,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #hfic  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,augu/ #i1 #bjbb,mr4  
,sean ,patrick ,maloney ( ,new ,york 7= 
himself1 ,mr4 ,cicill9e1 ,mr4 ,jones1   
,mr4 ,takano1 ,mr4 ,torres ( ,new ,york1
 ,mr4 ,pet]s1 ,ms4 ,und]wood1 ,mr4      
,tonko1 ,mr4 ,nadl]1 ,mrs4 ,c>olyn ,b4  
,maloney ( ,new ,york1 ,ms4 ,jacobs (   
,cali=nia1 ,mr4 ,b[man1 ,mr4 ,evans1    
,ms4 ,bass1 ,ms4 ,velzquez1 & ,mr4      
,kri%namoor?i7 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 &
 ,natural ,res\rces1 = 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 ensure access to
 co/-free monkeypox te/+ s]vices4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,no ,co/ = ,monkeypox ,te/+ ,act (      
#bjbb4  #b4 ,ensur+ access to co/-free  

monkeypox te/+ s]vices  7a7 ,gr\p heal? 
plans & gr\p & individual 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 ,cov]age (  
monkeypox te/+ ) no co/ %>+ ,a gr\p     
heal? plan & a heal? insurance issu]    
(f]+ gr\p or individual heal? insurance 
cov]age 7includ+ a gr&fa!r$ heal? plan  
7z def9$ 9 section #abea7;e7 ( ! ,pati5t
 ,protection & ,af=dable ,c>e ,act77    
%all provide cov]age1 & %all n impose   
any co/ %>+ 7includ+ d$uctibles1        
copaym5ts1 & co9surance7 requirem5ts or 
prior au?orization or o!r m$ical        
managem5t requirem5ts1 = ! foll[+ items 
& s]vices furni%$ dur+ ! p]iod beg9n+ on
 ! date ( ! enactm5t ( ?is section &    
end+ on ,decemb] #ca1 #bjbc3 7#a7 ,te/s 
= ! detection ( ! monkeypox virus or !  
diagnosis ( monkeypox 7includ+ !        
adm9i/ration ( su* te/+74  7#b7 ,items &
 s]vices furni%$ to an individual dur+  

heal? c>e provid] (fice visits 7:i* t]m 
9 ?is p>agraph includes 9-p]son visits &
 teleheal? visits71 urg5t c>e c5t]      
visits1 & em]g5cy room visits t result 9
 an ord] = or adm9i/ration ( a te/      
describ$ 9 p>agraph 7#a71 b only to !   
ext5t su* items & s]vices relate to !   
furni%+ or adm9i/ration ( su* te/ or to 
! evaluation ( su* individual = purposes
 ( det]m9+ ! ne$ ( su* individual = su* 
te/4  4  7b7 ,m$ic>e ,section #ahcc ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciel7 is am5d$-- 7#a7 9 subsection    
7a77#a7-- 7,a7 by /rik+ & be=e 7,,dd72 &
  7,b7 by ins]t+ be=e ! semicolon at !  
end ! foll[+3 & 7,,ee7 ) respect to a   
specifi$ monkeypox te/+-relat$ s]vice   
describ$ 9 p>agraph 7#a7 ( subsection   
7ee7 = :i* paym5t may be made "u a      
specifi$ outpati5t paym5t provision     
describ$ 9 p>agraph 7#b7 ( su*          
subsection1 ! am\nts paid %all be #ajj  
p]c5t ( ! paym5t am\nt o!rwise recogniz$
 "u su* respective specifi$ outpati5t   
paym5t provision = su* s]vice12  7#b7 9 

