,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #ehfd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #b1 #bjbc,mr4 
,fitzpatrick 7= himself & ,ms4 ,cl>ke ( 
,new ,york7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
provide = cov]age "u ! ,m$icaid program 
( non-invasive pr5atal g5etic scre5+4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,exp&$ ,g5etic ,scre5+ ,act4  #b4     
,m$icaid cov]age ( non-invasive pr5atal 
g5etic scre5+  7a7 ,9 g5]al ,section    
#aije ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;d7 is am5d$--  7#a7 9   
subsection 7a77#c7-- 7,a7 9 subp>agraph 
7,a71 by /rik+ at ! end &2  7,b7 9      
subp>agraph 7,b71 by ins]t+ & aft] !    
semicolon2 &  7,c7 by add+ at ! end !   
foll[+ new subp>agraph3  7,c7           
non-invasive pr5atal g5etic scre5+ =    
pregnant wom5 ( all age gr\ps 7provid$ 9
 a facility1 a home1 or o!r sett+71     
subject to ! in=m$ cons5t requirem5t    

describ$ 9 subsection 7jj72  2 &  7#b7  
by add+ at ! end ! foll[+ new           
subsection3  7jj7 ,in=m$ cons5t         
requirem5t = non-invasive pr5atal g5etic
 scre5+  7#a7 ,9 g5]al ,= purposes (    
subsection 7a77#c77;,c71 ! in=m$ cons5t 
requirem5t describ$ 9 ?is subsection =  
non-invasive pr5atal g5etic scre5+      
furni%$ to a pregnant woman is t1 prior 
to furni%+ ! scre5+ to ! woman1 !       
provid] ( ! scre5+ gives ! woman a full 
disclosure t includes1 at a m9imum1 !   
foll[+ in=mation3 7,a7 ,! limitations ( 
! scre5+ plat=m = any g5etic scre5 or   
te/ ) ! goal to id5tify risk or diagnose
 a g5etic condition4  7,b7 ,any pot5tial
 int]f]5ces t may affect ! scre5+'s     
p]=mance4  7,c7 ,in=mation ab\t         
pr$ictive values us$ by ! scre5+ bas$ on
 appropriate mat*+ population & inh]5t  
risk factors bas$ on age1 family hi/ory1
 & o!r aneuploidy risk factors 7su* z   
ultras\nd abnormalities74  7,d7 ,! ne$ =
 foll[-up diagno/ic te/+ to confirm true
 positive results be=e decisions are    

made ab\t irrevocable cl9ical           
int]v5tion4  7#b7 ,no m$ical assi/ance  
available = scre5+s provid$ )\t cons5t  
,no paym5t may be made "u section       
#aijc7;a7 ) respect to a non-invasive   
pr5atal g5etic scre5+ t is furni%$ to a 
pregnant woman )\t meet+ ! requirem5t   
describ$ 9 p>agraph 7#a74  4  7b7       
,con=m+ am5dm5t ,section #aijc7;i7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7i77 is am5d$-- 7#a7 9 p>agraph  
7#bf71 by /rik+ 2 or2  7#b7 9 p>agraph  
7#bg71 by /rik+ ! p]iod & ins]t+ 2 or2 &
  7#c7 by ins]t+ aft] p>agraph 7#bg7 !  
foll[+ new p>agraph3  7#bh7 ) respect to
 am\nts exp5d$ = non-invasive pr5atal   
g5etic scre5+ s]vices furni%$ to a      
pregnant woman1 unless ! in=m$ cons5t   
requirem5t ( section #aije7;jj7 is met4 
4