,,ib ,union ,cal5d> ,no4 #ehe #aah? ,,congress #b;d ,session ,h4 ,r4 #eebf ,report ,no4 #aah-fia1 ,"p ,i ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #ah1 #bjbc ,mrs4 ,h>%b>g] 7= h]self1 ,ms4 ,wass]man ,s*ultz1 ,mr4 ,fleis*mann1 ,mr4 ,davis ( ,nor? ,c>ol9a1 ,mrs4 ,mill]-,meeks1 & ,mr4 ,bald]son7 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$ ,septemb] #ai1 #bjbd ,additional sponsors3 ,mr4 ,johnson ( ,ohio1 ,mr4 ,hudson1 ,ms4 ,blunt ,ro*e/]1 ,mr4 ,la,lota1 ,mr4 ,ruiz1 ,mr4 ,c>t] ( ,georgia1 ,mr4 ,soto1 ,ms4 ,sewell1 ,mr4 ,coh51 ,ms4 ,tokuda1 ,mr4 ,cr5%aw1 ,mr4 ,bilirakis1 ,mr4 ,joyce ( ,p5nsylvania1 ,ms4 ,p+ree1 ,ms4 ,p]ez1 ,mr4 ,van ,drew1 ,mr4 ,pflug]1 ,mr4 ,pappas1 ,mr4 ,f]guson1 ,mr4 ,la,hood1 ,ms4 ,ku/]1 ,mr4 ,dunn ( ,florida1 ,mr4 ,cr[1 ,mr4 ,buc%on1 ,mr4 ,burgess1 ,mr4 ,latta1 ,mr4 ,gold5 ( ,ma9e1 ,mrs4 ,mill] ( ,we/ ,virg9ia1 ,mr4 ,kri%namoor?i1 ,mr4 ,ru!r=d1 ,mr4 ,ob]nolte1 ,mr4 ,mann1 ,mr4 ,des,jarlais1 ,mr4 ,bacon1 ,mr4 ,nehls1 ,ms4 ,budz9ski1 ,mr4 ,ku/(f1 ,ms4 ,spanb]g]1 ,mr4 ,got!im]1 ,ms4 ,c>aveo1 ,mr4 ,griffi?1 ,mr4 ,s*neid]1 ,mr4 ,jackson ( ,nor? ,c>ol9a1 ,mr4 ,c>twright1 ,mr4 ,langwor?y1 ,mr4 ,murphy1 ,mr4 ,tonko1 ,mr4 ,duncan1 ,mr4 ,d',esposito1 ,mr4 ,williams ( ,new ,york1 ,mr4 ,r\z]1 ,mr4 ,gre5 ( ,t5nessee1 ,ms4 ,malliotakis1 ,mr4 ,web] ( ,texas1 ,mr4 ,tiffany1 ,ms4 ,titus1 ,mrs4 ,flet*]1 ,ms4 ,ross1 ,mr4 ,allr$1 ,mr4 ,c>t] ( ,texas1 ,ms4 ,/rickl&1 ,mr4 ,moran1 ,mr4 ,e/es1 & ,mr4 ,phillips ,septemb] #ai1 #bjbd ,report$ f ! ,committee on ,en]gy & ,comm]ce ) am5dm5ts ,/rike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,septemb] #ai1 #bjbd ,committee on ,ways & ,means dis*>g$2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be pr9t$ ,= text ( introduc$ bill1 see copy ( bill z introduc$ on ,septemb] #ah1 #bjbc ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to cl>ify ! application ( ! 9-(fice ancill>y s]vices exception to ! physician self-ref]ral prohibition = drugs furni%$ "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,s5iors' ,access to ,critical ,m$ications ,act ( #bjbd4 #b4 ,cl>ify+ ! application ( ! 9-(fice ancill>y s]vices exception to ! physician self-ref]ral prohibition = cov]$ outpati5t drugs furni%$ "u ! ,m$ic>e program 7a7 ,9 g5]al ,section #ahgg7;b77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acienn7b77#b77 is am5d$ by add+ at ! end ! foll[+ new s5t5ce3 ,) respect to s]vices describ$ 9 subsection 7h77#f77;,j7 consi/+ ( cov]$ "p ,d drugs 7z def9$ 9 section #ahfj;,d-#b7;e77 furni%$ to an individual dur+ ! p]iod beg9n+ on ,janu>y #a1 #bjbe1 & end+ on ,decemb] #ca1 #bjbi1 su* drugs %all be treat$ z hav+ be5 furni%$ 9 accordance ) subp>agraph 7,a77ii7 if su* drugs are pick$ up 9 a build+ describ$ 9 subclause 7,i7 or 7,,ii7 ( su* subp>agraph by su* individual1 or a family memb] or c>egiv] on behalf ( su* individual1 or deliv]$ to su* individual by a mail1 deliv]y1 or c\ri] s]vice1 b only if1 dur+ ! #a-ye> p]iod