subsection 7b71 9 ! fir/ s5t5ce-- 7,a7  
by /rik+ & be=e 7#ab72 &  7,b7 by ins]t+
 be=e ! p]iod at ! end ! foll[+3 1 &    
7#ac7 su* d$uctible %all n apply )      
respect to any specifi$ monkeypox       
te/+-relat$ s]vice describ$ 9 p>agraph  
7#a7 ( subsection 7ee7 = :i* paym5t may 
be made "u a specifi$ outpati5t paym5t  
provision describ$ 9 p>agraph 7#b7 ( su*
 subsection2 &  7#c7 by add+ at ! end ! 
foll[+ new subsection3  7ee7 ,specifi$  
monkeypox te/+-,relat$ s]vices ,=       
purposes ( subsection 7a77#a77;,,ee73   
7#a7 ,description  7,a7 ,9 g5]al ,a     
specifi$ monkeypox te/+-relat$ s]vice   
describ$ 9 ?is p>agraph is a m$ical     
visit t-- 7i7 is 9 any ( ! categories ( 
,,hcpcs evaluation & managem5t s]vice   
codes describ$ 9 subp>agraph 7,b72  7ii7
 is furni%$ dur+ any portion ( ! p]iod t
 beg9s on ! date ( ! enactm5t ( ?is     
subsection & ends on ,decemb] #ca1      
#bjbc2  7iii7 results 9 an ord] = or    
adm9i/ration ( a cl9ical diagno/ic      
laboratory te/ describ$ 9 section       

#aheb7;a77#a77;,b77iv77,,iv72 &  7iv7   
relates to ! furni%+ or adm9i/ration (  
su* te/ or to ! evaluation ( su*        
individual = purposes ( det]m9+ ! ne$ ( 
su* individual = su* te/4  7,b7         
,categories ( ,,hcpcs codes ,= purposes 
( subp>agraph 7,a71 ! categories (      
,,hcpcs evaluation & managem5t s]vices  
codes are ! categories describ$ 9       
subsection 7cc77#a77;,b74  7#b7         
,specifi$ outpati5t paym5t provision ,a 
specifi$ outpati5t paym5t provision     
describ$ 9 ?is p>agraph is any su*      
provision describ$ 9 subsection         
7cc77#b74  4  7c7 ,m$ic>e ,advantage    
,section #aheb7;a77#a77;,b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciew-#bb7;a77#a77;,b77 is am5d$-- 7#a7
 9 clause 7iv7-- 7,a7 by r$esignat+     
subclause 7,,vii7 z subclause 7,,ix72 & 
7,b7 by ins]t+ aft] subclause 7,,vi7 !  
foll[+ new subclauses3  7,,vii7 ,cl9ical
 diagno/ic laboratory te/s adm9i/]$ dur+
 ! p]iod beg9n+ on ! date ( ! enactm5t (
 ?is subclause & end+ on ,decemb] #ca1  

#bjbc1 = ! detection ( ! monkeypox virus
 or ! diagnosis ( monkeypox & !         
adm9i/ration ( su* te/4  7,,viii7       
,specifi$ monkeypox te/+-relat$ s]vices 
7z describ$ 9 section #ahcc7;ee77#a77 = 
:i* paym5t w\ld be payable "u a specifi$
 outpati5t paym5t provision describ$ 9  
section #ahcc7;ee77#b74  2  7#b7 9      
clause 7v71 by /rik+ subclauses 7,,iv71 
7,v71 & 7,,vi7 & ins]t+ subclauses      
7,,iv7 ?r\gh 7,,viii72 &  7#c7 by add+  
at ! end ! foll[+ new clause3  7vii7    
,prohibition ( application ( c]ta9      
requirem5ts = monkeypox te/+ ,9 ! case (
 a te/ or s]vice describ$ 9 subclause   
7,,vii7 or 7,,viii7 ( clause 7iv7 t is  
adm9i/]$ or furni%$ dur+ ! p]iod        
describ$ 9 su* subclause 7,,vii71 an    
,,ma plan may n impose any prior        
au?orization or o!r utilization         
managem5t requirem5ts ) respect to !    
cov]age ( su* a te/ or s]vice "u su*    
plan4  4  7d7 ,m$icaid & ,,*ip  7#a7    
,m$icaid  7,a7 ,9 g5]al ,section        
#aije7;a77#c7 ( ! ,social ,security ,act

