,i #aah? ,,congress #a/ ,session ,h4 ,r4 #acbf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #a1 #bjbc,ms4 ,port] introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means1 & 9 addition to ! ,committee on ,en]gy & ,comm]ce1 = 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 modify ! limitation on ! d$uction by individuals ( c]ta9 ,/ate & local taxes & to provide cov]age = he>+ & vision c>e "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,support+ ,am]icans ) ,l[] ,taxes ,act or z ! ,,salt ,act 4 #b4 ,modification ( limitation on ! d$uction by individuals ( c]ta9 ,/ate & local1 etc41 taxes 7a7 ,9 g5]al ,section #afd7;b77#f7 ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ to read z foll[s3 7#f7 ,limitation on d$uction by c]ta9 high-income individuals 7,a7 ,9 g5]al ,9 ! case ( a taxpay] ) adju/$ gross income :i* equals or exce$s #djj1jjj = any taxable ye>-- 7i7 =eign real prop]ty taxes %all n be tak5 into acc\nt "u subsection 7a77#a7 7or section #baf7;a77 = su* taxable ye>1 & 7ii7 ! aggregate am\nt ( taxes tak5 into acc\nt "u p>agraphs 7#a71 7#b71 & 7#c7 ( subsection 7a7 & p>agraph 7#e7 ( ?is subsection 7& any tax describ$ 9 any su* p>agraph tak5 into acc\nt "u section #baf7;a77#a77 = su* taxable ye> %all n exce$ #fj1jjj4 7,b7 ,phas$[n ( limitation bas$ on adju/$ gross income ,! #fj1jjj am\nt 9 subp>agraph 7,a77ii7 %all be r$uc$ 7b n bel[ z]o7 by ! doll> am\nt :i* be>s ! same ratio to #fj1jjj z-- 7i7 ! excess ( ! taxpay]'s adju/$ gross income ov] #djj1jjj1 be>s to 7ii7 #fjj1jjj4 7,c7 ,application re/rict$ to c]ta9 taxpay]s & taxes 7i7 ,application to individuals ,subp>agraph 7,a7 %all only apply to individuals1 e/ates1 & tru/s4 7ii7 ,exclusion ( c]ta9 bus9ess taxes ,subp>agraph 7,a7 %all n apply to any =eign taxes describ$ 9 subsection 7a77#c7 or to any taxes describ$ 9 p>agraph 7#a7 & 7#b7 ( subsection 7a7 :i* are paid or accru$ 9 c>ry+ on a trade or bus9ess or an activity describ$ 9 section #bab4 7,d7 ,m>ri$ individuals fil+ a sep>ate return ,9 ! case ( a m>ri$ individual fil+ a sep>ate return1 subp>agraphs 7,a7 & 7,b7 %all be appli$-- 7i7 by sub/itut+ #bjj1jjj = #djj1jjj ea* place x appe>s1 7ii7 by sub/itut+ #cj1jjj = #fj1jjj ea* place x appe>s1 & 7iii7 by sub/itut+ #cjj1jjj = #fjj1jjj 9 subp>agraph 7,b77ii74 7,e7 ,e/ates & tru/s ,9 ! case ( an e/ate or tru/1 adju/$ gross income %all be det]m9$ z provid$ 9 section #fg7;e74 7,f7 ,d5ial ( d$uction to billionaires ,unless ! taxpay] has less ?an #a1jjj1jjj1jjj 7#ejj1jjj1jjj 9 ! case ( a m>ri$ individual fil+ a sep>ate return7 9 assets z ( ! close ( ! taxable ye> 7& atte/s to su* fact "u p5alty ( p]jury at su* "t & 9 su* mann] z ! ,secret>y may provide7-- 7i7 subp>agraph 7,a7 %all be appli$-- 7,i7 by sub/itut+ z]o = #djj1jjj1 & 7,,ii7 by sub/itut+ z]o = #fj1jjj1 & 7ii7 subp>agraphs 7,b7 & 7,d7 %all n apply4 ,= purposes ( ?is subp>agraph1 ! t]m assets means all prop]ty1 real or p]sonal1 tangible or intangible1 :]ev] situat$ 7)9 ! mean+ ( section #bjca7 & su* prop]ty %all be valu$ 9 ! same mann] z = purposes ( "p ,,iii ( sub*apt] ,a ( *apt] #aa4 4 7b7 ,effective date ,! am5dm5t made by subsection 7a7 %all apply to taxable ye>s beg9n+ aft] ! date ( ! enactm5t ( ?is ,act4 7c7 ,appropriations to ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund 7#a7 ,9 g5]al ,!re are h]eby appropriat$ to ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund am\nts equival5t to ! am\nts receiv$ 9 ! ,treasury by reason ( ! am5dm5t made by subsection 7a74 ,rules simil> to ! rules ( section #ifja ( ! ,int]nal ,rev5ue ,code ( #aihf %all apply ) respect to transf]s made by reason ( ! prec$+ s5t5ce4 7#b7 ,con=m+ am5dm5t ,section #ahda7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciet7 is am5d$ by ins]t+ 1 or section #b7;b7 ( ! ,,salt ,act1 aft] ?is "p4 #c4 ,provid+ cov]age = he>+ c>e "u ! ,m$ic>e program 7a7 ,provision ( audiology s]vices by qualifi$ audiologi/s & qualifi$ he>+ aid pr(essionals 7#a7 ,9 g5]al ,section #ahfa7ll7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ll77 is am5d$-- 7,a7 9 p>agraph 7#c7-- 7i7 by ins]t+ 7&1 beg9n+ ,janu>y #a1 #bjbe1 su* aural rehabilitation & treatm5t s]vices7 aft] assessm5t s]vices2 7ii7 by ins]t+ 1 &1 beg9n+ on ,janu>y #a1 #bjbe1 su* he>+ assessm5t s]vices furni%$ by a qualifi$ he>+ aid pr(essional1 aft] by a qualifi$ audiologi/2 & 7iii7 by /rik+ ! audiologi/ & ins]t+ ! audiologi/ or qualifi$ he>+ aid pr(essional2 & 7,b7 9 p>agraph 7#d71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,! t]m qualifi$ he>+ aid pr(essional means1 ) respect to he>+ assessm5t s]vices describ$ 9 p>agraph 7#c71 an individual :o-- 7i7 is lic5s$ or regi/]$ z a he>+ aid disp5s]1 he>+ aid speciali/1 he>+ in/rum5t disp5s]1 or relat$ pr(essional by ! ,/ate 9 :i* ! individual furni%es su* s]vices2 & 7ii7 meets su* o!r requirem5ts z ! ,secret>y det]m9es appropriate 7includ+ requirem5ts relat+ to educational c]tifications or accr$itations71 tak+ into acc\nt any additional requirem5ts = he>+ aid speciali/s1 he>+ aid disp5s]s1 & he>+ in/rum5t disp5s]s e/abli%$ by ,m$ic>e ,advantage organizations "u "p ,c1 ,/ate plans 7or waiv]s ( su* plans7 "u title ,,xix1 & ! gr\p heal? plans & heal? insurance issu]s 7z su* t]ms are def9$ 9 section #bgia ( ! ,public ,heal? ,s]vice ,act74 4 7#b7 ,paym5t = qualifi$ he>+ aid pr(essionals ,section #ahcc7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is am5d$-- 7,a7 by /rik+ & be=e 7,,hh72 & 7,b7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 & 7,,ii7 ) respect to he>+ assessm5t s]vices 7z describ$ 9 p>agraph 7#c7 ( section #ahfa7ll77 furni%$ by a qualifi$ he>+ aid pr(essional 7z def9$ 9 p>agraph 7#d77;,c7 ( su* section71 ! am\nts paid %all be equal to #hj p]c5t ( ! less] ( ! actual *>ge = su* s]vices or #he p]c5t ( ! am\nt = su* s]vices det]m9$ "u ! paym5t basis det]m9$ "u section #ahdh4 7b7 ,cov]age ( he>+ aids 7#a7 ,inclusion ( he>+ aids z pro/hetic devices ,section #ahfa7s77#h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#h77 is am5d$ by ins]t+ 1 & includ+ he>+ aids 7z