,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #iaja  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bc1 #bjbd,mr4  
,g>b>9o 7= himself1 ,mr4 ,williams (    
,new ,york1 ,mr4 ,meeks1 ,mr4 ,k5n$y1   
,ms4 ,cl>ke ( ,new ,york1 ,ms4          
,malliotakis1 ,ms4 ,m5g1 ,ms4 ,t5ney1   
,mr4 ,lawl]1 ,mr4 ,la,lota1 ,mr4        
,langwor?y1 ,mr4 ,tonko1 ,mr4 ,ryan1    
,mr4 ,morelle1 ,ms4 ,ocasio-,cortez1    
,ms4 ,/efanik1 ,mr4 ,torres ( ,new      
,york1 ,mr4 ,mol9>o1 ,mr4 ,b[man1 ,ms4  
,velzquez1 ,mr4 ,suozzi1 ,mr4           
,fitzpatrick1 & ,mr4 ,kean ( ,new       
,j]sey7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ! ,budget1 = 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      
,,xxxiii ( ! ,public ,heal? ,s]vice ,act
 ) respect to flexibility & fund+ = !   
,_w ,trade ,c5t] ,heal? ,program4  #a4  

,%ort title ,?is ,act may be cit$ z !   
#i_/aa ,respond] & ,survivor ,heal?     
,fund+ ,correction ,act ( #bjbd4  #b4   
,flexibility = m5tal heal? condition    
c]tifications "u ! ,_w ,trade ,c5t]     
,heal? ,program  7a7 ,9 g5]al ,section  
#ccje7;a7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjjmm-#d7;a77 is   
am5d$-- 7#a7 9 p>agraph 7#a77;,a71 by   
ins]t+ subject to p>agraph 7#f71 be=e =2
 &  7#b7 by add+ at ! end ! foll[+3     
7#f7 ,lic5s$ m5tal heal? provid]        
flexibility = m5tal heal? condition     
c]tifications  7,a7 ,9 g5]al ,= purposes
 ( an initial heal? evaluation describ$ 
9 p>agraph 7#a77;,a7 ) respect to a     
m5tal heal? condition 7includ+ any su*  
evaluation provid$ "u section #ccba7;b7 
or ?r\gh ! nationwide network "u section
 #ccac71 su* evaluation may be conduct$ 
by a physician or any o!r lic5s$ m5tal  
heal? provid] 9 a category ( m5tal heal?
 c>e provid]s det]m9$ by ! ,,wtc        
,program ,adm9i/rator "u subp>agraph    
7,b74  7,b7 ,categories ( lic5s$ m5tal  

heal? provid]s ,n lat] ?an #ahj days    
aft] ! date ( enactm5t ( ! #i_/aa       
,respond] & ,survivor ,heal? ,fund+     
,correction ,act ( #bjbd1 ! ,,wtc       
,program ,adm9i/rator %all issue        
regulations = ! categories ( lic5s$     
m5tal heal? provid]s :o1 9 addition to  
lic5s$ physicians1 may conduct          
evaluations "u subp>agraph 7,a7 )       
respect to a m5tal heal? condition &    
make det]m9ations "u section #ccab7;b7 )
 respect to su* a condition4  4  7b7    
,flexibility = ,,wtc respond]s ,section 
#ccab7;b7 ( su* ,act 7#db ,u4,s4,c4     
#cjjmm-#bb7;b77 is am5d$-- 7#a7 9       
p>agraph 7#a77;,a7-- 7,a7 9 ! matt]     
prec$+ clause 7i71 by /rik+ physician & 
ins]t+ physician 7or1 9 ! case ( a m5tal
 heal? condition1 a physician or any o!r
 qualifi$ m5tal heal? provid]72 &  7,b7 
9 clause 7i71 by /rik+ physician &      
ins]t+ physician or o!r qualifi$ m5tal  
heal? provid]2  7#b7 9 p>agraph 7#b7--  
7,a7 9 subp>agraph 7,a7-- 7i7 9 ! matt] 
prec$+ clause 7i71 by /rik+ physician & 