 7#db ,u4,s4,c4 #acif;d7a77#c77 is      
am5d$-- 7i7 9 subp>agraph 7,a71 by /rik+
 & at ! end2  7ii7 9 subp>agraph 7,b71  
by /rik+ ! semicolon & ins]t+ 2 &2 &    
7iii7 by add+ at ! end ! foll[+ new     
subp>agraph3  7,c7 te/s adm9i/]$ dur+ ! 
p]iod beg9n+ on ! date ( ! enactm5t (   
?is subp>agraph & end+ on ,decemb] #ca1 
#bjbc1 = ! detection ( ! monkeypox virus
 or ! diagnosis ( monkeypox & !         
adm9i/ration ( su* te/s2  4  7,b7 ,no   
co/ %>+  7i7 ,9 g5]al ,subsections      
7a77#b7 & 7b77#b7 ( section #aiaf ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acifo7 are ea* am5d$-- 7,i7 9          
subp>agraph 7,h71 by /rik+ or at ! end2 
7,,ii7 9 subp>agraph 7,i71 by /rik+ 2 & 
& ins]t+ a comma2 &  7,,iii7 by add+ at 
! end ! foll[+ new subp>agraphs3  7,j7  
any te/ describ$ 9 section              
#aije7;a77#c77;,c7 t is adm9i/]$ dur+ ! 
p]iod describ$ 9 su* section 7& !       
adm9i/ration ( su* te/71 or  7,k7       
monkeypox te/+-relat$ s]vices = :i*     
paym5t may be made "u ! ,/ate plan2 &  4

  7ii7 ,application to alt]native co/   
%>+ ,section #aiaf;,a7b77#c77;,b7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acifo-#a7;b77#c77;,b77 is am5d$ by add+
 at ! end ! foll[+ new clause3  7xiv7   
,any te/ describ$ 9 section             
#aije7;a77#c77;,c7 t is adm9i/]$ dur+ ! 
p]iod describ$ 9 su* section 7& !       
adm9i/ration ( su* te/7 & any s]vice    
describ$ 9 section #aiaf7;a77#b77,k7 t  
is furni%$ dur+ any su* p]iod4  4  7iii7
 ,cl>ification ,! am5dm5ts made ?is     
p>agraph %all apply ) respect to a ,/ate
 plan ( a t]ritory 9 ! same mann] z a   
,/ate plan ( "o ( ! #ej ,/ates4  7,c7   
,expansion ( ,/ate option to provide    
cov]age ( un9sur$ individuals to include
 monkeypox te/+ ,section #aijb7;a77#aj7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif;a7a77#aj77 is am5d$--   
7i7 9 subp>agraph 7,a77ii77,,xxiii71 by 
/rik+ any portion ( ! em]g5cy p]iod     
def9$ 9 p>agraph 7#a77;,b7 ( section    
#aace7;g7 beg9n+ on or aft] ! date ( !  
enactm5t ( ?is subclause & ins]t+ !     

p]iod beg9n+ on ! date ( ! enactm5t (   
?is subclause & end+ on ,decemb] #ca1   
#bjbb 7or1 if latt]1 on ! la/ day ( !   
em]g5cy p]iod describ$ 9 section        
#aace7;g77#a77;,b7712 &  7ii7 9 ! matt] 
foll[+ subp>agraph 7,g7 designat$ z     
subclause 7,,xviii7-- 7,i7 by /rik+ !   
p]iod at ! end ( ! em]g5cy s5t5ce       
describ$ 9 su* section & ins]t+ !       
em]g5cy p]iod describ$ 9 su* section2   
7,,ii7 by /rik+ & te/+ & treatm5ts &    
ins]t+ te/+ & treatm5ts2 &  7,,iii7 by  
ins]t+ any te/ describ$ 9 section       
#aije7;a77#c77;,c7 7& ! adm9i/ration (  
su* te/7 t is adm9i/]$ dur+ ! p]iod     
beg9n+ on ! date ( ! enactm5t ( ! ,no   
,co/ = ,monkeypox ,te/+ ,act ( #bjbb &  
end+ on ,janu>y #a1 #bjbc1 & any s]vice 
describ$ 9 section #aiaf7;a77#b77,k7 t  
is furni%$ dur+ su* p]iod aft] 7or waiv]
 ( su* plan74  7#b7 ,,*ip  7,a7 ,9 g5]al
 ,section #bajc7;c7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acig;cc7c77 is am5d$ by add+ at ! end !
 foll[+ p>agraph3  7#ab7 ,c]ta9         

