,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #caah  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #e1 #bjbc,mr4    
,smi? ( ,nebraska 7= himself & ,ms4     
,/ansbury7 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$ic>e cov]age ( monitor+    
devices to detect & al>m :5 a v5\s ne$le
 dislodgem5t occurs dur+ home dialysis =
 hemodialysis pati5ts4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,home         
,dialysis ,risk ,prev5tion ,act4  #b4   
,provid+ = cov]age ( monitor+ & al>m    
devices to detect v5\s ne$le dislodgem5t
 = hemodialysis pati5ts ,section        
#ahha7;b77#ad7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acierr7b77#ad77 is 
am5d$ by add+ at ! end ! foll[+ new     

subp>agraph3  7,j7  7i7 ,= home dialysis
 s]vices & equipm5t furni%$ to new &    
respite individuals on or aft] ! date t 
is #a ye> aft] ! date ( ! enactm5t ( ?is
 subp>agraph :i* are monitor+ & al>m    
devices = v5\s ne$le dislodgem5t 7z     
def9$ 9 clause 7iii77,,ii771 ! ,secret>y
 %all increase ! s+le paym5t t w\ld     
o!rwise apply "u ?is p>agraph = su*     
s]vices by ! am\nt det]m9$ "u ! paym5t  
sy/em e/abli%$ "u clause 7ii74  7ii7 ,! 
,secret>y %all e/abli% a prospective    
paym5t sy/em ?r\gh regulations to       
det]m9e ! am\nts payable = monitor+ &   
al>m devices & supplies to detect v5\s  
ne$le dislodgem5ts = individuals receiv+
 home dialysis4 ,9 e/abli%+ su* sy/em1 !
 ,secret>y may consult ) device         
manufactur]s1 heal? pr(essionals1       
dialysis pati5ts1 private pay]s1 & ,,ma 
plans & may consid]--  7,i7 ! co/s (    
furni%+ ! monitor+ & al>m device &      
necess>y supplies2  7,,ii7 paym5t am\nts
 = simil> items & s]vices "u p>ts ,a &  
,b2 &  7,,iii7 paym5t am\nts e/abli%$ by

 ,,ma plans "u "p ,c1 gr\p heal? plans1 
& heal? insurance cov]age (f]$ by heal? 
insurance issu]s4  7iii7 ,9 ?is         
subp>agraph3  7,i7 ,! t]m new & respite 
individual means an individual describ$ 
9 subsection 7a7 :o is initiat+ home    
hemodialysis4  7,,ii7 ,! t]m monitor+ & 
al>m devices = v5\s ne$le dislodgem5t   
means a blood loss detection solution   
specifically design$ to detect blood    
leakage ?r\gh core te*nology utiliz+    
fib] optics4 ,! detect$ blood trigg]s a 
visual & audible al>m4  7,,iii7 ,! t]ms 
gr\p heal? plan1 heal? insurance        
cov]age1 & heal? insurance issu] h !    
mean+ giv5 su* t]ms 9 section #bgia ( ! 
,public ,heal? ,s]vice ,act4  4