ins]t+ physician 7or1 9 ! case ( a m5tal
 heal? condition1 a physician or any o!r
 qualifi$ m5tal heal? provid]72  7ii7 9 
clause 7i71 by /rik+ physician & ins]t+ 
physician or o!r qualifi$ m5tal heal?   
provid]2 &  7iii7 9 clause 7ii71 by     
/rik+ su* physician's det]m9ation &     
ins]t+ ! det]m9ation ( su* physician or 
o!r qualifi$ m5tal heal? provid]2 &     
7,b7 9 subp>agraph 7,b7-- 7i7 9 ! matt] 
prec$+ clause 7i71 by /rik+ physician   
det]m9ations & ins]t+ det]m9ations by   
physicians 7or1 9 ! case ( a m5tal heal?
 condition1 physicians or o!r qualifi$  
m5tal heal? provid]s72 &  7ii7 9 clause 
7i71 by /rik+ physician panel & ins]t+  
panel ( physicians 7or1 9 ! case ( a    
m5tal heal? condition1 physicians or o!r
 qualifi$ m5tal heal? provid]s72  7#c7 9
 p>agraph 7#e71 by /rik+ exam9+         
physician & ins]t+ exam9+ physician 7or1
 9 ! case ( a m5tal heal? condition1    
exam9+ physician or o!r qualifi$ m5tal  
heal? provid]72 &  7#d7 by add+ at ! end
 ! foll[+3  7#f7 ,def9ition ( qualifi$  

m5tal heal? provid] ,= purposes ( ?is   
subsection1 ! t]m qualifi$ m5tal heal?  
provid] means a lic5s$ m5tal heal?      
provid] 9 a category det]m9$ by ! ,,wtc 
,program ,adm9i/rator "u section        
#ccje7;a77#f77;,b74  4  #c4 ,crit]ia =  
cr$5tial+ heal? c>e provid]s p>ticipat+ 
9 ! nationwide network ,title ,,xxxiii (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #cjjmm et seq47 is am5d$--    
7#a7 9 section #ccje7;a77#b7 7#db       
,u4,s4,c4 #cjjmm-#d7;a77#b77-- 7,a7 9   
subp>agraph 7,a7-- 7i7 by /rik+ clause  
7iv72 &  7ii7 by r$esignat+ clauses 7v7 
& 7vi7 z clauses 7iv7 & 7v71            
respectively2  7,b7 by /rik+ subp>agraph
 7,b72 &  7,c7 by r$esignat+            
subp>agraphs 7,c7 & 7,d7 z subp>agraphs 
7,b7 & 7,c71 respectively2 &  7#b7 9    
section #ccac7;b77#a7 7#db ,u4,s4,c4    
#cjjmm-#bc7;b77#a771 by /rik+ ,data     
,c5t]s & ins]t+ ,,wtc ,program          
,adm9i/rator4  #d4 ,cl>ify+ calculation 
( enrollm5t  7a7 ,respond]s ,section    
#ccaa7;a7 ( su* ,act 7#db ,u4,s4,c4     

#cjjmm-#ba7;a77 is am5d$ by add+ at !   
end ! foll[+3  7#f7 ,deceas$ ,,wtc      
respond]s ,an individual kn[n to ! ,,wtc
 ,program ,adm9i/rator to be deceas$    
%all n be includ$ 9 any c\nt ( enrollees
 "u ?is subsection or section #ccea4  4 
7b7 ,survivors ,section #ccba7;a7 ( su* 
,act 7#db ,u4,s4,c4 #cjjmm-#ca7;a77 is  
am5d$ by add+ at ! end ! foll[+3  7#e7  
,deceas$ ,,wtc survivors ,an individual 
kn[n to ! ,,wtc ,program ,adm9i/rator to
 be deceas$ %all n be includ$ 9 any c\nt
 ( c]tifi$-eligible survivors "u ?is    
section or 9 any c\nt ( enrollees "u    
section #ccea4  4  #e4 ,"t p]iod = add+ 
heal? conditions to li/ = ,,wtc         
respond]s ,section #ccab7;a77#f7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjjmm-#bb7;a77#f77 is am5d$--
 7#a7 9 subp>agraph 7,b71 by /rik+ #ij &
 ins]t+ #ahj2 &  7#b7 9 subp>agraph     
7,c71 9 ! second s5t5ce1 by /rik+ #ij & 
ins]t+ #ahj4  #f4 ,fund+ = ! ,_w ,trade 
,c5t] ,heal? ,program  7a7 ,9 g5]al     
,section #ccea ( ! ,public ,heal?       

