#aah? ,,congress  #b;d ,session  ,h4 ,r4
 #dhe  ,,an ,,act  ,to am5d title ,,xi (
 ! ,social ,security ,act to prohibit ! 
use ( quality-adju/$ life ye>s & simil> 
measures 9 cov]age & paym5t det]m9ations
 "u ,f$]al heal? c>e programs4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,protect+ ,heal? ,c>e = ,all ,pati5ts   
,act ( #bjbc4  #b4 ,prohibit+ ! use (   
quality-adju/$ life ye>s & simil>       
measures 9 cov]age & paym5t det]m9ations
 "u ,f$]al heal? c>e programs  7a7 ,9   
g5]al ,section #aahb7;e7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acbj;e-#a7;e77 is am5d$--  7#a7 by     
ins]t+ or treats ext5d+ ! life ( an     
eld]ly1 disabl$1 or t]m9ally ill        
individual z ( l[] value ?an ext5d+ !   
life ( an individual :o is y\ng]1       
non-disabl$1 or n t]m9ally ill aft]     
because ( an individual's disability2   
7#b7 by ins]t+ describ$ 9 ! prec$+      
s5t5ce aft] su* a simil> measure2  7#c7 
by /rik+ ,! ,secret>y %all n & ins]t+ ,a
 ,f$]al ag5cy 7includ+ ! ,,cmi 7z       

describ$ 9 section #aaae;,a77 or ,/ate  
may n2  7#d7 by /rik+ "u title ,,xviii4 
& ins]t+ ! foll[+3 "u any ,f$]al heal?  
c>e program 7z def9$ 9 section #aabh;,b1
 except t su* t]m %all include ! heal?  
program e/abli%$ "u *apt] #hi ( title   
#e1 ,unit$ ,/ates ,code742 &  7#e7 by   
add+ at ! end ! foll[+ new s5t5ce3      
,not)/&+ any o!r provision ( law1 a     
,f$]al ag5cy 7includ+ ! ,,cmi7 or ,/ate 
may n waive ! application ( ! provisions
 ( ?is subsection 7or ! provisions (    
section #aheb7o71 section               
#ahfj;,d-#ab7;h71 section               
#aijb7;a77#hh71 section #aicb7;b77#i71  
or section #bajb7;e77 "u section #aaae1 
section #aaae;,a1 or any o!r            
demon/ration or waiv] au?ority44  7b7   
,con=m+ am5dm5ts  7#a7 ,m$icaid  7,a7 ,9
 g5]al ,section #aijb7;a7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77 is am5d$--  7i7 9 p>agraph  
7#hf71 by /rik+ & at ! end2  7ii7 9     
p>agraph 7#hg77;,d71 by /rik+ ! p]iod & 
ins]t+ 2 &2 &  7iii7 by ins]t+ aft]     

p>agraph 7#hg7 ! foll[+ new p>agraph3   
7#hh7 provide = compliance ) !          
requirem5ts ( section #aahb7;e7 7relat+ 
to prohibit+ ! use ( c]ta9 measures 9   
cov]age det]m9ations1 reimbursem5t1 &   
inc5tive programs74  4  7,b7 ,manag$ c>e
 organizations ,section #aicb7;b7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acifu-#b7;b77 is am5d$ by add+ at ! end
 ! foll[+ new p>agraph3  7#i7           
,prohibition on use ( quality-adju/$    
life ye>s ,! provisions ( section       
#aahb7;e7 %all apply to ! utilization ( 
a doll>s-p]-quality adju/$ life ye> or  
simil> measure 7z describ$ 9 su*        
section7 by a m$icaid manag$ c>e        
organization "u ?is title 7or a prepaid 
inpati5t heal? plan or prepaid          
ambulatory heal? plan1 z def9$ 9 section
 #dch4b ( title #db1 ,code ( ,f$]al     
,regulations 7or any successor          
regulation71 "u a contract ) ! ,/ate7 9 
! same mann] z su* provisions apply to !
 utilization ( su* a ye> or measure by a
 ,/ate "u ?is title4  4  7#b7 ,,*ip     

,section #bajb ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acig;bb7 is am5d$  
by add+ at ! end ! foll[+ new           
subsection3  7e7 ,prohibition on ! use (
 quality-,adju/$ life ye>s & simil>     
measures ,a ,/ate *ild heal? plan %all  
provide = compliance ) ! requirem5ts (  
section #aahb7;e7 7relat+ to prohibit+ !
 use ( c]ta9 measures 9 cov]age         
det]m9ations1 reimbursem5t1 & inc5tive  
programs74  4  7#c7 ,m$ic>e ,advantage  
,section #aheb ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciew-#bb7 is am5d$
 by add+ at ! end ! foll[+ new          
subsection3  7o7 ,prohibition on use (  
quality-adju/$ life ye>s ,! provisions (
 section #aahb7;e7 %all apply to !      
utilization ( a doll>s-p]-quality adju/$
 life ye> or simil> measure 7z describ$ 
9 su* section7 by an ,,ma plan 9 ! same 
mann] z su* provisions apply to !       
utilization ( su* a ye> or measure by ! 
,secret>y "u ?is title4  4  7#d7 ,m$ic>e
 "p ,d ,section #ahfj;,d-#ab ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          

#aciew-#aab7 is am5d$ by add+ at ! end !
 foll[+ new subsection3  7h7            
,prohibition on use ( quality-adju/$    
life ye>s ,! provisions ( section       
#aahb7;e7 %all apply to ! utilization ( 
a doll>s-p]-quality adju/$ life ye> or  
simil> measure 7z describ$ 9 su*        
section7 by a prescription drug plan 9 !
 same mann] z su* provisions apply to ! 
utilization ( su* a ye> or measure by ! 
,secret>y "u ?is title4  4  7c7         
,implem5tation ,! am5dm5ts made by ?is  
section %all apply beg9n+ on ,janu>y #a1
 #bjbe4  #c4 ,prev5tion & ,public ,heal?
 ,fund ,section #djjb7;b7 ( ! ,pati5t   
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #cjju-#aa7 is am5d$ by /rik+  
p>agraphs 7#g71 7#h71 & 7#i7 & ins]t+ ! 
foll[+3  7#g7 = ea* ( fiscal ye>s #bjbd 
& #bjbe1 #a1ajb1jjj1jjj2  7#h7 = ea* (  
fiscal ye>s #bjbf & #bjbg1              
#a1cbg1jjj1jjj2  7#i7 = ea* ( fiscal    
ye>s #bjbh & #bjbi1 #a1ebf1jjj1jjj2 &  4
  #d4 ,report ,n lat] ?an #a ye> aft] ! 
date ( ! enactm5t ( ?is ,act1 & annually

 !reaft]1 ! ,comptroll] ,g5]al ( !      
,unit$ ,/ates %all submit to ,congress a
 report on h[ quality-adju/$ life ye>s  
negatively impacts individuals )        
intellectual & developm5tal disabilities
 & _! access to c>e4  ,pass$ ! ,h\se (  
,repres5tatives ,febru>y #g1            
#bjbd4;,cl]k4