,,ib ,union ,cal5d> ,no4 #de #aah?      
,,congress  #a/ ,session  ,h4 ,r4 #dhe  
,report ,no4 #aah-fe1 ,"p ,i ,,9 ,,!    
,,h\se ,,( ,,repres5tatives  ,janu>y    
#bd1 #bjbc,mrs4 ,rodg]s ( ,wa%+ton 7=   
h]self1 ,mr4 ,smi? ( ,miss\ri1 ,mr4     
,w5/rup1 & ,mr4 ,burgess7 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$    
,may #ag1 #bjbc;,additional sponsors3   
,mr4 ,h]n & ,mr4 ,c>t] ( ,georgia  ,may 
#ag1 #bjbc,report$ f ! ,committee on    
,en]gy & ,comm]ce ) an amendment,strike 
out all aft] ! enact+ clause & ins]t !  
"p pr9t$ 9 italic  ,may #ag1            
#bjbc;,committee on ,ways & ,means      
dis*>g$2 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union &     
ord]$ to be printed,for text ( introduc$
 bill1 see copy ( bill z introduc$ on   

,janu>y #bd1 #bjbc  ,a ,,bill  ,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  ,may #ag1 #bjbc,report$ f !    
,committee on ,en]gy & ,comm]ce ) an    
amendment,may #ag1 #bjbc;,committee on  
,ways & ,means dis*>g$2 committ$ to !   
,committee ( ! ,:ole ,h\se on ! ,/ate ( 
! ,union & ord]$ to be pr9t$