,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #echh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ab1        
#bjbc,mr4 ,bald]son 7= himself & ,mr4   
,bu*anan7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,ways &      
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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 cov]age ( c]ta9 te*nologies &   
m$ical devices "u ! ,m$ic>e program4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,support+ ,innovation = ,s5iors ,act4 
#b4 ,cov]age ( c]ta9 te*nologies &      
m$ical devices ,section #aheb7;a77#c7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciew-#bb7;a77#c7 is am5d$-- 7#a7 9    
subp>agraph 7,a71 by /rik+ subp>agraph  
7,d7 & ins]t+ subp>agraphs 7,d7 & 7,e72 
&  7#b7 by add+ at ! end ! foll[+ new   
subp>agraph3  7,e7 ,cov]age ( c]ta9     

te*nologies & m$ical devices  7i7 ,9    
g5]al ,= plan ye> #bjbe & subsequ5t plan
 ye>s1 9 addition to any supplem5tal    
heal? c>e b5efits o!rwise provid$ "u ?is
 p>agraph1 an ,,ma plan1 includ+ a      
specializ$ ,,ma plan = special ne$s     
individuals 7z def9$ 9 section          
#ahei7;b77#f771 may provide !           
supplem5tal b5efits describ$ 9 clause   
7ii74  7ii7 ,supplem5tal b5efits        
describ$  7,i7 ,9 g5]al ,! supplem5tal  
b5efits describ$ 9 ?is clause are z     
foll[s3 7aa7 ,a m$ical device or        
te*nology t has a national cov]age      
det]m9ation or local cov]age det]m9ation
 "u ?is title = an indication t is      
diff]5t ?an ! indication = su* cov]age  
det]m9ation4  7bb7 ,a te*nology t does n
 fit into ano!r b5efit category "u ?is  
title4  7,,ii7 ,au?ority to waive       
uni=mity requirem5ts ,! ,secret>y may1  
only ) respect to supplem5tal b5efits   
provid$ "u ?is subp>agraph1 waive !     
uni=mity requirem5ts "u ?is "p1 z       
det]m9$ appropriate by ! ,secret>y4  4