,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bcgg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ai1 #bjbc,ms4   
,w>r5 7= h]self1 ,mr4 ,paul1 ,mr4       
,grassley1 ,mrs4 ,%ahe51 ,ms4 ,s9ema1   
,mr4 ,wick]1 ,mr4 ,br[n1 ,mr4 ,wel*1 &  
,mr4 ,k+7 introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
improve cov]age ( audiology s]vices "u !
 ,m$ic>e program1 & = o!r purposes4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,m$ic>e ,audiology ,access ,improvem5t  
,act ( #bjbc4  #b4 ,cov]age ( audiology 
s]vices "u ! ,m$ic>e program  7a7 ,9    
g5]al ,section #ahfa7s77#b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciex7s77#b77 is am5d$-- 7#a7 9        
subp>agraph 7,,ii71 by /rik+ & at ! end2
  7#b7 9 subp>agraph 7,,jj71 by /rik+ ! 
p]iod at ! end & ins]t+ 2 &2 &  7#c7 by 
add+ at ! end ! foll[+ new subp>agraph3 
7,,kk7 audiology s]vices 7z def9$ 9     
subsection 7ll77#c772  4  7b7 ,improv$  

access to audiology s]vices ,p>agraph   
7#c7 ( section #ahfa7ll7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#aciex7ll77 is am5d$ to read z foll[s3  
7#c7 ,! t]m audiology s]vices means su* 
he>+ & balance assessm5t s]vices furni%$
 on or be=e ,decemb] #ca1 #bjbd1 &      
beg9n+ ,janu>y #a1 #bjbe1 su* diagno/ic 
or treatm5t s]vices furni%$ by a        
qualifi$ audiologi/ :i* ! qualifi$      
audiologi/ is legally au?oriz$ to p]=m  
"u ,/ate law 7or ! regulatory me*anism  
provid$ by ,/ate law71 z w\ld o!rwise be
 cov]$ if furni%$ by a physician or z   
incid5t to a physician's s]vice4 ,a     
qualifi$ audiologi/ %all be p]mitt$ to  
furni% su* audiology s]vices )\t reg>d  
to any requirem5t t ! individual receiv+
 su* audiology s]vices is "u ! c>e ( 7or
 ref]r$ by7 a physician or o!r heal? c>e
 practition] or t su* s]vices are       
furni%$ "u ! sup]vision ( a physician or
 o!r heal? c>e practition]4  4  7c7     
,paym5t am\nt & co9surance ,section     
#ahcc7;a77#a7 ( ! ,social ,security ,act

 7#db ,u4,s4,c4 #aciel7a77#a77 is       
am5d$-- 7#a7 by /rik+ & be=e 7,,hh72 &  
7#b7 by ins]t+ ! foll[+ be=e !          
semicolon3 & 7,,ii7 ) respect to        
audiology s]vices furni%$ "u section    
#ahfa7s77#b77,,kk71 ! am\nts paid %all  
be #hj p]c5t ( ! less] ( ! actual *>ge =
 ! s]vices or ! fee s*$ule am\nt provid$
 "u section #ahdh4  7d7 ,paym5t on      
assignm5t-,relat$ basis ,section        
#ahdb7;b77#ah77;,c7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acieu7b77#ah77;,c77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7ix7 ,a    
qualifi$ audiologi/ 7z def9$ 9 section  
#ahfa7ll77#d77;,b774  4  7e7 ,inclusion 
( qualifi$ audiologi/s z ,,rhc & ,,fqhc 
practition]s ,section                   
#ahfa7;aa77#a77;,b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#aciex7aa77#a77;,b77 is am5d$ by ins]t+ 
by a qualifi$ audiologi/ 7z def9$ 9     
subsection 7ll77#d77;,b771 aft] 7z def9$
 9 subsection 7hh77#a7714  7f7 ,rule (  
con/ruction ,no?+ 9 ! am5dm5ts made by  

?is section %all be con/ru$ to exp& !   
scope ( audiologi/ s]vices or s]vices = 
:i* paym5t may be made to o!r provid]s  
"u title ,,xviii ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acie et seq47      
beyond ^? s]vices = :i* su* paym5t may  
be made z ( ,decemb] #ca1 #bjbd4  7g7   
,effective date ,! am5dm5ts made by ?is 
section %all apply to items & s]vices   
furni%$ on or aft] ,janu>y #a1 #bjbe4