,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #hhdi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #bf1 #bjbd,mr4  
,smuck] 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   
improve ! national & local cov]age      
det]m9ation processes "u ! ,m$ic>e      
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,timel9e ,integrity =       
,m$ic>e ,evid5ce ,developm5t ,act (     
#bjbd or ! ,,tim$ ,act ( #bjbd4  #b4    
,improv+ ! national & local cov]age     
det]m9ation processes "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>agraph3  7#g7     
,limitation on duration ( cov]age )     

evid5ce developm5t det]m9ations  7,a7 ,9
 g5]al ,subject to subp>agraph 7,b71 9 !
 case ( a f9al decision "u p>agraph     
7#c77;,c77i7 7includ+ any su* decision  
made on a class-wide basis7 made on or  
aft] ! date ( ! enactm5t ( ?is p>agraph 
t results 9 cov]age ( an item or s]vice 
pursuant to subsection 7a77#a77;,e71 !  
,secret>y %all1 n lat] ?an #aj ye>s aft]
 ! date on :i* su* cov]age becomes      
effective pursuant to su* subsection1   
initiate a r$et]m9ation ) respect to su*
 item or s]vice4  7,b7 ,exception ,!    
,secret>y may delay a r$et]m9ation      
describ$ 9 subp>agraph 7,a7 ) respect to
 an item or s]vice = a p]iod ( "t       
det]m9$ appropriate by ! ,secret>y if-- 
7i7 ! ,secret>y f9ds t su* item or      
s]vice is reasonable & necess>y to c>ry 
out ! purposes describ$ 9 section #aadb2
 or  7ii7 ! entity responsible = su*    
item or s]vice reque/s su* ext5sion4    
7,c7 ,po/+ ( in=mation ,n lat] ?an #a   
ye> aft] ! date ( ! enactm5t ( ?is      
p>agraph1 & annually !reaft]1 !         

,secret>y po/ on ! public website ( !   
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices !   
foll[+ in=mation3 7i7 ,! numb] ( items &
 s]vices cov]$ "u ?is title pursuant to 
subsection 7a77#a77;,e74  7ii7 ,a       
description ( ea* su* item or s]vice4   
7iii7 ,! ye> 9 :i* cov]age ( ea* su*    
item or s]vice became effective pursuant
 to su* subsection4  4  7b7 ,provision (
 explanation 9 case ( c]ta9 reject$     
reque/s ,section #ahfb7l7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#aciey7l771 z am5d$ by subsection 7a71  
is fur!r am5d$ by add+ at ! end ! foll[+
 new p>agraph3  7#h7 ,requirem5t to     
provide explanation 9 case ( c]ta9      
reject$ reque/s ,) respect to ea*       
docum5t receiv$ by ! ,secret>y on or    
aft] ! date t is #a ye> aft] ! date ( ! 
enactm5t ( ?is p>agraph t id5tifies     
itself z a complete1 =mal reque/ = a    
national cov]age det]m9ation 7z describ$
 9 ! notice entitl$ ,m$ic>e ,program2   
,revis$ ,process = ,mak+ ,national      
,cov]age ,det]m9ations 7#gh ,f$4 ,reg4  

#dhafd7 or a successor regulation71 !   
,secret>y %all1 n lat] ?an #ij days aft]
 receipt ( su* docum5t-- 7,a7 det]m9e   
:e!r su* docum5t is a complete1 =mal    
reque/ = a national cov]age det]m9ation2
 &  7,b7 9 ! case t ! ,secret>y f9ds t  
su* docum5t is n a complete1 =mal reque/
 = a national cov]age det]m9ation1      
transmit to ! entity submitt+ su*       
docum5t in=mation on su* f9d+ t includes
 a specification ( additional in=mation 
ne$$ to make su* docum5t a complete1    
=mal reque/ = a national cov]age        
det]m9ation4  4  7c7 ,improv+ access to 
items & s]vices "u local cov]age        
det]m9ations ,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 ,ensur+
 consi/5cy ) applicable rules ,!        
,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
 conflict ) any law1 rul+1 regulation1  

national cov]age det]m9ation1 paym5t    
policy1 or cod+ policy4  4  7d7 ,fund+  
,!re are au?oriz$ to be appropriat$     
#a1jjj1jjj = fiscal ye> #bjbd = purposes
 ( c>ry+ out ! am5dm5ts made by ?is     
section4