end+ on ! date su* drugs 7 s furni%$1 su* individual _h a face-to-face enc\nt] ) ! prescrib] ( su* drugs 7n includ+ any su* enc\nt] conduct$ via teleheal?71 & only if su* individual has an ongo+ on preexi/+ relation%ip ) su* prescrib]44 7b7 ,report ,n lat] ?an #c ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ,congress a report t conta9s-- 7#a7 ! numb] ( individuals :o 7 furni%$ drugs 9 a mann] t w\ld con/itute a violation ( section #ahgg ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acienn7 b = ! am5dm5t made by subsection 7a72 7#b7 an analysis ( ! *ange 9 exp5ditures "u title ,,xviii ( su* ,act 7#db ,u4,s4,c4 #acie et seq47 attributable to su* am5dm5t2 7#c7 a description ( :i* drugs 7 furni%$ 9 a mann] describ$ 9 p>agraph 7#a72 & 7#d7 su* am5dm5t's impact on prices = su* drugs4 #c4 ,m$ic>e cov]age ( ext]nal infusion pumps & non-self-adm9i/rable home infusion drugs ,section #ahfa7n7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7n77 is am5d$ by add+ at ! end ! foll[+ new s5t5ce3 ,beg9n+ ) ! fir/ cal5d> qu>t] beg9n+ on or aft] ! date t is "o ye> aft] ! date ( ! enactm5t ( ! ,s5iors' ,access to ,critical ,m$ications ,act ( #bjbd1 an ext]nal infusion pump & associat$ home infusion drug 7z def9$ 9 subsection 7iii77#c77;,c77 or o!r associat$ supplies t d n meet ! appropriate = use 9 ! home requirem5t appli$ to ! def9ition ( durable m$ical equipm5t "u section #dad4bjb ( title #db1 ,code ( ,f$]al ,regulations 7or any successor to su* regulation7 %all be treat$ z meet+ su* requirem5t if ea* ( ! foll[+ crit]ia is satisfi$3 7#a7 ,! prescrib+ in=mation approv$ by ! ,food & ,drug ,adm9i/ration = ! home infusion drug associat$ ) ! pump in/ructs t ! drug %\ld be adm9i/]$ by or "u ! sup]vision ( a heal? c>e pr(essional4 7#b7 ,a qualifi$ home infusion !rapy suppli] 7z def9$ 9 subsection 7iii77#c77;,d77 adm9i/]s or sup]vises ! adm9i/ration ( ! drug or biological 9 a safe & effective mann] 9 ! pati5t's home 7z def9$ 9 subsection 7iii77#c77;,b774 7#c7 ,! prescrib+ in=mation describ$ 9 p>agraph 7#a7 in/ructs t ! drug %\ld be infus$ at lea/ #ab times p] ye>-- 7,a7 intrav5\sly or subcutane\sly2 or 7,b7 at infusion rates t ! ,secret>y det]m9es w\ld require ! use ( an ext]nal infusion pump4 4 #d4 ,m$ic>e ,improvem5t ,fund ,section #ahih7;b77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;iii7b77#a77 is am5d$ by /rik+ #j & ins]t+ #aad1jjj1jjj4 ,am5d ! title s z to read3 ,a bill to am5d title ,,xviii ( ! ,social ,security ,act to cl>ify ! application ( ! 9-(fice ancill>y s]vices exception to ! physician self-ref]ral prohibition = cov]$ outpati5t drugs furni%$ "u ! ,m$ic>e program1 & to provide cov]age ( ext]nal infusion pumps & non-self-adm9i/rable home infusion drugs "u su* program44 ,septemb] #ai1 #bjbd ,report$ f ! ,committee on ,en]gy & ,comm]ce ) am5dm5ts ,septemb] #ai1 #bjbd ,committee on ,ways & ,means dis*>g$2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be pr9t$