauses 7i7 &     

7ii71 by /rik+ *ronically ill ea* place 
su* t]m appe>s & ins]t+ specifi$ 9 ea*  
su* place2 &  7#c7 9 clause 7iii71 by   
am5d+ su* clause to read z foll[s3      
7iii7 ,specifi$ enrollee def9$ ,9 ?is   
subp>agraph1 ! t]m specifi$ enrollee    
means an enrollee 9 an ,,ma plan t--    
7,i7 ! ,secret>y det]m9es-- 7aa7 has "o 
or m comorbid & m$ically complex *ronic 
conditions t is life ?reat5+ or         
significantly limits ! ov]all heal? or  
function ( ! enrollee2  7bb7 has a high 
risk ( hospitalization or o!r adv]se    
heal? outcomes2 &  7cc7 requires        
int5sive c>e coord9ation2  7,,ii7 is a  
l[-income enrollee 7z specifi$ by !     
,secret>y72 or  7,,iii7 meets any o!r   
crit]ion det]m9$ appropriate by !       
,secret>y1 su* z crit]ia relat+ to      
social & socioeconomic risk4  4  7b7    
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply ) respect to  
plan ye>s beg9n+ on or aft] ,janu>y #a1 
#bjbc4