,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #dgg  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #be1 #bjba,mr4
 ,neguse 7= himself1 ,mr4 ,mc,kinley1 & 
,mr4 ,?ompson ( ,cali=nia7 introduc$ !  
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committees on ,education 
& ,labor1 & ,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 ! ,public  
,heal? ,s]vice ,act1 ! ,employee        
,retirem5t ,income ,security ,act (     
#aigd1 ! ,int]nal ,rev5ue ,code ( #aihf1
 & ! ,pati5t ,protection & ,af=dable    
,c>e ,act to require cov]age ( he>+     
devices & sy/ems 9 c]ta9 private heal?  
insurance plans1 & = o!r purposes4  #a4 
,%ort title ,?is ,act may be cit$ z     
,ally's ,act4  #b4 ,cov]age ( he>+      
devices & sy/ems 9 c]ta9 private heal?  
insurance plans  7a7 ,,phsa ,"p ,a ( !  
,public ,heal? ,s]vice ,act 7#db        

,u4,s4,c4 #cjj;gg et seq47 is am5d$ by  
ins]t+ aft] section #bgac ! foll[+ new  
section3  #bgac;,a4 ,cov]age ( he>+     
devices & sy/ems  7a7 ,9 g5]al ,beg9n+ )
 plan ye>s beg9n+ on or aft] ,janu>y #a1
 #bjbb1 a gr\p heal? plan & a heal?     
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age %all1 at a      
m9imum provide cov]age = & may impose   
co/-%>+ requirem5ts 9 accordance )      
subsection 7b7 = an individual t a      
physician 7z def9$ 9 section #ahfa7r7 ( 
! ,social ,security ,act7 or qualifi$   
audiologi/ 7z def9$ 9 section           
#ahfa7ll77#d77;,b7 ( su* ,act7 det]m9es 
meets an indication 7includ+ unilat]al  
or bilat]al he>+ loss7 = an auditory    
device z approv$ by ! ,food & ,drug     
,adm9i/ration =-- 7#a7 auditory implant 
devices 7includ+ auditory osseo9tegrat$ 
7bone conduction7 implants & co*le>     
implants7 & ext]nal s\nd processors2    
7#b7 ! ma9t5ance ( auditory implant     
devices & ext]nal s\nd processors       
describ$ 9 p>agraph 7#a72  7#c7 e #e    

ye>s1 ! upgrade 7or replacem5t if an    
upgrade is n available7 ( auditory      
implant devices & ext]nal s\nd          
processors describ$ 9 p>agraph 7#a72    
7#d7 adhesive adapt]s & s(tb& headb&s2  
7#e7 ! repair ( auditory implant devices
 & ext]nal s\nd processors describ$ 9   
p>agraph 7#a72  7#f7 a compreh5sive he>+
 assessm5t2  7#g7 a preop]ative m$ical  
assessm5t2  7#h7 surg]y 7z appropriate72
  7#i7 po/op]ative m$ical appo9tm5ts =  
purposes ( ensur+ appropriate recov]y f 
surg]y2  7#aj7 po/op]ative audiological 
appo9tm5ts = activation & fitt+ ( !     
implant device & ext]nal s\nd processor2
 &  7#aa7 aural rehabilitation &        
treatm5t s]vices 7z appropriate74  7b7  
,co/-,%>+ ,beg9n+ ) plan ye>s beg9n+ on 
or aft] ,janu>y #a1 #bjbb1 ! co/-%>+    
incurr$ "u a plan or cov]age describ$ 9 
subsection 7a7-- 7#a7 = an auditory     
implant device & ext]nal s\nd processors
 "u ?is section1 %all n exce$ a doll>   
am\nt t is ! highe/ co/-%>+ requirem5t =
 ! am\nt ( ! *>ges impos$ = su* device t

