,,ii  #aag? ,,congress  #b;d ,session   
,s4 #cgic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #aj 7legislative  
day1 ,m>* #g71 #bjbb,mr4 ,scott ( ,s\?  
,c>ol9a 7= himself & ,mr4 ,w>nock7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title ,,xi 
( ! ,social ,security ,act to recomm5d t
 ! ,c5t] = ,m$ic>e & ,m$icaid           
,innovation te/ ! effect (              
te*nology-enabl$ c>e int]v5tions 9 !    
home to coord9ate c>e ov] "t & across   
sett+s1 improve quality1 & l[] co/s =   
c]ta9 ,m$ic>e ,advantage b5efici>ies1 & 
= o!r purposes4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,te*nology-,enabl$ 
,c>e 9 ! ,home 7,,te*7 ,act4  #b4 ,c5t] 
= ,m$ic>e & ,m$icaid innovation te/+ (  
,m$ic>e ,advantage teleheal?1 remote    
pati5t monitor+1 & o!r te*nology-enabl$ 
c>e int]v5tions 9 ! home demon/ration   
project ,section #aaae;,a ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acae;a7  
is am5d$-- 7#a7 9 subsection            

7b77#b77;,b71 by add+ at ! end ! foll[+ 
new clause3  7xxviii7 ,furni%+          
teleheal?1 remote pati5t monitor+1 & o!r
 te*nology-enabl$ c>e int]v5tions 9 !   
home to eligible individuals z describ$ 
9 subsection 7h74  2 &  7#b7 by add+ at 
! end ! foll[+ new subsection3  7h7     
,m$ic>e ,advantage teleheal?1 remote    
pati5t monitor+1 & o!r te*nology-,enabl$
 c>e int]v5tions 9 ! home demon/ration  
project 7,,te* demon/ration project7    
7#a7 ,description ( demon/ration project
 & requirem5ts  7,a7 ,9 g5]al ,!        
demon/ration project describ$ 9 ?is     
subsection 7ref]r$ to 9 ?is subsection z
 ! ,,te* demon/ration project7 is a     
demon/ration project to te/ ! use (     
teleheal? s]vices1 remote pati5t        
monitor+1 & o!r te*nology-enabl$ c>e    
int]v5tions 9 ! home = eligible         
enrollees au?oriz$ "u ,m$ic>e ,advantage
 organizations "u "p ,c ( title ,,xviii 
& re/rict$ to su* organizations t are   
p>ticipat+ 9 ! ,,cmi's ,value-,bas$     
,insurance ,design model 9 #bjbc4 ,!    

demon/ration project w te/ !            
effectiv5ess ( ^! te*nology-enabl$      
int]v5tions on-- 7i7 ! provision ( c>e 9
 homes & congregate c>e sett+s = !      
managem5t ( disease progression1 pati5t 
heal?1 c>e quality1 pati5t c>e exp]i5ce1
 & c>egiv] well-be+2 &  7ii7 r$uc+ sp5d+
 "u "p ,c ( title ,,xviii )\t r$uc+     
quality ( c>e4  7,b7 ,volunt>y          
p>ticipation ,p>ticipation "u ! ,,te*   
demon/ration project %all be volunt>y ) 
respect to bo? eligible enrollees &     
,m$ic>e ,advantage organizations4  7#b7 
,duration ,! ,,te* demon/ration project 
%all be implem5t$ = a #c-ye> p]iod1     
beg9n+ n lat] ?an #ah mon?s aft] ! date 
( ! enactm5t ( ?is subsection4  7#c7    
,enrollm5t ,! ,,te* demon/ration project
 %all e/abli% a comp>ison gr\p & enroll 
suffici5t numb]s ( eligible enrollees to
 a*ieve /ati/ically significant f9d+s on
 quality & co/ = ! demon/ration project 
& = specific sub-populations1 includ+ ^?
 bas$ on geography1 socioeconomic /atus1
 age1 race1 & e?nicity4  7#d7           

