,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #ecib  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ab1        
#bjbc,mr4 ,dunn ( ,florida 7= himself & 
,ms4 ,t5ney7 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 timely review ( local cov]age    
det]m9ation reque/s "u ! ,m$ic>e        
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,timely ,access to ,cov]age 
,decisions ,act ( #bjbc4  #b4 ,ensur+   
timely review ( local cov]age           
det]m9ation reque/s "u ! ,m$ic>e program
 ,section #ahfb7l77#e7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciey7l77#e77 is am5d$ by add+ at ! end
 ! foll[+ new subp>agraph3  7,e7        
,timeframe = decisions on reque/s =     

local cov]age det]m9ations  7i7 ,9 g5]al
 ,! ,secret>y %all require ea* ,m$ic>e  
adm9i/rative contractor t receives a    
docum5t t id5tifies itself z a reque/ = 
a local cov]age det]m9ation on or aft] !
 date t is #ij days aft] ! date ( !     
enactm5t ( ?is subp>agraph to det]m9e   
:e!r su* reque/ is a complete reque/ or 
an incomplete reque/ n lat] ?an #cj days
 aft] su* contractor receives su*       
docum5t4  7ii7 ,notification ) respect  
to incomplete reque/s ,9 ! case a       
,m$ic>e adm9i/rative contractor makes a 
det]m9ation describ$ 9 clause 7i7 )     
respect to a docum5t s describ$ t su*   
docum5t is an incomplete reque/ = a     
local cov]age det]m9ation1 n lat] ?an   
#fj days aft] ! date on :i* su*         
contractor receiv$ su* docum5t1 su*     
contractor %all transmit to ! entity t  
submitt$ su* docum5t a notification (   
su* det]m9ation t includes a            
specification ( ea* item ( additional   
in=mation ne$$ to make su* docum5t a    
complete reque/ = a local cov]age       

det]m9ation4  7iii7 ,decision timel9e = 
complete reque/s ,9 ! case a ,m$ic>e    
adm9i/rative contractor makes a         
det]m9ation describ$ 9 clause 7i7 )     
respect to a docum5t s describ$ t su*   
docum5t is an complete reque/ = a local 
cov]age det]m9ation1 n lat] ?an #i mon?s
 aft] ! date on :i* su* contractor      
receiv$ su* docum5t1 su* contractor     
%all-- 7,i7 complete any necess>y rese>*
 relat+ to su* reque/2  7,,ii7 consult )
 outside exp]ts on su* reque/2  7,,iii7 
und]take a #de-;day public comm5t p]iod 
on su* reque/2 &  7,,iv7 issue a        
decisions ) respect to su* reque/4  4