,,ii  #aag? ,,congress  #b;d ,session   
,s4 #eaag  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ag1 #bjbb,mr4
 ,m>%all 7= himself & ,ms4 ,hassan7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
require ! inclusion ( in=mation on prior
 au?orization requirem5ts & o!r         
utilization managem5t te*niques1 & o!r  
in=mation1 9 ! ,m$ic>e  ,y annual       
notice4  #a4 ,%ort title ,?is ,act may  
be cit$ z ! ,m$ic>e  ,y ,h&book         
,improvem5t ,act ( #bjbb4  #b4 ,requir+ 
! inclusion ( in=mation on prior        
au?orization requirem5ts & o!r          
utilization managem5t te*niques1 & o!r  
in=mation1 9 ! ,m$ic>e  ,y annual notice
  7a7 ,9 g5]al ,section #ahjd7;c7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acie;b-#b7;c77 is am5d$-- 7#a7 9       
p>agraph 7#c71 by /rik+ & at ! end2 &   
7#b7 by add+ at ! end ! foll[+ new      
p>agraphs3  7#e7 a description ( ! types

 ( prior au?orization requirem5ts & any 
o!r utilization managem5t te*niques t   
may apply "u ?is title1 includ+         
in=mation on h[ an individual may f9d   
out :i* su* requirem5ts & te*niques 7if 
any7 apply "u a ,m$ic>e ,advantage plan 
or a prescription drug plan2  7#f7 a    
description ( ! network sizes ( ,m$ic>e 
,advantage plans relative to ! numb] (  
provid]s ( s]vices & suppli]s :o accept 
! orig9al ,m$ic>e fee-=-s]vice program  
"u p>ts ,a & ,b2 &  7#g7 an illu/rative 
example cl>ify+ t a b5efici>y swit*+ f a
 ,m$ic>e ,advantage plan to ! orig9al   
,m$ic>e fee-=-s]vice program "u p>ts ,a 
& ,b may be prohibit$ f pur*as+ a m$ic>e
 supplem5tal policy "u section #ahhb or 
h to pay significantly high] premiums = 
su* a policy4  4  7b7 ,effective date ,!
 am5dm5ts made by subsection 7a7 %all   
apply to notices di/ribut$ on or aft]   
,janu>y #a1 #bjbc4