describ$ 9 section #ahcd7;h77#g77 furni%$ on or aft] ,janu>y #a1 #bjbe1 to individuals diagnos$ ) mod]ately sev]e1 sev]e1 or pr(\nd he>+ loss be=e ! semicolon at ! end4 7#b7 ,paym5t limitations = he>+ aids ,section #ahcd7;h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7h77 is am5d$ by add+ at ! end ! foll[+ new p>agraphs3 7#f7 ,paym5t only on an assignm5t-relat$ basis ,paym5t = he>+ aids = :i* paym5t may be made "u ?is "p may be made only on an assignm5t-relat$ basis4 ,! provisions ( section #ahdb7;b77#ah77;,b7 %all apply to he>+ aids 9 ! same mann] z !y apply to s]vices furni%$ by a practition] describ$ 9 subsection 7b77#ah77;,c74 7#g7 ,limitations = he>+ aids ,paym5t may be made "u ?is "p ) respect to an individual1 ) respect to he>+ aids furni%$ on or aft] ,janu>y #a1 #bjbe-- 7,a7 n m ?an once p] e> dur+ a #e-ye> p]iod2 7,b7 only = types ( su* he>+ aids t are det]m9$ appropriate by ! ,secret>y2 & 7,c7 only if furni%$ pursuant to a writt5 ord] ( a physician1 qualifi$ audiologi/ 7z def9$ 9 section #ahfa7ll77#d771 qualifi$ he>+ aid pr(essional 7z s def9$71 physician assi/ant1 nurse practition]1 or cl9ical nurse speciali/4 4 7#c7 ,application ( competitive acquisition 7,a7 ,9 g5]al ,section #ahcd7;h77#a77;,h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7h77#a77;,h77 is am5d$-- 7i7 9 ! head]1 by ins]t+ & he>+ aids aft] or?otics2 7ii7 by ins]t+ 1 or ( he>+ aids describ$ 9 p>agraph 7#b77;,d7 ( su* section1 aft] #bjaa12 & 7iii7 9 clause 7i71 by ins]t+ or su* he>+ aids aft] su* or?otics4 7,b7 ,con=m+ am5dm5t 7i7 ,9 g5]al ,section #ahdg7;a77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;a77#b77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,he>+ aids ,he>+ aids describ$ 9 section #ahfa7s77#h7 = :i* paym5t w\ld o!rwise be made "u section #ahcd7;h74 4 7ii7 ,exemption ( c]ta9 items f competitive acquisition ,section #ahdg7;a77#g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;a77#g77 is am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,c]ta9 he>+ aids ,^? items & s]vices describ$ 9 p>agraph 7#b77;,d7 if furni%$ by a physician or o!r practition] 7z def9$ by ! ,secret>y7 to ! physician's or practition]'s own pati5ts z "p ( ! physician's or practition]'s pr(essional s]vice4 4 7#d7 ,inclusion ( qualifi$ audiologi/s & qualifi$ he>+ aid pr(essionals z c]ta9 practition]s to receive paym5t on an assignm5t-relat$ basis ,section #ahdb7;b77#ah77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieu7b77#ah77;,c771 is am5d$ by add+ at ! end ! foll[+ new clauses3 7ix7 ,beg9n+ on ,janu>y #a1 #bjbe1 a qualifi$ audiologi/ 7z def9$ 9 section #ahfa7ll77#d77;,b774 7x7 ,a qualifi$ he>+ aid pr(essional 7z def9$ 9 section #ahfa7ll77#d77;,c774 4 7c7 ,exclusion modification ,section #ahfb7;a77#g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7a77#g77 is am5d$ by ins]t+ 7except su* he>+ aids or exam9ations !re= z describ$ 9 & o!rwise all[$ "u section #ahfa7s77#h77 aft] he>+ aids or exam9ations !re=4 7d7 ,inclusion z except$ m$ical treatm5t ,section #ahba7;b77#e77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;i-#e7;b77#e77;,a77 is am5d$-- 7#a7 9 clause 7i71 by /rik+ or2 7#b7 9 clause 7ii71 by /rik+ ! p]iod & ins]t+ 1 or2 & 7#c7 by add+ at ! end ! foll[+ new clause3 7iii7 consi/+ ( audiology s]vices describ$ 9 subsection 7ll77#c7 ( section #ahfa1 or he>+ aids describ$ 9 subsection 7s77#h7 ( su* section1 t are payable "u "p ,b z a result ( ! am5dm5ts made by ! ,,salt ,act4 4 7e7 ,rural heal? cl9ics & ,f$]ally qualifi$ heal? c5t]s 7#a7 ,cl>ify+ cov]age ( audiology s]vices z physicians' s]vices ,section #ahfa7;aa77#a77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#a77;,a77 is am5d$ by ins]t+ 7includ+ audiology s]vices 7z def9$ 9 subsection 7ll77#c777 aft] physicians' s]vices4 7#b7 ,inclusion ( qualifi$ audiologi/s & qualifi$ he>+ aid pr(essionals z ,,rhc & ,,fqhc practition]s ,section #ahfa7;aa77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#a77;,b77 is am5d$ by ins]t+ or by a qualifi$ audiologi/ or a qualifi$ he>+ aid pr(essional 7z su* t]ms are def9$ 9 subsection 7ll771 aft] 7z def9$ 9 subsection 7hh77#a7714 7#c7 ,tempor>y paym5t rates = c]ta9 s]vices "u ! ,,rhc ,,air & ,,fqhc ,,pps 7,a7 ,,air ,section #ahcc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7 is am5d$-- 7i7 9 subsection 7a77#c77;,a71 by ins]t+ 7:i* %all1 9 ! case ( audiology s]vices 7z def9$ 9 section #ahfa7ll77#c771 9 lieu ( any limits on reasonable *>ges o!rwise applicable1 be bas$ on ! rates payable = su* s]vices "u ! paym5t basis det]m9$ "u section #ahdh until su* "t z ! ,secret>y det]m9es suffici5t data has be5 collect$ to o!rwise apply su* limits 7or ,janu>y #a1 #bjca1 if no su* det]m9ation has be5 made z ( su* date77 aft] may prescribe 9 regulations2 & 7ii7 by add+ at ! end ! foll[+ new subsection3 7ee7 ,disreg>d ( co/s attributable to c]ta9 s]vices f calculation ( ,,rhc ,,air ,paym5ts = rural heal? cl9ic s]vices o!r ?an audiology s]vices 7z def9$ 9 section #ahfa7ll77#c77 "u ! me?odology = all-inclusive rates 7e/abli%$ by ! ,secret>y7 "u subsection 7a77#c7 %all n take into acc\nt ! co/s ( su* s]vices :ile rates = su* s]vices are bas$ on rates payable = su* s]vices "u ! paym5t basis e/abli%$ "u section #ahdh4 4 7,b7 ,,pps ,section #ahcd7o7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7o77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#e7 ,tempor>y paym5t rates bas$ on ,,pfs = c]ta9 s]vices ,! ,secret>y %all1 9 e/abli%+ paym5t rates = audiology s]vices 7z def9$ 9 section #ahfa7ll77#c77 t are ,f$]ally qualifi$ heal? c5t] s]vices "u ! prospective paym5t sy/em e/abli%$ "u ?is subsection1 9 lieu ( ! rates o!rwise applicable "u su* sy/em1 base su* rates on rates payable = su* s]vices "u ! paym5t basis e/abli%$ "u section #ahdh until su* "t z ! ,secret>y det]m9es suffici5t data has be5 collect$ to o!rwise e/abli% rates = su* s]vices "u su* sy/em 7or ,janu>y #a1 #bjca1 if no su* det]m9ation has be5 made z ( su* date74 ,paym5ts = ,f$]ally qualifi$ heal? c5t] s]vices o!r ?an su* audiology s]vices "u