,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #gfcd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bh1 #bjbb,mrs4
 ,rodg]s ( ,wa%+ton 7= h]self1 ,mr4     
,banks1 ,mr4 ,w5/rup1 & ,mr4 ,burgess7  
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 ,,xi ( ! ,social
 ,security ,act to prohibit ! use (     
quality-adju/$ life ye>s & simil>       
measures 9 cov]age & paym5t det]m9ations
 "u ,f$]al heal? c>e programs4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,protect+ ,heal? ,c>e = ,all ,pati5ts   
,act ( #bjbb4  #b4 ,prohibit+ ! use (   
quality-adju/$ life ye>s & simil>       
measures 9 cov]age & paym5t det]m9ations
 "u ,f$]al heal? c>e programs  7a7 ,9   
g5]al ,section #aahb7;e7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           

#acbj;e-#a7;e77 is am5d$-- 7#a7 by /rik+
 ,! ,secret>y %all n & ins]t+ ,a ,f$]al 
ag5cy or ,/ate may n2  7#b7 by ins]t+ 1 
includ+ by us+ a price develop$ by any  
entity or gov]nm5t t is bas$ on su* an  
adju/$ life ye> 7or su* a simil>        
measure7 or us+ av]ages or o!r pric+    
metrics t directly or indirectly take   
into acc\nt su* prices1 aft] 7or su* a  
simil> measure72 &  7#c7 by /rik+ "u    
title ,,xviii4 & ins]t+ ! foll[+3 "u any
 ,f$]al heal? c>e program 7z def9$ 9    
section #aabh;,b1 except t su* t]m %all 
include ! heal? program e/abli%$ "u     
*apt] #hi ( title #e1 ,unit$ ,/ates     
,code744  7b7 ,con=m+ am5dm5ts  7#a7    
,m$icaid ,section #aijb7;a7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77 is am5d$-- 7,a7 9 p>agraph  
7#hf71 by /rik+ & at ! end2  7,b7 9     
p>agraph 7#hg77;,d71 by /rik+ ! p]iod & 
ins]t+ 2 &2 &  7,c7 by ins]t+ aft]      
p>agraph 7#hg7 ! foll[+ new p>agraph3   
7#hh7 provide = compliance ) !          
requirem5ts ( section #aahb7;e7 7relat+ 

to prohibit+ ! use ( c]ta9 measures 9   
cov]age det]m9ations1 reimbursem5t1 &   
inc5tive programs74  4  7#b7 ,,*ip      
,section #bajb ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acig;bb7 is am5d$  
by add+ at ! end ! foll[+ new           
subsection3  7d7 ,prohibition on ! use (
 quality-,adju/$ life ye>s & simil>     
measures ,a ,/ate *ild heal? plan %all  
provide = compliance ) ! requirem5ts (  
section #aahb7;e7 7relat+ to prohibit+ !
 use ( c]ta9 measures 9 cov]age         
det]m9ations1 reimbursem5t1 & inc5tive  
programs74  4