,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #echi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ab1        
#bjbc,mr4 ,gu?rie 7= himself & ,mr4     
,kelly ( ,p5nsylvania7 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 ensure        
transp>5cy 9 ! national cov]age         
det]m9ation process "u ! ,m$ic>e        
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,national ,cov]age          
,det]m9ation ,transp>5cy ,act4  #b4     
,ensur+ transp>5cy 9 ! national cov]age 
det]m9ation process "u ! ,m$ic>e program
  7a7 ,9 g5]al ,section #ahfb7l7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#aciey7l77 is am5d$ by add+ at ! end !  
foll[+ new p>agraphs3  7#g7 ,transp>5cy 

9 national cov]age det]m9ations  7,a7 ,9
 g5]al ,) respect to ea* docum5t 7:e!r  
physical or electronic7 receiv$ by !    
,secret>y on or aft] ! date t is #cj    
days aft] ! date ( ! enactm5t ( ?is     
p>agraph t id5tifies itself z a reque/ =
 a national cov]age det]m9ation1 !      
,secret>y %all1 n lat] ?an #cj cal5d>   
days aft] receipt ( su* docum5t-- 7i7   
det]m9e :e!r su* docum5t is a complete1 
=mal reque/ = a national cov]age        
det]m9ation 7z describ$ 9 ! rule entitl$
 ,m$ic>e ,program2 ,revis$ ,process =   
,mak+ ,national ,cov]age ,det]m9ations  
7#gh ,f$4 ,reg4 #dhafd7 or a successor  
regulation72 &  7ii7 9 ! case t !       
,secret>y f9ds t su* docum5t is n a     
complete1 =mal reque/ = a national      
cov]age det]m9ation1 directly transmit  
to ! entity submitt+ su* docum5t an     
explanation ( su* f9d+ t includes a     
specification ( ea* item ( additional   
in=mation ne$$ to make su* docum5t a    
complete1 =mal reque/ = a national      
cov]age det]m9ation4  7,b7 ,resubmission

 ( docum5t  7i7 ,9 g5]al ,9 ! case ( a  
docum5t describ$ 9 subp>agraph 7,a7 )   
respect to :i* ! ,secret>y has made a   
f9d+ describ$ 9 clause 7ii7 ( su*       
subp>agraph1 ! entity submitt+ su*      
docum5t may submit to ! ,secret>y a     
revis$ docum5t t includes ! additional  
in=mation specifi$ 9 su* clause )       
respect to su* docum5t4 ,su* revis$     
docum5t %all be treat$ z a newly-receiv$
 docum5t = purposes ( subp>agraph 7,a74 
7ii7 ,te*nical assi/ance ,! ,secret>y   
%all provide su* te*nical assi/ance z is
 practicable 9 ord] to assi/ entities 9 
submitt+ revis$ docum5ts "u clause 7i74 
7,c7 ,publication ,! ,secret>y %all make
 available on a publicly accessible     
website ( ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices or o!r appropriate means ea*   
docum5t t ! ,secret>y has det]m9$ is a  
complete1 =mal reque/ = a national      
cov]age det]m9ation 7z describ$ 9       
subp>agraph 7,a77i77 n lat] ?an #b      
bus9ess days aft] ! date ( su*          
det]m9ation4  7#h7 ,cl>ification on tim+

 requirem5ts = national cov]age         
det]m9ations ,= purposes ( p>agraphs    
7#b7 & 7#c7 & ) respect to a reque/ = a 
national cov]age det]m9ation receiv$ on 
or aft] ! date t is #cj days aft] ! date
 ( ! enactm5t ( ?is p>agraph1 ! ref]5ces
 to ! date ( ! reque/ & ! date ! reque/ 
is made %all be treat$ z ref]5ces to !  
date ! reque/ 0 receiv$ by ! ,secret>y1 
reg>dless ( :e!r ! ,secret>y _h det]m9$ 
t su* reque/ 0 a complete1 =mal reque/  
7z describ$ 9 p>agraph 7#g77;,b77i77 z (
 su* date4  4  7b7 ,inclusion ( c]ta9 "t
 p]iods 9 annual reports ,section       
#ahfi7;f77#g77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acie;ff7f77#g77;,a77 is am5d$ by add+  
at ! end ! foll[+ new s5t5ce3 ,ea* su*  
report submitt$ on or aft] ! date t is  
#cj days aft] ! date ( ! enactm5t ( ?is 
s5t5ce %all include 9 su* actual "t     
p]iods ) respect to su* a reque/ any    
int]v5+ "t betwe5 ! receipt ( su* reque/
 by ! ,secret>y & ! ,secret>y's         
det]m9ation t su* reque/ 0 a complete1  

=mal reque/ 7z describ$ 9 section       
#ahfa7l77#g77;,b77i7744