su* sy/em %all n take into acc\nt ! co/s ( su* s]vices :ile rates = su* s]vices are bas$ on rates payable = su* s]vices "u ! paym5t basis e/abli%$ "u section #ahdh4 4 7f7 ,implem5tation 7#a7 ,9 g5]al ,9 addition to am\nts o!rwise available1 ! ,secret>y ( ,heal? & ,human ,s]vices %all provide = ! transf] f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund e/abli%$ "u section #ahda ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciet7 to ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ,program ,managem5t ,acc\nt (-- 7,a7 #bj1jjj1jjj = ea* ( fiscal ye>s #bjbd & #bjbe = purposes ( implem5t+ ! am5dm5ts made by ?is section2 & 7,b7 su* sums z det]m9$ appropriate by ! ,secret>y = ea* subsequ5t fiscal ye> = purposes ( adm9i/]+ ! provisions ( su* am5dm5ts4 7#b7 ,availability & additional use ( funds ,funds transf]r$ pursuant to p>agraph 7#a7 %all rema9 available until exp5d$ & may be us$1 9 addition to ! purposes specifi$ 9 p>agraph 7#a71 to implem5t ! am5dm5ts made by section #d4 7#c7 ,adm9i/ration ,! ,secret>y may implem5t1 by program in/ruction or o!rwise1 any ( ! provisions (1 or am5dm5ts made by1 ?is section4 #d4 ,provid+ cov]age = vision c>e "u ! ,m$ic>e program 7a7 ,cov]age ,section #ahfa7s77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$-- 7#a7 9 subp>agraph 7,,ii71 by /rik+ & aft] ! semicolon at ! end2 7#b7 9 subp>agraph 7,,jj71 by /rik+ ! p]iod at ! end & add+ 2 &2 & 7#c7 by add+ at ! end ! foll[+ new subp>agraph3 7,,kk7 vision s]vices 7z def9$ 9 subsection 7nnn772 4 7b7 ,vision s]vices def9$ ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7nnn7 ,vision s]vices ,! t]m vision s]vices means-- 7#a7 r\t9e eye exam9ations to det]m9e ! refractive /ate ( ! eyes1 includ+ proc$ures p]=m$ dur+ ! c\rse ( su* exam9ation2 & 7#b7 contact l5s fitt+ s]vices1 furni%$ on or aft] ,janu>y #a1 #bjbe1 by or "u ! direct sup]vision ( an oph?almologi/ or optometri/ :o is legally au?oriz$ to furni% su* exam9ations1 proc$ures1 or fitt+ s]vices 7z applicable7 "u ,/ate law 7or ! ,/ate regulatory me*anism provid$ by ,/ate law7 ( ! ,/ate 9 :i* ! exam9ations1 proc$ures1 or fitt+ s]vices are furni%$4 4 7c7 ,paym5t limitations ,section #ahcd ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7aa7 ,limitation = vision s]vices ,) respect to vision s]vices 7z def9$ 9 section #ahfa7nnn77 & an individual1 paym5t may be made "u ?is "p = only #a r\t9e eye exam9ation describ$ 9 p>agraph 7#a7 ( su* section & #a contact l5s fitt+ s]vice describ$ 9 p>agraph 7#b7 ( su* section dur+ a #b-ye> p]iod4 4 7d7 ,paym5t "u physician fee s*$ule ,section #ahdh7;j77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;j77#c77 is am5d$ by ins]t+ 7#b77,,kk71 be=e 7#c74 7e7 ,cov]age ( conv5tional eyeglasses & contact l5ses 7#a7 ,9 g5]al ,section #ahfa7s77#h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#h77 is am5d$ by /rik+ 1 & includ+ "o pair ( conv5tional eyeglasses or contact l5ses furni%$ subsequ5t to ea* cat>act surg]y ) ins]tion ( an intraocul> l5s & ins]t+ 1 includ+ "o pair ( conv5tional eyeglasses or contact l5ses furni%$ subsequ5t to ea* cat>act surg]y ) ins]tion ( an intraocul> l5s1 if furni%$ be=e ,janu>y #a1 #bjbe1 & includ+ conv5tional eyeglasses or contact l5ses 7z describ$ 9 section #ahcd7;h77#h771 :e!r or n furni%$ subsequ5t to su* a surg]y1 if furni%$ on or aft] ,janu>y #a1 #bjbe4 7#b7 ,con=m+ am5dm5t ,section #ahdb7;b77#aa77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieu7b77#aa77;,a77 is am5d$ by ins]t+ furni%$ prior to ,janu>y #a1 #bjbe1 aft] relat+ to !m14 7f7 ,special paym5t rules = eyeglasses & contact l5ses 7#a7 ,limitations ,section #ahcd7;h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7h771 z am5d$ by section #c1 is fur!r am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#h7 ,paym5t limitations = eyeglasses & contact l5ses 7,a7 ,9 g5]al ,) respect to eyeglasses & contact l5ses furni%$ to an individual on or aft] ,janu>y #a1 #bjbe1 subject to subp>agraph 7,b71 paym5t may be made "u ?is "p only-- 7i7 dur+ a #b-ye> p]iod1 = ei!r #a pair ( eyeglasses 7includ+ l5ses & frames7 or n m ?an a #b-ye> supply ( contact l5ses2 7ii7 ) respect to am\nts attributable to ! l5ses & frames ( su* a pair ( eyeglasses or am\nts attributable to su* a #b-ye> supply ( contact l5ses1 9 an am\nt n great] ?an-- 7,i7 = a pair ( eyeglasses furni%$ 91 or a #b-ye> supply ( contact l5ses beg9n+ 91 #bjbe-- 7aa7 #he = ! l5ses ( su* pair ( eyeglasses & #he = ! frames ( su* pair ( eyeglasses2 or 7bb7 #he = su* #b-ye> supply ( contact l5ses2 & 7,,ii7 = ! l5ses & frames ( a pair ( eyeglasses furni%$ 91 or a #b-ye> supply ( contact l5ses beg9n+ 91 a subsequ5t ye>1 ! doll> am\nts specifi$ "u ?is subp>agraph = ! previ\s ye>1 increas$ by ! p]c5tage *ange 9 ! consum] price index = all urban consum]s 7,unit$ ,/ates city av]age7 = ! #ab-mon? p]iod end+ ) ,june ( ! previ\s ye>2 7iii7 if furni%$ pursuant to a writt5 ord] ( an oph?almologi/ or optometri/ describ$ 9 subsection 7nnn72 & 7iv7 if dur+ ! #b-ye> p]iod describ$ 9 clause 7i71 ! individual did n already receive 7z describ$ 9 subp>agraph 7,b77 "o pair ( conv5tional eyeglasses or contact l5ses subsequ5t to a cat>act surg]y ) ins]tion ( an intraocul> l5s furni%$ dur+ su* p]iod4 7,b7 ,exception ,) respect to a #b-ye> p]iod describ$ 9 subp>agraph 7,a77i71 9 ! case ( an individual :o receives cat>act surg]y ) ins]tion ( an intraocul> l5s1 not)/&+ subp>agraph 7,a71 paym5t may be made "u ?is "p = "o pair ( conv5tional eyeglasses or contact l5ses furni%$ subsequ5t to su* cat>act surg]y dur+ su* p]iod4 7,c7 ,limitation on judicial review ,!re %all be no adm9i/rative or judicial review "u section #ahfi or o!rwise (-- 7i7 ! det]m9ation ( ! types ( eyeglasses & contact l5ses cov]$ "u ?is p>agraph2 or 7ii7 ! det]m9ation ( fee s*$ule rates "u ?is subsection = eyeglasses & contact l5ses4 4 7#b7 ,application ( competitive acquisition 7,a7 ,9 g5]al ,section #ahcd7;h77#a77;,h7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7h77#a77;,h771 z am5d$ by section #c1 is fur!r am5d$-- 7i7 9 ! head]1 