,s]vice ,act 7#db ,u4,s4,c4 #cjjmm-#fa7 
is am5d$-- 7#a7 9 subsection            
7a77#b77;,a7-- 7,a7 9 clause 7x71 by    
/rik+ &2  7,b7 9 clause 7xi7-- 7i7 by   
/rik+ subsequ5t fiscal ye> ?r\gh fiscal 
ye> #bjij & ins]t+ ( fiscal ye>s #bjbf  
?r\gh #bjcd2 &  7ii7 by /rik+ plus &    
ins]t+ &2 &  7,c7 by add+ at ! end !    
foll[+3  7xii7 = ea* ( fiscal ye>s #bjce
 ?r\gh #bjij-- 7,i7 ! am\nt det]m9$ "u  
?is subp>agraph = ! previ\s fiscal ye>  
7plus any am\nt exp5d$ f ! ,fund 9 !    
previ\s fiscal ye> t 0 c>ri$ ov] f any  
fiscal ye> prior to ! previ\s fiscal ye>
 includ+ z c>ri$ ov] pursuant to a      
deposit into su* ,fund "u section       
#cceb7;d71 #ccec7;d71 or #cced7;d77     
multipli$ by #a4je2 multipli$ by  7,,ii7
 ! ratio (-- 7aa7 ! total numb] (       
individuals enroll$ 9 ! ,,wtc ,program  
on ,july #a ( su* previ\s fiscal ye>2 to
  7bb7 ! total numb] ( individuals s    
enroll$ on ,july #a ( ! fiscal ye> prior
 to su* previ\s fiscal ye>2 plus  2 &   
7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 

7#d7-- 7i7 by am5d+ subp>agraph 7,a7 to 
read z foll[s3  7,a7 = fiscal ye> #bjbd1
 ! am\nt det]m9$ = su* fiscal ye> "u ?is
 p>agraph z 9 effect on ! day be=e !    
date ( enactm5t ( ! #i_/aa ,respond] &  
,survivor ,heal? ,fund+ ,correction ,act
 ( #bjbd2  2 &  7ii7 by am5d+           
subp>agraph 7,b7 to read z foll[s3  7,b7
 = fiscal ye> #bjbe1 ! great] (-- 7i7 ! 
am\nt det]m9$ = su* fiscal ye> "u ?is   
p>agraph z 9 effect on ! day be=e ! date
 ( enactm5t ( ! #i_/aa ,respond] &      
,survivor ,heal? ,fund+ ,correction ,act
 ( #bjbd2 or  7ii7 #bj1jjj1jjj2 &  2 &  
7,b7 9 p>agraph 7#e7-- 7i7 by am5d+     
subp>agraph 7,a7 to read z foll[s3  7,a7
 = fiscal ye> #bjbd1 ! am\nt det]m9$ =  
su* fiscal ye> "u ?is p>agraph z 9      
effect on ! day be=e ! date ( enactm5t (
 ! #i_/aa ,respond] & ,survivor ,heal?  
,fund+ ,correction ,act ( #bjbd2  2     
7ii7 by r$esignat+ subp>agraph 7,b7 z   
subp>agraph 7,c72 &  7iii7 by ins]t+    
aft] subp>agraph 7,a7 ! foll[+3  7,b7 = 
fiscal ye> #bjbe1 ! great] (-- 7i7 !    

am\nt det]m9$ = su* fiscal ye> "u ?is   
p>agraph z 9 effect on ! day be=e ! date
 ( enactm5t ( ! #i_/aa ,respond] &      
,survivor ,heal? ,fund+ ,correction ,act
 ( #bjbd2 or  7ii7 #bj1jjj1jjj2 &  4    
7b7 ,additional am\nts = ! ,_w ,trade   
,c5t] ,heal? ,program ,special ,fund    
,section #ccec7;b7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#cjjmm-#fc7;b77 is am5d$-- 7#a7 by /rik+
 ,out & ins]t+ ! foll[+3  7#a7 ,initial 
deposit ,out  2 &  7#b7 by add+ at ! end
 ! foll[+3  7#b7 ,additional deposit    
,out ( any money 9 ! ,treasury n o!rwise
 appropriat$1 !re is appropriat$ =      
fiscal ye> #bjbd #b1igj1djf1eic =       
deposit into ! ,special ,fund1 :i*      
am\nts %all rema9 available 9 su* ,fund 
?r\gh fiscal ye> #bjcc4  4  7c7         
,reallocation ( any rema9+ am\nts 9     
sep>ate funds  7#a7 ,supplem5tal fund   
,section #cceb7;d7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#cjjmm-#fb7;d77 is am5d$-- 7,a7 9 !     
subsection head+1 by /rik+ ,return (    

