,i #aah? ,,congress #a/ ,session ,h4 ,r4 #bdjg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,m>* #cj1 #bjbc,mr4 ,arr+ton 7= himself1 ,ms4 ,sewell1 ,mr4 ,hudson1 & ,mr4 ,ruiz7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,ways & ,means1 = 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 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 ! ,nancy ,g>dn] ,sewell ,m$ic>e ,multi-,canc] ,e>ly ,detection ,scre5+ ,cov]age ,act 4 #b4 ,f9d+s2 purpose 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,detect+ canc] e>ly1 be=e x has spread ?r\gh\t ! body1 saves lives4 ,canc]s detect$ :5 /ill localiz$ c be treat$ m effectively & h a #d times great] survival rate comp>$ to canc]s f\nd aft] meta/asis has occurr$4 ,exi/+ ,m$ic>e-cov]$ e>ly detection te/s1 su* z mammograms & colonoscopies1 h l$ to a sub/antial r$uction 9 age-adju/$ mortality4 7#b7 ,diagnos+ & treat+ canc] e>li] (t5 results 9 less invasive treatm5ts = pati5ts1 :i* are also less exp5sive4 ,accord+ to pe] review$ lit]ature1 treatm5t ( e>ly /age canc] is half ! co/ ( meta/atic canc]4 7#c7 ,driv+ national /rategies to broadly detect canc] e>li] w help r$uce p]vasive heal? disp>ities s9ce racial1 e?nic1 & geographic gr\ps exp]i5ce lat] /ages ( diagnosis1 along ) high] canc] incid5ce & mortality4 7#d7 ,! b5efits ( e>ly canc] detection to ,m$ic>e b5efici>ies h be5 limit$ to five canc]s4 ,accord+ to ! ,national ,canc] ,in/itute's ,surveillance1 ,epidemiology1 & ,end ,results program1 #ga p]c5t ( ! #fjj1jjj canc] dea?s ea* ye> are f types ( canc] )\t a ,m$ic>e-cov]$ e>ly detection te/4 7#e7 ,age is ! lead+ risk factor = canc]1 plac+ ,m$ic>e b5efici>ies at elevat$ risk4 ,ab\t #a1jjj1jjj ,m$ic>e b5efici>ies w be diagnos$ ) canc] ?is ye>1 z ! m$ian age = canc] diagnosis is #ff ye>s ( age4 7#f7 ,sev]al innovative private & academic ef=ts are engag$ 9 rese>*1 includ+ advanc$ cl9ical trials to develop multi-canc] e>ly detection blood-bas$ te/s4 ,publi%$ data indicate t ^! te/s c scre5 = _m canc]s at ! same "t1 includ+ r>e canc]s1 ) "o example curr5tly able to scre5 = m ?an #ej canc]s4 7#g7 ,multi-canc] e>ly detection te/s c complem5t ! cov]$ e>ly detection te/s enact$ by ,congress & ext5d ! b5efits ( e>ly detection to m canc]s & m ,am]icans4 ,m$ic>e cov]age ( compreh5sive multi-canc] e>ly detection scre5+ te/s c\ld sub/antially trans=m canc] c>e = ,am]icans1 & ! ,m$ic>e law ne$s mod]niz+ to provide timely cov]age & keep pace ) m$ical innovation4 7b7 ,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$-- 7#a7 9 subsection 7s77#b7-- 7,a7 by /rik+ ! semicolon at ! end ( subp>agraph 7,,jj7 & ins]t+ 2 &2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,,kk7 multi-canc] e>ly detection scre5+ te/s 7z def9$ 9 subsection 7nnn772 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7nnn7 ,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 ins(> z ! ,secret>y det]m9es cov]age ( su* te/s is appropriate1 furni%$ to an individual = ! purpose ( e>li] detection ( canc] across _m canc] types 7su* z describ$ 9 ! ,national ,canc] ,in/itute's ,annual ,report to ! ,nation on ! ,/atus ( ,canc]73 7#b7 ,a g5omic sequ5c+ blood or blood product te/ t includes ! analysis ( cell-free nucleic acids4 7#c7 ,su* o!r equival5t te/s 7:i* are bas$ on blood1 blood products1 ur9e or o!r sample ( biological mat]ial7 z ! ,secret>y det]m9es appropriate 9 provid+ results comp>able to ^? obta9$ ) a te/ describ$ 9 p>agraph 7#a74 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 #ahfa7nnn71 & 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 #ahfa7nnn77 = 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$-- 7#a7 9 ! case ( an individual :o und]goes a multi-canc] e>ly detection scre5+ te/1 to affect cov]age "u "p ,b ( title ,,xviii ( ! ,social ,security ,act = o!r canc] scre5+ te/s cov]$ "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 "u su* "p = 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