 is provid$ by a physician or qualifi$  
audiologi/ t has a contractual          
relation%ip ) su* plan or cov]age = !   
provid+ ( su* device2  7#b7 = an item or
 s]vice "u ?is section1 %all n exce$ a  
doll> am\nt t is impos$ = simil> items &
 s]vices "u t plan t are provid$ by a   
physician or qualifi$ audiologi/2 &     
7#c7 t has a contractual relation%ip )  
su* plan or cov]age = ! provid+ ( su*   
items & s]vices4  4  7b7 ,,erisa  7#a7  
,9 g5]al ,subp>t ,b ( "p #g ( subtitle  
,b ( title ,i ( ! ,employee ,retirem5t  
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe et seq47 by add+ at !   
end ! foll[+ new section3  #gbf4        
,cov]age ( he>+ devices & sy/ems  7a7 ,9
 g5]al ,beg9n+ ) plan ye>s beg9n+ on or 
aft] ,janu>y #a1 #bjbb1 a gr\p heal?    
plan & a heal? insurance issu] (f]+ gr\p
 or heal? insurance cov]age %all1 at a  
m9imum provide cov]age = & may impose   
co/-%>+ requirem5ts 9 accordance )      
subsection 7b7 = an individual t a      
physician 7z def9$ 9 section #ahfa7r7 ( 

! ,social ,security ,act7 or qualifi$   
audiologi/ 7z def9$ 9 section           
#ahfa7ll77#d77;,b7 ( su* ,act7 det]m9es 
meets an indication 7includ+ unilat]al  
or bilat]al he>+ loss7 = an auditory    
device z approv$ by ! ,food & ,drug     
,adm9i/ration =-- 7#a7 auditory implant 
devices 7includ+ auditory osseo9tegrat$ 
7bone conduction7 implants & co*le>     
implants7 & ext]nal s\nd processors2    
7#b7 ! ma9t5ance ( auditory implant     
devices & ext]nal s\nd processors       
describ$ 9 p>agraph 7#a72  7#c7 e #e    
ye>s1 ! upgrade 7or replacem5t if an    
upgrade is n available7 ( auditory      
implant devices & ext]nal s\nd          
processors describ$ 9 p>agraph 7#a72    
7#d7 adhesive adapt]s & s(tb& headb&s2  
7#e7 ! repair ( auditory implant devices
 & ext]nal s\nd processors describ$ 9   
p>agraph 7#a72  7#f7 a compreh5sive he>+
 assessm5t2  7#g7 a preop]ative m$ical  
assessm5t2  7#h7 surg]y 7z appropriate72
  7#i7 po/op]ative m$ical appo9tm5ts =  
purposes ( ensur+ appropriate recov]y f 

surg]y2  7#aj7 po/op]ative audiological 
appo9tm5ts = activation & fitt+ ( !     
implant device & ext]nal s\nd processor2
 &  7#aa7 aural rehabilitation &        
treatm5t s]vices 7z appropriate74  7b7  
,co/-,%>+ ,beg9n+ ) plan ye>s beg9n+ on 
or aft] ,janu>y #a1 #bjbb1 ! co/-%>+    
incurr$ "u a plan or cov]age describ$ 9 
subsection 7a7-- 7#a7 = an auditory     
implant device & ext]nal s\nd processors
 "u ?is section1 %all n exce$ a doll>   
am\nt t is ! highe/ co/-%>+ requirem5t =
 ! am\nt ( ! *>ges impos$ = su* device t
 is provid$ by a physician or qualifi$  
audiologi/ t has a contractual          
relation%ip ) su* plan or cov]age = !   
provid+ ( su* device2  7#b7 = an item or
 s]vice "u ?is section1 %all n exce$ a  
doll> am\nt t is impos$ = simil> items &
 s]vices "u t plan t are provid$ by a   
physician or qualifi$ audiologi/2 &     
7#c7 t has a contractual relation%ip )  
su* plan or cov]age = ! provid+ ( su*   
items & s]vices4  4  7#b7 ,cl]ical      
am5dm5t ,! table ( cont5ts 9 section #a 

