,,ii  #aag? ,,congress  #b;d ,session   
,s4 #e  ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ 
,,/ates  ,novemb] #ag1 #bjbb,mr4 ,c>p]  
7= himself & ,mr4 ,b>rasso7 introduc$ ! 
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to ensure appropriate    
sup]vision requirem5ts = outpati5t      
physical !rapy & outpati5t occupational 
!rapy4  #a4 ,ensur+ appropriate         
sup]vision requirem5ts = outpati5t      
physical !rapy & outpati5t occupational 
!rapy  7a7 ,9 g5]al  7#a7 ,paym5t       
,section #ahcd7v77#a7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciem7v77#a77 is am5d$1 9 ! second     
s5t5ce 7z am5d$ by subsection 7a771 by  
ins]t+ 1 b 9 no case %all ! ,secret>y   
impose a sup]vision requirem5t on su*   
s]vices t is diff]5t ?an any su*        
requirem5t "u applicable ,/ate law be=e 
! p]iod at ! end4  7#b7 ,def9ition      
,section #ahfa7p7 ( ! ,social ,security 
,act1 is am5d$1 9 ! fir/ s5t5ce ( ! flu%

 matt] foll[+ subp>agraph 7#d77;,b71 by 
ins]t+ 1 b 9 no case may ^? conditions  
impose a sup]vision requirem5t t is     
diff]5t ?an any su* requirem5t "u       
applicable ,/ate law aft] z ! ,secret>y 
may f9d necess>y4  7#c7 ,effective date 
,! am5dm5ts made ?is subsection %all    
take effect on ,july #a1 #bjbc4  7b7    
,implem5tation ,not)/&+ any o!r         
provision ( law1 ! ,secret>y may        
implem5t ! provisions (1 & ! am5dm5ts   
made by1 ?is section by program         
in/ruction or o!rwise4