monkeypox te/+ ,! *ild heal? assi/ance  
provid$ to a t>get$ l[-income *ild %all 
include cov]age ( any te/ describ$ 9    
section #aije7;a77#c77;,c7 t is adm9i/]$
 dur+ ! p]iod beg9n+ on ! date ( !      
enactm5t ( ?is p>agraph & end+ on       
,decemb] #ca1 #bjbc 7& ! adm9i/ration ( 
su* te/74  4  7,b7 ,prohibition ( co/   
%>+ ,section #bajc7;e77#b7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acig;cc7e77#b77 is am5d$-- 7i7 9 !     
head]1 by ins]t+ monkeypox te/+1 aft]   
covid-#ai treatm5t2 &  7ii7 by ins]t+   
te/s describ$ 9 subsection 7c77#ab7 7&  
adm9i/ration ( su* te/s7 furni%$ dur+ ! 
p]iod describ$ 9 su* section1 s]vices   
describ$ 9 section #aiaf7;a77#b77,k7    
furni%$ dur+ su* p]iod be=e 1 or =      
pregnancy-relat$ assi/ance4  7e7        
,application ) respect to ,tric>e1      
cov]age = vet]ans1 & cov]age = ,f$]al   
civilians  7#a7 ,tric>e ,! ,secret>y (  
,def5se may n require any copaym5t or   
o!r co/ %>+ "u *apt] #ee ( title #aj1   
,unit$ ,/ates ,code1 = te/s describ$ 9  

p>agraph 7#a7 ( section #bgcj ( !       
,public ,heal? ,s]vice ,act 7or !       
adm9i/ration ( su* te/s7 or item &      
s]vices describ$ 9 p>agraph 7#b7 ( su*  
section furni%$ dur+ ! p]iod beg9n+ on !
 date ( ! enactm5t ( ?is ,act & end+ on 
,decemb] #ca1 #bjbc4  7#b7 ,vet]ans ,!  
,secret>y ( ,vet]ans ,affairs may n     
require any copaym5t or o!r co/ %>+ "u  
*apt] #ag ( title #ch1 ,unit$ ,/ates    
,code1 = te/s describ$ 9 p>agraph 7#a7 (
 section #bgcj ( ! ,public ,heal?       
,s]vice ,act 7or ! adm9i/ration ( su*   
te/s7 or items & s]vices describ$ 9     
p>agraph 7#b7 ( su* section furni%$ dur+
 ! p]iod describ$ 9 p>agraph 7#a74  7#c7
 ,f$]al civilians ,no copaym5t or o!r   
co/ %>+ may be requir$ = any individual 
occupy+ a position 9 ! civil s]vice 7z t
 t]m is def9$ 9 section #baja7a7 ( title
 #e1 ,unit$ ,/ates ,code7 enroll$ 9 a   
heal? b5efits plan1 includ+ any plan "u 
*apt] #hi ( title #e1 ,unit$ ,/ates     
,code1 or = any o!r individual curr5tly 
enroll$ 9 any plan "u *apt] #hi ( title 