( ! ,employee ,retirem5t ,income        
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#ajja et seq47 is am5d$ by ins]t+ aft] !
 item relat+ to section #gbe ! foll[+   
new item3  ,sec4 #gbf4 ,cov]age ( he>+  
devices & sy/ems4  4  7c7 ,,irc  7#a7 ,9
 g5]al ,sub*apt] ,b ( *apt] #ajj ( !    
,int]nal ,rev5ue ,code ( #aihf1 is am5d$
 by add+ at ! end ! foll[+ new section3 
#ibhf4 ,cov]age ( he>+ devices & sy/ems 
7a7 ,9 g5]al ,beg9n+ ) plan ye>s beg9n+ 
on or aft] ,janu>y #a1 #bjbb1 a gr\p    
heal? plan %all1 at a m9imum provide    
cov]age = & may impose co/-%>+          
requirem5ts 9 accordance ) subsection   
7b7 = an individual t a physician 7z    
def9$ 9 section #ahfa7r7 ( ! ,social    
,security ,act7 or qualifi$ audiologi/  
7z def9$ 9 section #ahfa7ll77#d77;,b7 ( 
su* ,act7 det]m9es meets an indication  
7includ+ unilat]al or bilat]al he>+     
loss7 = an auditory device z approv$ by 
! ,food & ,drug ,adm9i/ration =-- 7#a7  
auditory implant devices 7includ+       
auditory osseo9tegrat$ 7bone conduction7

 implants & co*le> implants7 & ext]nal  
s\nd processors2  7#b7 ! ma9t5ance (    
auditory implant devices & ext]nal s\nd 
processors describ$ 9 p>agraph 7#a72    
7#c7 e #e ye>s1 ! upgrade 7or replacem5t
 if an upgrade is n available7 (        
auditory implant devices & ext]nal s\nd 
processors describ$ 9 p>agraph 7#a72    
7#d7 adhesive adapt]s & s(tb& headb&s2  
7#e7 ! repair ( auditory implant devices
 & ext]nal s\nd processors describ$ 9   
p>agraph 7#a72  7#f7 a compreh5sive he>+
 assessm5t2  7#g7 a preop]ative m$ical  
assessm5t2  7#h7 surg]y 7z appropriate72
  7#i7 po/op]ative m$ical appo9tm5ts =  
purposes ( ensur+ appropriate recov]y f 
surg]y2  7#aj7 po/op]ative audiological 
appo9tm5ts = activation & fitt+ ( !     
implant device & ext]nal s\nd processor2
 &  7#aa7 aural rehabilitation &        
treatm5t s]vices 7z appropriate74  7b7  
,co/-,%>+ ,beg9n+ ) plan ye>s beg9n+ on 
or aft] ,janu>y #a1 #bjbb1 ! co/-%>+    
incurr$ "u a plan describ$ 9 subsection 
7a7-- 7#a7 = an auditory implant device 

& ext]nal s\nd processors "u ?is        
section1 %all n exce$ a doll> am\nt t is
 ! highe/ co/-%>+ requirem5t = ! am\nt (
 ! *>ges impos$ = su* device t is       
provid$ by a physician or qualifi$      
audiologi/ t has a contractual          
relation%ip ) su* plan = ! provid+ ( su*
 device2  7#b7 = an item or s]vice "u   
?is section1 %all n exce$ a doll> am\nt 
t is impos$ = simil> items & s]vices "u 
t plan t are provid$ by a physician or  
qualifi$ audiologi/2 &  7#c7 t has a    
contractual relation%ip ) su* plan = !  
provid+ ( su* items & s]vices4  4  7#b7 
,cl]ical am5dm5t ,! table ( sections =  
sub*apt] ,b ( *apt] #ajj ( ! ,int]nal   
,rev5ue ,code ( #aihf is am5d$ by ins]t+
 aft] ! item relat+ to section #ihbe !  
foll[+ new item3  ,sec4 #ibhf4 ,cov]age 
( he>+ devices & sy/ems4  4  7d7        
,application to gr&fa!r$ heal? plans    
,section #abea7;a77#d77;,a7 ( ! ,pati5t 
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjaa7;a77#d77;,a77 is       
am5d$-- 7#a7 by /rik+ title & ins]t+    

title1 or z add$ aft] ! date ( !        
enactm5t ( ?is ,act72 &  7#b7 by add+ at
 ! end ! foll[+ new clause3  7v7        
,section #bgac;,a 7relat+ to he>+       
devices & sy/ems74  4  7#c7 ,effective  
date ,! am5dm5ts made by ?is subsection 
%all apply ) respect to plan ye>s beg9n+
 on or aft] ,janu>y #a1 #bjbb4