,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #ecif  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #ab1        
#bjbc,mr4 ,buc%on 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 prohibit ,m$ic>e local cov]age      
det]m9ations f re/rict+ access to c>e1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,cov]age           
,det]m9ation ,cl>ity ,act ( #bjbc4  #b4 
,improv+ access to items & s]vices "u   
m$ic>e local cov]age det]m9ations  7a7  
,9 g5]al ,section #ahfb7l77#e7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciey7l77#e77 is am5d$--  7#a7 9       
subp>agraph 7,a71 by /rik+ ,! ,secret>y 
& ins]t+ ,subject to subp>agraph 7,e71 !
 ,secret>y2 &  7#b7 by add+ at ! end !  

foll[+ new subp>agraph3  7,e7           
,prohibition on limit+ access items &   
s]vices  7i7 ,review ( local cov]age    
det]m9ations ,beg9n+ 9 #bjbd1 & annually
 !reaft]1 ! ,secret>y %all review ea*   
local cov]age det]m9ation 9 effect z ( !
 date ( su* review to det]m9e :e!r su*  
local cov]age det]m9ation d5ies1 limits1
 or conditions ! cov]age or provision ( 
items or s]vices beyond t provid$ by a  
national cov]age det]m9ation t has      
det]m9$ t su* items or s]vices be cov]$ 
nationally "u ?is title4  7ii7 ,conflict
 betwe5 a national cov]age det]m9ation &
 a local cov]age det]m9ation ,a local   
cov]age det]m9ation d5ies1 limits1 or   
conditions ! cov]age or provision (     
items or s]vices = purposes ( clause 7i7
 to ! ext5t t su* local cov]age         
det]m9ation limits access to su* items  
or s]vices by impos+ re/rictions t d n  
directly int]pret provisions ( a        
national cov]age det]m9ation t has      
det]m9$ t su* items or s]vices be cov]$ 
nationally "u ?is title4  7iii7         

,revision ( local cov]age det]m9ations  
7,i7 ,9 g5]al ,if ! review conduct$ by !
 ,secret>y "u clause 7i7 det]m9es t a   
local cov]age det]m9ation d5ies1 limits1
 or conditions ! cov]age or provision ( 
items or s]vices t are approv$1 cle>$1  
au?oriz$1 or lic5s$ "u section #eje1    
#eaj7k71 #eac1 or #eae ( ! ,f$]al ,food1
 ,drug1 & ,cosmetic ,act or section #cea
 ( ! ,public ,heal? ,s]vice ,act1 !     
,secret>y %all direct ! appropriate     
,m$ic>e adm9i/rative contractor to      
exp$iti\sly revise su* local cov]age    
det]m9ation to elim9ate ! limitation4   
7,,ii7 ,tim+ ,a ,m$ic>e adm9i/rative    
contractor %all publi% a revis$ local   
det]m9ation no lat] ?an ! date t is #ahj
 days aft] ! date on :i* ! ,secret>y    
directs su* contractor to revise a local
 cov]age det]m9ation "u subclause 7,i74 
7iv7 ,new local cov]age det]m9ations ,! 
,secret>y %all require ea* ,m$ic>e      
adm9i/rative contractor t develops a    
local cov]age det]m9ation to ensure t   
any su* local cov]age det]m9ation does n

 d5y1 limit1 or condition ! cov]age or  
provision ( items or s]vices pursuant to
 clause 7ii7 beyond t provid$ by a      
national cov]age det]m9ation t has      
det]m9$ t su* items or s]vices be cov]$ 
nationally "u ?is title4  7v7 ,error    
v]ification & corrective actions ,9     
v]ify+ any pot5tial errors & tak+       
corrective actions1 ,m$ic>e adm9i/rative
 contractors1 compreh5sive error rate   
te/+ recov]y auditors1 & unifi$ program 
integrity contractors & indep5d5t review
 ag5cies--  7,i7 %all n deviate f local 
cov]age det]m9ation provisions          
applicable 9 ! region 9 :i* su*         
v]ification or corrective action occurs2
 &  7,,ii7 %all provide transp>5t review
 by publi%+ ! names ( ! review]s & _!   
qualifications 9 a place & =mat         
available to provid]s4  7vi7 ,reports to
 congress ,beg9n+ 9 #bjbe & ea* ye>     
!reaft]1 ! ,secret>y %all submit a      
report to ! appropriate committees (    
,congress on ! f9d+s ( ! review conduct$
 "u clause 7i7 & any local cov]age      

det]m9ations revis$ pursuant to clause  
7iii7 dur+ ! prec$+ ye>4  4  7b7        
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply ) respect to  
propos$ & f9al local cov]age            
det]m9ations po/$ on ,m$ic>e            
adm9i/rative contractor websites on &   
aft] ,janu>y #a1 #bjbc4