,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bjhe  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ba1 #bjbc,mr4   
,crapo 7= himself1 ,mr4 ,b5net1 ,mr4    
,scott ( ,s\? ,c>ol9a1 & ,mr4 ,c>d97    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = ,m$ic>e cov]age ( multi-canc] 
e>ly detection scre5+ te/s4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,m$ic>e 
,multi-,canc] ,e>ly ,detection ,scre5+  
,cov]age ,act 4  #b4 ,purpose ,! purpose
 ( ?is ,act is to create a cov]$ b5efit 
= multi-canc] e>ly detection scre5+ te/s
 to ensure ,m$ic>e b5efici>y access to  
^! te/s )\t unnecess>y delay once       
approv$ "u ! ,f$]al ,food1 ,drug1 &     
,cosmetic ,act4  #c4 ,m$ic>e cov]age (  
multi-canc] e>ly detection scre5+ te/s  
7a7 ,cov]age ,section #ahfa ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 am5d$-- 7#a7 9 subsection 7s77#b7--    
7,a7 by /rik+ ! semicolon at ! end (    

subp>agraph 7,,jj7 & ins]t+ 2 &2 &  7,b7
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,,kk7 multi-canc] e>ly   
detection scre5+ te/s 7z def9$ 9        
subsection 7nnn772  2 &  7#b7 by add+ at
 ! end ! foll[+ new subsection3  7nnn7  
,multi-,canc] e>ly detection scre5+ te/s
 ,! t]m multi-canc] e>ly detection      
scre5+ te/ means any ( ! foll[+ te/s1   
approv$ or cle>$ by ! ,food & ,drug     
,adm9i/ration1 ins(> z ! ,secret>y      
det]m9es cov]age ( su* te/s is          
appropriate1 furni%$ to an individual = 
! purpose ( e>li] detection ( canc]     
across _m canc] types 7su* z describ$ 9 
! ,national ,canc] ,in/itute's ,annual  
,report to ! ,nation on ! ,/atus (      
,canc]73 7#a7 ,a g5omic sequ5c+ blood or
 blood product te/ t includes ! analysis
 ( cell-free nucleic acids4  7#b7 ,su*  
o!r equival5t te/s 7:i* are bas$ on     
blood1 blood products1 ur9e1 or o!r     
sample ( biological mat]ial7 z !        
,secret>y det]m9es appropriate 9 provid+
 results comp>able to ^? obta9$ ) a te/ 

describ$ 9 p>agraph 7#a74  4  7b7       
,paym5t & frequ5cy limit  7#a7 ,paym5t  
"u fee s*$ule ,section #ahcc7;h7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#aciel7h77 is am5d$-- 7,a7 9 p>agraph   
7#a77;,a71 by ins]t+ aft] 7includ+ !    
foll[+3 multi-canc] e>ly detection      
scre5+ te/s "u section #ahfa7nnn71 &    
includ+2 &  7,b7 by add+ at ! end !     
foll[+ new p>agraph3  7#aj7 ,no paym5t  
may be made "u ?is "p = a multi-canc]   
e>ly detection scre5+ te/ 7z def9$ 9    
section #ahfa7nnn77 = an individual if  
su* a te/ 0 furni%$ to ! individual dur+
 ! previ\s #aa mon?s4  4  7#b7 ,con=m+  
am5dm5t ,section #ahfb7;a7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4 #aciey7a77
 is am5d$-- 7,a7 9 p>agraph 7#a7-- 7i7 9
 subp>agraph 7,o71 by /rik+ & at ! end2 
7ii7 9 subp>agraph 7,p71 by /rik+ !     
semicolon at ! end & ins]t+ 1 &2 &      
7iii7 by add+ at ! end ! foll[+ new     
subp>agraph3  7,q7 9 ! case ( a         
multi-canc] e>ly detection scre5+ te/ 7z
 def9$ 9 section #ahfa7nnn771 :i* is    

p]=m$ m frequ5tly ?an is cov]$ "u       
section #ahcc7;h77#aj72  2 &  7,b7 9    
p>agraph 7#g71 by /rik+ or 7,p7 & ins]t+
 7,p71 or 7,q74  7c7 ,rule ( con/ruction
 relat+ to o!r canc] scre5+ te/s ,no?+ 9
 ?is section1 includ+ ! am5dm5ts made by
 ?is section1 %all be con/ru$-- 7#a7 9 !
 case ( an individual :o und]goes a     
multi-canc] e>ly detection scre5+ te/1  
to affect cov]age "u "p ,b ( title      
,,xviii ( ! ,social ,security ,act = o!r
 canc] scre5+ te/s cov]$ "u su* title1  
su* z scre5+ te/s = brea/1 c]vical1     
colorectal1 lung1 or pro/ate canc]2 or  
7#b7 9 ! case ( an individual :o        
und]goes ano!r canc] scre5+ te/1 to     
affect cov]age "u su* "p = a multi-canc]
 e>ly detection scre5+ te/ or ! use (   
su* a te/ z a diagno/ic or confirmatory 
te/ = a result ( ! o!r canc] scre5+ te/4