,i  #aahth ,,congress  #ast ,session    
,h4 ,r4 #bhbi  ,,in ,,the ,,house ,,of  
,,representatives  ,april #be1 #bjbc,mr4
 ,duncan 7for himself and ,ms4          
,del,bene7 introduced the following     
bill2 which was referred to the         
,committee on ,energy and ,commerce1 and
 in addition to the ,committee on ,ways 
and ,means1 for a period to be          
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to remove    
cost-sharing responsibilities for       
chronic care management services under  
the ,medicare program4  #a4 ,short title
 ,this ,act may be cited as the ,chronic
 ,care ,management ,improvement ,act of 
#bjbc4  #b4 ,removing cost-sharing      
responsibilities for chronic care       
management services under part ,b of the
 ,medicare program ,section #ahcc of the
 ,social ,security ,act 7#db ,u4,s4,c4  

#aciel7 is amended--  7#a7 in subsection
 7a77#a7-- 7,a7 in subparagraph 7,,gg71 
by striking and at the end2 and  7,b7 in
 subparagraph 7,,hh71 by inserting      
before the semicolon at the end the     
following3 and 7,,ii7 with respect to   
chronic care management services 7as    
described in subsection 7b77#h7 of      
section #ahdh7 furnished on or after    
,january #a1 #bjbd1 the amount paid     
shall be an amount equal to #ajj percent
 of the lesser of the actual charge for 
such services or the amount determined  
under such section22 and  7#b7 in       
subsection 7b71 in the first sentence-- 
7,a7 in paragraph 7#ab71 by striking and
 at the end2 and  7,b7 in paragraph     
7#ac71 by inserting before the period at
 the end the following3 1 and 7#ad7 such
 deductible shall not apply with respect
 to chronic care management services 7as
 described in section #ahdh7;b77#h77    
furnished on or after ,january #a1      
#bjbd4