#e = te/s describ$ 9 p>agraph 7#a7 (    
section #bgcj ( ! ,public ,heal? ,s]vice
 ,act 7or ! adm9i/ration ( su* te/s7 or 
items & s]vices describ$ 9 p>agraph 7#b7
 ( su* section furni%$ dur+ ! p]iod     
describ$ 9 p>agraph 7#a74  7f7 ,cov]age 
( te/+ = monkeypox at no co/ %>+ =      
,indians receiv+ pur*as$_/,ref]r$ c>e ,!
 ,secret>y ( ,heal? & ,human ,s]vices   
%all cov]1 )\t ! imposition ( any co/   
%>+ requirem5ts1 ! co/ ( provid+ any te/
 describ$ 9 p>agraph 7#a7 ( section     
#bgcj ( ! ,public ,heal? ,s]vice ,act   
7or ! adm9i/ration ( su* te/s7 or items 
& s]vices describ$ 9 p>agraph 7#b7 ( su*
 section furni%$ dur+ ! p]iod describ$ 9
 subsection 7e77#a7 to ,indians 7z def9$
 9 section #d ( ! ,indian ,heal? ,c>e   
,improvem5t ,act 7#be ,u4,s4,c4 #afjc77 
receiv+ heal? s]vices ?r\gh ! ,indian   
,heal? ,s]vice1 includ+ ?r\gh an ,urban 
,indian ,organization1 reg>dless ( :e!r 
su* items or s]vices h be5 au?oriz$ "u !
 pur*as$_/ref]r$ c>e sy/em fund$ by !   
,indian ,heal? ,s]vice or is cov]$ z a  

heal? s]vice ( ! ,indian ,heal? ,s]vice4
  7g7 ,access = c]ta9 un9sur$           
individuals  7#a7 ,9 g5]al ,! ,secret>y 
( ,heal? & ,human ,s]vices %all e/abli% 
a program "u :i*-- 7,a7 program-regi/]$ 
provid]s submit claims to ! ,secret>y ) 
respect to ! furni%+1 dur+ ! p]iod      
describ$ 9 subsection 7e77#a71 ( te/s   
describ$ 9 p>agraph 7#a7 ( section #bgcj
 ( ! ,public ,heal? ,s]vice ,act 7or !  
adm9i/ration ( su* te/s7 or items &     
s]vices describ$ 9 p>agraph 7#b7 ( su*  
section furni%$ to un9sur$ individuals2 
&  7,b7 ! ,secret>y1 subject to !       
availability ( appropriations1 pays ea* 
su* provid] = su* te/s1 items1 & s]vices
 9 an am\nt det]m9$ appropriate by !    
,secret>y4  7#b7 ,def9itions ,9 ?is     
section3 7,a7 ,program-regi/]$ provid]  
,! t]m program-regi/]$ provid] means a  
heal? c>e provid] t-- 7i7 ent]s into an 
agreem5t ) ! ,secret>y "u :i* ! provid] 
agrees n to hold an un9sur$ individual  
liable = ! co/ ( te/s1 items1 & s]vices 
describ$ 9 p>agraph 7#a7 ) respect to   

:i* a paym5t is made "u subp>agraph 7,b7
 ( su* p>agraph2 &  7ii7 meets su* o!r  
requirem5ts z ! ,secret>y may specify4  
7,b7 ,secret>y ,! t]m ,secret>y means ! 
,secret>y ( ,heal? & ,human ,s]vices4   
7,c7 ,un9sur$ individual ,! t]m un9sur$ 
individual means1 ) respect to an       
individual & a te/1 item1 or s]vice     
describ$ 9 p>agraph 7#a71 an individual 
:o-- 7i7 is n enroll$ 9-- 7,i7 a ,f$]al 
heal? c>e program 7z def9$ 9 section    
#aabh;,b7f7 ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acbj;a-#g;b7f7772       
7,,ii7 a gr\p heal? plan or heal?       
insurance cov]age (f]$ by a heal?       
insurance issu] 9 ! gr\p or individual  
m>ket 7z su* t]ms are def9$ 9 section   
#bgia ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #cjj;gg-#ia772 or        
7,,iii7 a heal? plan (f]$ "u *apt] #hi (
 title #e1 ,unit$ ,/ates ,code2 or  7ii7
 is enroll$ 9 a program1 plan1 or       
cov]age describ$ 9 subp>agraph 7,a7 t   
does n provide any b5efits = su* te/1   
item1 or s]vice "u su* program1 plan1 or

 cov]age 7z applicable74