,,ii  #aag? ,,congress  #a/ ,session    
,s4 #ahgc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bg1 #bjba ,mr4   
,crapo 7= himself1 ,mr4 ,b5net1 ,mr4    
,scott ( ,s\? ,c>ol9a1 & ,mr4 ,c>d97    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = ,m$ic>e cov]age ( multi-canc] 
e>ly detection scre5+ te/s4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,m$ic>e 
,multi-,canc] ,e>ly ,detection ,scre5+  
,cov]age ,act ( #bjba4  #b4 ,purpose ,! 
purpose ( ?is ,act is to create a cov]$ 
b5efit = multi-canc] e>ly detection     
scre5+ te/s to ensure ,m$ic>e b5efici>y 
access to ^! te/s )\t unnecess>y delay  
once approv$ "u ! ,f$]al ,food1 ,drug1 &
 ,cosmetic ,act4  #c4 ,m$ic>e cov]age ( 
multi-canc] e>ly detection scre5+ te/s  
7a7 ,cov]age ,section #ahfa ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 am5d$-- 7#a7 9 subsection 7s77#b7--    
7,a7 by /rik+ & at ! end ( subp>agraph  

7,,gg72  7,b7 by /rik+ ! p]iod at ! end 
( subp>agraph 7,,hh7 & ins]t+ 2 &2 &    
7,c7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,,ii7 multi-canc] e>ly   
detection scre5+ te/s 7z def9$ 9        
subsection 7lll772  2 &  7#b7 by add+ at
 ! end ! foll[+ new subsection3  7lll7  
,multi-,canc] e>ly detection scre5+ te/s
 ,! t]m multi-canc] e>ly detection      
scre5+ te/ means any ( ! foll[+ te/s1   
approv$ or cle>$ by ! ,food & ,drug     
,adm9i/ration1 furni%$ to an individual 
= ! purpose ( e>ly detection ( canc]    
across _m canc] types 7z categoriz$ 9 ! 
,annual ,report to ! ,nation on ! ,/atus
 ( ,canc] issu$ by ! ,national ,canc]   
,in/itute73  7#a7 ,a g5omic sequ5c+     
blood or blood product te/ t includes ! 
analysis ( cell-free nucleic acids4     
7#b7 ,su* o!r equival5t te/s 7:i* are   
bas$ on ur9e or o!r sample ( biological 
mat]ial7 z ! ,secret>y det]m9es         
appropriate4  4  7b7 ,paym5t & frequ5cy 
limit  7#a7 ,paym5t "u fee s*$ule       
,section #ahcc7;h7 ( ! ,social ,security

 ,act 7#db ,u4,s4,c4 #aciel7h77 is      
am5d$-- 7,a7 9 p>agraph 7#a77;,a71 by   
ins]t+ aft] 7includ+ ! foll[+3          
multi-canc] e>ly detection scre5+ te/s  
"u section #ahfa7lll7 & includ+2 &  7,b7
 by add+ at ! end ! foll[+ new p>agraph3
  7#aj7 ,no paym5t may be made "u ?is "p
 = a multi-canc] e>ly detection scre5+  
te/ 7z def9$ 9 section #ahfa7lll77 = an 
individual if su* a te/ 0 furni%$ to !  
individual dur+ ! previ\s #aa mon?s4  4 
7#b7 ,con=m+ am5dm5t ,section #ahfb7;a7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciey7a77 is am5d$-- 7,a7 9  
p>agraph 7#a7--  7i7 9 subp>agraph 7,o71
 by /rik+ & at ! end2  7ii7 9           
subp>agraph 7,p71 by /rik+ ! semicolon  
at ! end & ins]t+ 1 &2 &  7iii7 by add+ 
at ! end ! foll[+ new subp>agraph3  7,q7
 9 ! case ( multi-canc] e>ly detection  
scre5+ te/s 7z def9$ 9 section          
#ahfa7lll771 :i* are p]=m$ m frequ5tly  
?an is cov]$ "u section #ahcc7;h77#aj72 
2 &  7,b7 9 p>agraph 7#g71 by /rik+ or  
7,p7 & ins]t+ 7,p71 or 7,q74  7c7 ,rule 

( con/ruction relat+ to o!r canc] scre5+
 te/s ,no?+ 9 ?is section1 includ+ !    
am5dm5ts made by ?is section1 %all be   
con/ru$--  7#a7 9 ! case ( an individual
 :o und]goes a multi-canc] e>ly         
detection scre5+ te/1 to affect cov]age 
"u "p ,b ( title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie;j et
 seq47 = o!r canc] scre5+ te/s cov]$ "u 
su* title1 su* z scre5+ te/s = brea/1   
c]vical1 colorectal1 lung1 or pro/ate   
canc]2 or  7#b7 9 ! case ( an individual
 :o und]goes ano!r canc] scre5+ te/1 to 
affect cov]age = a multi-canc] e>ly     
detection scre5+ te/ or ! use ( su* a   
te/ z a diagno/ic or confirmatory te/ = 
a result ( ! o!r canc] scre5+ te/4  7d7 
,implem5tation ,! ,secret>y ( ,heal? &  
,human ,s]vices %all provide = !        
implem5tation ( cov]age ( multi-canc]   
e>ly detection scre5+ te/s "u ! am5dm5ts
 made by ?is section ?r\gh ! applicable 
,m$ic>e cov]age process "u title ,,xviii
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acie et seq474  7e7 ,,gao    

/udy & report on multi-,canc] e>ly      
detection scre5+ te/s  7#a7 ,/udy ,!    
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all conduct a /udy on ! utilization (  
multi-canc] e>ly detection te/s "u title
 ,,xviii ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acie et seq474 ,su* /udy    
%all include an analysis ( aggregate    
data on--  7,a7 ! utilization ( su* te/s
 by sex1 race1 e?nicity1 geography1 &   
socioeconomic /atus2 &  7,b7 ! numb] (  
canc]s detect$ ?r\gh scre5+ 9 ,m$ic>e   
b5efici>ies & improvem5ts 9 heal?       
outcomes4  7#b7 ,report ,n lat] ?an ?ree
 ye>s aft] ! />t ( cov]age ( su* te/s "u
 su* title1 ! ,comptroll] ,g5]al %all   
submit to ,congress a report conta9+ !  
results ( ! /udy conduct$ "u p>agraph   
7#a71 includ+ recomm5dations = increas+ 
access & utilization 9 und]s]v$ areas & 
o!r recomm5dations z ! ,comptroll]      
,g5]al det]m9es appropriate4