,i #aag? ,,congress #b;d ,session ,h4 ,r4 #gcbb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #ca1 #bjbb,ms4 ,de,lauro introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,ways & ,means1 ,arm$ ,s]vices1 ,vet]ans' ,affairs1 & ,ov]sight & ,re=m1 = 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 require cov]age = scalp cool+ items "u gr\p heal? plans & gr\p & individual heal? insurance cov]age1 specifi$ ,f$]al heal? c>e programs1 & ! ,f$]al ,employees ,heal? ,b5efits ,program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,access to ,scalp ,cool+ ,!rapy ,act ( #bjbb4 #b4 ,requir+ cov]age = scalp cool+ items "u gr\p heal? plans & gr\p & individual heal? insurance cov]age1 specifi$ ,f$]al heal? c>e programs1 & ! ,f$]al ,employees ,heal? ,b5efits ,program 7a7 ,gr\p heal? plans & heal? insurance cov]age ,subp>t ,,ii ( "p ,a ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #bgcj4 ,requir$ cov]age ( scalp cool+ items 7a7 ,9 g5]al ,) respect to a plan ye> beg9n+ on or aft] ,janu>y #a1 #bjbc1 a gr\p heal? plan & a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age %all provide b5efits "u su* plan or su* cov]age = scalp cool+ items 7z def9$ 9 subsection 7c77 9 accordance ) ! requirem5t describ$ 9 subsection 7b74 7b7 ,cov]age requirem5t ,= purposes ( subsection 7a71 ! requirem5t describ$ 9 ?is subsection is1 ) respect to ! imposition or application ( any f9ancial requirem5t 7z def9$ 9 subsection 7c77 ) respect to cov]age ( scalp cool+ items "u a gr\p heal? plan or gr\p or individual heal? insurance cov]age1 ! requirem5t t su* f9ancial requirem5t be ! same z su* requirem5t applicable to intrav5\s or injection anticanc] drugs furni%$ "u su* plan or su* cov]age = :i* b5efits are provid$ "u su* plan or su* cov]age4 7c7 ,def9itions ,9 ?is section3 7#a7 ,f9ancial requirem5t ,! t]m f9ancial requirem5t means1 ) respect to an item or s]vice furni%$ "u a gr\p heal? plan or gr\p or individual heal? insurance cov]age1 any copaym5t1 co9surance1 d$uctible1 annual limit1 lifetime limit1 or out-(-pocket maximum appli$ "u su* plan or su* cov]age ) respect to su* item or s]vice4 7#b7 ,scalp cool+ item ,! t]m scalp cool+ item means a cool+ cap1 hypo!rmia cap1 cold cap1 or any o!r !rapeutic device us$ to cool ! scalp ( an individual to prev5t or r$uce hair loss dur+ *emo!rapy4 4 7b7 ,m$ic>e 7#a7 ,cov]age 7,a7 ,9 g5]al ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$-- 7i7 9 subsection 7s77#b7-- 7,i7 9 subp>agraph 7,,gg71 by /rik+ & at ! end2 7,,ii7 9 subp>agraph 7,,hh71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,,iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,,ii7 scalp cool+ items 7z def9$ 9 subsection 7lll772 2 & 7ii7 by add+ at ! end ! foll[+ new subsection3 7lll7 ,scalp cool+ items ,! t]m scalp cool+ item means a cool+ cap1 hypo!rmia cap1 cold cap1 or any o!r !rapeutic device us$ to cool ! scalp ( an individual to prev5t or r$uce hair loss dur+ *emo!rapy furni%$ on or aft] ,janu>y #a1 #bjbc4 4 7,b7 ,exclusion modification ,section #ahfb7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7a77#a77 is am5d$-- 7i7 9 subp>agraph 7,o71 by /rik+ & at ! end2 7ii7 9 subp>agraph 7,p71 by /rik+ ! semicolon & ins]t+ 1 &2 & 7iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,q7 9 ! case ( scalp cool+ items 7z def9$ 9 section #ahfa7lll771 :i* are n furni%$ to prev5t or r$uce hair loss dur+ *emo!rapy2 4 7#b7 ,paym5t ,section #ahcc7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is am5d$-- 7,a7 by /rik+ & 7,,dd7 & ins]t+ 7,,dd72 & 7,b7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 & 7,,ee7 ) respect to scalp cool+ items 7z def9$ 9 section #ahfa7lll771 ! am\nt paid %all be equal to #hj p]c5t ( ! less] ( ! actual *>ge or an am\nt det]m9$ appropriate by ! ,secret>y24 7c7 ,m$icaid 7#a7 ,9 g5]al ,title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 is am5d$-- 7,a7 9 section #aijb7;a77#aj77;,a71 by /rik+ & 7#cj7 & ins]t+ 7#cj71 & 7#ca72 & 7,b7 9 section #aije7;a7-- 7i7 9 p>agraph 7#cj71 by /rik+ & at ! end2 7ii7 by r$esignat+ p>agraph 7#ca7 z p>agraph 7#cb72 & 7iii7 by ins]t+ aft] p>agraph 7#cj7 ! foll[+ new p>agraph3 7#ca7 cool+ caps1 hypo!rmia caps1 cold caps1 & any o!r !rapeutic devices us$ to cool ! scalp ( an individual to prev5t or r$uce hair loss dur+ *emo!rapy4 4 7#b7 ,effective date 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 ! am5dm5ts made by ?is subsection %all apply ) respect to m$ical assi/ance furni%$ 9 cal5d> qu>t]s beg9n+ on or aft] ,janu>y #a1 #bjbc4 7,b7 ,exception = ,/ate legislation ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7or a waiv] ( su* plan71 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 9 ord] = ! respective plan 7or waiv]7 to meet any requirem5t impos$ by ! am5dm5ts made by ?is subsection1 ! respective plan 7or waiv]7 %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet su* an additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is subsection4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 7d7 ,,*ip 7#a7 ,9 g5]al ,section #bajc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7 is am5d$-- 7,a7 9 subsection 7a71 by /rik+ p>agraphs 7#e71 7#f71 7#g7 & 7#h7 (2 & 7,b7 9 subsection 7c71 by add+ at ! end ! foll[+ new p>agraph3 7#aa7 ,cov]age ( scalp cool+ items ,! *ild heal? assi/ance provid$ to a t>get$ l[-income *ild %all include cool+ caps1 hypo!rmia caps1 cold caps1 & any o!r !rapeutic devices us$ to cool ! scalp ( an individual to prev5t or r$uce hair loss dur+ *emo!rapy4 4 7#b7 ,effective date 7,a7 ,9 g5]al ,subject to subp>agraph 7,b71 ! am5dm5ts made by ?is subsection %all take effect ) respect to *ild heal? assi/ance provid$ on or aft] ,janu>y #a1 #bjbc4 7,b7 ,exception = ,/ate legislation ,9 ! case ( a ,/ate *ild heal? plan "u title ,,xxi ( ! ,social ,security ,act 7or a waiv] ( su* plan71 :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 9 ord] = ! respective plan 7or waiv]7 to meet any requirem5t impos$ by ! am5dm5ts made by ?is section1 ! respective plan 7or waiv]7 %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet su* an additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( enactm5t ( ?is section4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 7e7 ,,fehbp ,section #hijb ( title #e1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new subsection3 7p7 ,a contract may n be made or a plan approv$ :i* does n provide = ! cov]age requir$ "u section #bgcj ( ! ,public ,heal? ,s]vice ,act4 4 7f7 ,,tric>e ,section #ajgg7;a7 ( title #aj1 ,unit$ ,/ates ,code1 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ai7 ,a cool+ cap1 hypo!rmia cap1 cold cap1 or any o!r !rapeutic device us$ to cool ! scalp ( an individual to prev5t or r$uce hair loss dur+ *emo!rapy4 4 7g7 ,,va 7#a7 ,9 g5]al ,*apt] #ag ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] section #agbj;,i ! foll[+ new section3 #agbj;,j4 ,provision ( scalp cool+ items ,! ,secret>y %all make available to a vet]an :o receives *emo!rapy pursuant to ?is *apt] a cool+ cap1 hypo!rmia cap1 cold cap1 or any o!r !rapeutic device us$ to cool ! scalp ( an individual to prev5t or r$uce hair loss dur+ *emo!rapy4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by ins]t+ aft] ! item relat+ to section #agbj;,i ! foll[+ new item3 #agbj;,j4 ,provision ( scalp cool+ items4 4