,def9itions ,9 ?is subsection3 7,a7     
,eligible enrollee ,! t]m eligible      
enrollee means a *ronically ill enrollee
 7z def9$ 9 section                     
#aheb7;a77#c77;,d77iii774  7,b7 ,remote 
pati5t monitor+ ,! t]m remote pati5t    
monitor+ means connect$ digital         
te*nologies & mobile m$ical devices t   
collect cl9ical grade1 pati5t-g5]at$    
heal? data f individuals 9 "o location &
 electronically transmit t in=mation    
securely to a c>e team 9 a diff]5t      
location = assessm5t & int]v5tion4  7,c7
 ,teleheal? s]vices ,! t]m teleheal?    
s]vices means teleheal? s]vices 7z def9$
 9 subp>agraph 7,f7 ( section           
#ahcd7m77#d71 b )\t reg>d to geographic 
or o!r orig9at+ site requirem5ts        
describ$ 9 subp>agraph 7,c7 ( su*       
section74  7,d7 ,o!r te*nology-enabl$   
c>e int]v5tions ,! t]m te*nology-enabl$ 
c>e int]v5tions means mobile1 digital1  
or electronic heal? s]vices & sy/ems t  
enable ! remote1 secure ex*ange (       
in=mation prim>ily betwe5 a heal? or c>e

 provid] & a pati5t 9 a home or         
congregate c>e sett+ = ! purpose (      
diagnos+ or manag+ a heal? condition4   
7#e7 ,fund+ ,out ( am\nts appropriat$ "u
 subsection 7f77#a77;,c7 = ! #aj-ye>    
fiscal p]iod beg9n+ ) fiscal ye> #bjbj1 
#be1jjj1jjj %all be made available to   
c>ry out ?is subsection4  4  #c4 ,*anges
 to ! adm9i/rative f9ality policy ( !   
,social ,security ,adm9i/ration  7a7 ,9 
g5]al ,section #bje7;c7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #dja7;c77 
is am5d$-- 7#a7 by /rik+ p>agraphs 7#d7 
& 7#e7 & ins]t+ ! foll[+3  7#d7 ,!      
,commission] ( ,social ,security may1 if
 x is br\ght to ! ,commission]'s        
att5tion t any entry ( wages or         
self-employm5t income 9 ! ,commission]'s
 records = a ye> is errone\s or t any   
item ( wages or self-employm5t income = 
su* ye> has be5 omitt$ f su* records1   
correct su* entry or include su* omitt$ 
item 9 ! individual's records1 z ! case 
may be4 ,aft] ! expiration ( ! "t       
limitation foll[+ any ye>-- 7,a7 !      

,commission]'s records 7) *anges1 if    
any1 made pursuant to su* regulations z 
! ,commission] %all e/abli%7 ( ! am\nts 
( wages paid to1 & self-employm5t income
 d]iv$ by1 an individual dur+ any p]iod 
9 su* ye> %all be conclusive = !        
purposes ( ?is title2  7,b7 ! abs5ce (  
an entry 9 ! ,commission]'s records z to
 ! wages alleg$ to h be5 paid by an     
employ] to an individual dur+ any p]iod 
9 su* ye> %all be presumptive evid5ce = 
! purposes ( ?is title t no su* alleg$  
wages 7 paid to su* individual 9 su*    
p]iod2 &  7,c7 ! abs5ce ( an entry 9 !  
,commission]'s records z to !           
self-employm5t income alleg$ to h be5   
d]iv$ by an individual 9 su* ye> %all be
 conclusive = ! purposes ( ?is title t  
no su* alleg$ self-employm5t income 0   
d]iv$ by su* individual 9 su* ye> unless
 x is %[n t ! individual fil$ a tax     
return ( ! individual's self-employm5t  
income = su* ye> be=e ! expiration ( !  
"t limitation foll[+ su* ye>1 9 :i* case
 ! ,commission] ( ,social ,security %all

 include 9 ! ,commission]'s records !   
self-employm5t income ( su* individual =
 su* ye>4  2  7#b7 by r$esignat+        
p>agraphs 7#f7 ?r\gh 7#i7 z p>agraphs   
7#e7 ?r\gh 7#h71 respectively2 &  7#c7 9
 p>agraph 7#e71 z s r$esignat$1 by /rik+
 "u p>agraph 7#d7 or 7#e7 & ins]t+ made 
by ! ,commission] ( ,social ,security 9 
accordance ) su* regulations z !        
,commission] %all e/abli%4  7b7 ,requir+
 ,,ssa ,to adju/ adm9i/rative f9ality   
policy ,n lat] ?an #f mon?s aft] ! date 
( enactm5t1 ! ,commission] ( ,social    
,security %all promulgate regulations   
e/abli%+ processes & crit]ia = correct+ 
! ,commission]'s records ( ! wages &    
self-employm5t income ( individuals =   
purposes ( title ,,ii ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #dja et   
seq47 9 accordance ) section            
#bje7;c77#d7 ( su* ,act1 z am5d$ by     
subsection 7a74