by /rik+ & he>+ aids & ins]t+ he>+ aids1 eyeglasses1 & contact l5ses2 7ii7 by ins]t+ & ( eyeglasses & contact l5ses describ$ 9 p>agraph 7#b77;,e7 ( su* section1 aft] p>agraph 7#b77;,d7 ( su* section12 & 7iii7 9 clause 7i71 by ins]t+ 1 or su* eyeglasses & contact l5ses aft] su* he>+ aids4 7,b7 ,con=m+ am5dm5t 7i7 ,9 g5]al ,section #ahdg7;a77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;a77#b771 z am5d$ by section #c1 is fur!r am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,e7 ,eyeglasses & contact l5ses ,eyeglasses & contact l5ses describ$ 9 section #ahfa7s77#h7 = :i* paym5t w\ld o!rwise be made "u section #ahcd7;h74 4 7ii7 ,exemption ( c]ta9 items f competitive acquisition ,section #ahdg7;a77#g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;a77#g771 z am5d$ by section #c1 is fur!r am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,c]ta9 eyeglasses & contact l5ses ,^? items & s]vices describ$ 9 p>agraph 7#b77;,e7 if furni%$ by a physician or o!r practition] 7z def9$ by ! ,secret>y7 to ! physician's or practition]'s own pati5ts z "p ( ! physician's or practition]'s pr(essional s]vice4 4 7g7 ,exclusion modifications ,section #ahfb7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7a77 is am5d$-- 7#a7 9 p>agraph 7#a7-- 7,a7 9 subp>agraph 7,o71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,p71 by /rik+ ! semicolon at ! end & ins]t+ 1 &2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,q7 9 ! case ( vision s]vices 7z def9$ 9 section #ahfa7nnn77 t are r\t9e eye exam9ations & contact l5s fitt+ s]vices 7z describ$ 9 p>agraph 7#a7 or 7#b71 respectively1 ( su* section71 :i* are furni%$ m frequ5tly ?an once dur+ a #b-ye> p]iod2 2 & 7#b7 9 p>agraph 7#g7-- 7,a7 by ins]t+ 7o!r ?an su* an exam9ation t is a vision s]vice t is cov]$ "u section #ahfa7s77#b77,,kk77 aft] eye exam9ations2 & 7,b7 by ins]t+ 7o!r ?an su* a proc$ure t is a vision s]vice t is cov]$ "u section #ahfa7s77#b77,,kk77 aft] refractive /ate ( ! eyes4 7h7 ,implem5tation 7#a7 ,fund+ 7,a7 ,9 g5]al ,9 addition to am\nts o!rwise available1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is subsection ref]r$ to z ! ,secret>y7 %all provide = ! transf] f ! ,f$]al ,supplem5t>y ,m$ical ,insurance ,tru/ ,fund "u section #ahda ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciet7 to ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices ,program ,managem5t ,acc\nt (-- 7i7 #bj1jjj1jjj = ea* ( fiscal ye>s #bjbd & #bjbe = purposes ( implem5t+ ! am5dm5ts made by ?is section2 & 7ii7 su* sums z det]m9$ appropriate by ! ,secret>y = ea* subsequ5t fiscal ye> = purposes ( adm9i/]+ ! provisions ( su* am5dm5ts4 7,b7 ,availability & additional use ( funds ,funds transf]r$ pursuant to subp>agraph 7,a7 %all rema9 available until exp5d$ & may be us$1 9 addition to ! purpose specifi$ 9 subp>agraph 7,a77i71 to implem5t ! am5dm5ts made by section #c4 7#b7 ,adm9i/ration ,! ,secret>y may implem5t1 by program in/ruction or o!rwise1 any ( ! provisions (1 or am5dm5ts made by1 ?is section4