,funds & ins]t+ ,rema9+ am\nts2 &  7,b7 
by /rik+ ! ,treasury z miscellane\s     
receipts & ins]t+ ! ,_w ,trade ,c5t]    
,heal? ,program ,fund "u section #ccea =
 fiscal ye> #bjcc &1 not)/&+ subsections
 7b7 & 7c71 rema9 available1 = !        
purposes describ$ 9 ?is title1 ?r\gh    
fiscal ye> #bjij 9 accordance )         
subsection 7a77#e7 ( section #ccea &    
subject to ! sp5d+ limitations "u       
subsection 7c7 ( su* section4  7#b7     
,special fund ,section #ccec7;d7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjjmm-#fc7;d77 is am5d$ by   
/rik+ ! ,treasury z miscellane\s        
receipts & ins]t+ ! ,_w ,trade ,c5t]    
,heal? ,program ,fund "u section #ccea =
 fiscal ye> #bjcd &1 not)/&+ subsections
 7b7 & 7c71 rema9 available1 = !        
purposes describ$ 9 ?is title1 ?r\gh    
fiscal ye> #bjij 9 accordance )         
subsection 7a77#e7 ( section #ccea &    
subject to ! sp5d+ limitations "u       
subsection 7c7 ( su* section4  7#c7     
,p5tagon_/%anksville fund ,section      

#cced7;d7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjjmm-#fd7;d77 is  
am5d$ by /rik+ ! ,treasury z            
miscellane\s receipts & ins]t+ ! ,_w    
,trade ,c5t] ,heal? ,program ,fund "u   
section #ccea = fiscal ye> #bjcd &1     
not)/&+ subsections 7b7 & 7c71 rema9    
available1 = ! purposes describ$ 9 ?is  
title1 ?r\gh fiscal ye> #bjij 9         
accordance ) subsection 7a77#e7 (       
section #ccea & subject to ! sp5d+      
limitations "u subsection 7c7 ( su*     
section4  7#d7 ,availability ,section   
#ccea ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #cjjmm-#fa7 is am5d$--   
7,a7 9 subsection 7a77#e71 by ins]t+ or 
deposit$ into ! ,fund "u any o!r section
 9 ?is title1 be=e = a fiscal ye>2 &    
7,b7 9 subsection 7b77#a71 by ins]t+ or 
any o!r section 9 ?is title aft]        
subsection 7a77#b74  #g4 ,(fset  7a7 ,9 
g5]al ,section #bea;,a7#f77;,d7 ( !     
,balanc$ ,budget & ,em]g5cy ,deficit    
,control ,act ( #aihe 7#b ,u4,s4,c4     
#ija;a7#f77;,d77 is am5d$-- 7#a7 9      

clause 7i71 by /rik+ #h mon?s & ins]t+  
#aj mon?s2 &  7#b7 9 clause 7ii71 by    
/rik+ #d mon?s & ins]t+ #b mon?s4  7b7  
,deposit ( excess sav+s 9 ! ,m$ic>e     
,improvem5t ,fund  7#a7 ,def9ition ,9   
?is subsection1 ! t]m excess sav+s means
 ! diff]5ce obta9$ by subtract+-- 7,a7 !
 am\nt ( ! budget>y effects 7z det]m9$ 9
 accordance ) ! ,/atutory ,pay-,z-,y-,g 
,act ( #bjaj 7#b ,u4,s4,c4 #ica et      
seq477 ( sections #b ?r\gh #f ( ?is     
,act2 f  7,b7 ! am\nt ( ! budget>y      
effects 7z det]m9$ 9 accordance ) !     
,/atutory ,pay-,z-,y-,g ,act ( #bjaj 7#b
 ,u4,s4,c4 #ica et seq477 ( ! am5dm5t   
made by subsection 7a7 ( ?is section4   
7#b7 ,deposit ,! am\nt ( any excess     
sav+s %all be transf]r$ to & m]g$ )     
am\nts 9 ! ,m$ic>e ,improvem5t ,fund    
e/abli%$ "u section #ahih ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acie;iii74 ,am\nts transf]r$ "u ?is    
p>agraph %all rema9 available until     
exp5d$4