,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #ecca  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #bb1        
#bjba,mr4 ,danny ,k4 ,davis ( ,ill9ois  
7= himself1 ,mr4 ,ru%1 ,mr4 ,w5/rup1 &  
,mr4 ,holl+swor?7 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 improve access to innovative new    
m$ical devices furni%$ to individuals ) 
end /age r5al disease "u "p ,b ( !      
,m$ic>e program by e/abli%+ a new device
 add-on paym5t adju/m5t "u su* "p4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,pati5t ,access to ,,esrd ,new          
,innovative ,devices ,act4  #b4 ,f9d+s  
,congress f9ds ! foll[+3 7#a7 ,!re are  
approximately #djj1jjj ,m$ic>e          
b5efici>ies ) end-/age r5al disease1    

mak+ up #a p]c5t ( ! ,m$ic>e population 
b acc\nt+ = approximately #g p]c5t ( all
 ,m$ic>e sp5d+4  7#b7 ,expect$ rema9+   
lifetime = dialysis pati5ts "u #hj ye>s 
old is "o-?ird z long z _! c\nt]p>ts )\t
 ,,esrd1 & = dialysis pati5ts ov] #hj   
ye>s old1 x is "o-half z long z t ( _!  
c\nt]p>ts )\t ,,esrd4  7#c7 ,on av]age1 
hemodialysis pati5ts are hospitaliz$    
ne>ly twice p] ye> & ab\t #cj p]c5t h an
 unplann$ rehospitalization )9 ! #cj    
days foll[+ dis*>ge1 contribut+ to high 
co/s = treat+ ,,esrd ,m$ic>e            
b5efici>ies4  7#d7 ,!re is a lack (     
innovative new devices = ,,esrd ,m$ic>e 
b5efici>ies1 9 "p because ( ! lack (    
reimbursem5t inc5tives = novel devices4 
#c4 ,tempor>y add-on paym5t = new m$ical
 devices to diagnose1 treat1 or manage  
end /age r5al disease ,! ,secret>y (    
,heal? & ,human ,s]vices %all provide-- 
7#a7 a ?ree-ye> tempor>y add-on paym5t  
adju/m5t 7z describ$ 9 section          
#dac4bcf7;d7 ( title #db1 ,code ( ,f$]al
 ,regulations7 = a new m$ical device    

approv$ by ! ,food & ,drug ,adm9i/ration
 "u section #eac7;f77#b7 ( ! ,f$]al     
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cfj;c7 on or aft] ,janu>y #a1
 #bjbj1 & furni%$ to an individual      
entitl$ to b5efits "u "p ,b ( title     
,,xviii ( ! ,social ,security ,act = !  
diagnosis1 treatm5t1 or managem5t ( end 
/age r5al disease2 &  7#b7 = ! adju/m5t 
"u p>agraph 7#a7 to be implem5t$ 9 a    
nonbudget neutral mann] "u subp>agraph  
7,d77iv7 ( section #ahha7;b77#ad7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acierr7b77#ad77;,d77iv774