,,ii #aah? ,,congress #b;d ,session ,s4 #chba ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #bh1 #bjbd ,mr4 ,cassidy 7= himself1 ,mr4 ,w>n]1 & ,ms4 ,klobu*>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 ! paym5t me?od = oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices1 to increase b5efici>y access to oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,supplem5tal ,oxyg5 ,access ,re=m ,act ( #bjbd or ! ,,so> ,act ( #bjbd4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,,title ,i--,protect ,b5efici>y ,access to ,supplem5tal ,oxyg5 ,!rapy 9 ! ,home & ,community ,sec4 #aja4 ,re=m ( ! ,m$ic>e supplem5tal oxyg5 b5efit4 ,sec4 #ajb4 ,e/abli%m5t ( supplem5tal oxyg5 responsibilities crit]ia4 ,sec4 #ajc4 ,te*nical corrections4 ,,title ,,ii--,protect+ b5efici>y access to respiratory !rapi/s ,sec4 #bja4 ,reimbursem5t = respiratory !rapi/s4 ,,title ,,iii--,adoption ( electronic templates ,sec4 #cja4 ,use ( electronic templates to docum5t m$ical necessity & re/or+ cl9ical inf]5ce = oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices4 ,,title ,,iv--,e/abli%m5t ( b5efici>y rights ,sec4 #dja4 ,e/abli%+ protections = individuals receiv+ oxyg5 or oxyg5 relat$ equipm5t1 supplies1 or s]vices4 ,i ,protect ,b5efici>y ,access to ,supplem5tal ,oxyg5 ,!rapy 9 ! ,home & ,community #aja4 ,re=m ( ! m$ic>e supplem5tal oxyg5 b5efit 7a7 ,remov+ oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices f competitive acquisition program ,to improve pati5t access to supplem5tal oxyg5 !rapy ,section #ahdg7;a77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#c7;a77#c77 is am5d$ by-- 7#a7 ins]t+ & exclusion aft] ,exception au?ority2 7#b7 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z clauses 7i7 & 7ii71 respectively1 & mov+ su* clauses z s r$esignat$ #b ems to ! "r2 7#c7 by /rik+ ,9 c>ry+ out & ins]t+ ! foll[+3 7,a7 ,9 g5]al ,9 c>ry+ out 2 & 7#d7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,exclusion ( oxyg51 & oxyg5 relat$ equipm5t1 supplies1 & s]vices ,beg9n+ on or aft] ,janu>y #a1 #bjbe1 ! ,secret>y %all exclude oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices f ! competitive acquisition program "u ?is section & paym5t = oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices %all be made z prescrib$ "u subp>agraphs 7,e71 7,f71 & 7,h7 ( section #ahcd7;a77#i74 4 7b7 ,e/abli%+ adequate paym5t = oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices ,section #ahcd7;a77#i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7a77#i77 is am5d$-- 7#a7 9 ! fir/ s5t5ce ( ! matt] prec$+ subp>agraph 7,a71 by ins]t+ ! foll[+ be=e ! p]iod3 7= oxyg5 & oxyg5 equipm5t furni%$ be=e ,janu>y #a1 #bjbe7 or ! am\nt det]m9$ "u subp>agraph 7,e71 subject to subp>agraphs 7,f71 7,g71 & 7,h7 7= oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices furni%$ on or aft] ,janu>y #a1 #bjbe722 & 7#b7 by add+ at ! end ! foll[+3 7,e7 ,paym5t = oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices exclud$ f competitive acquisition program ,subject to subp>agraphs 7,f71 7,g71 & 7,h7 9 ! case ( oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices furni%$ on or aft] ,janu>y #a1 #bjbe-- 7i7 9 areas t are competitive bidd+ areas 9 :i* a competitive bidd+ program is implem5t$ = o!r cov]$ items1 ! paym5t am\nt is equal to-- 7,i7 = #bjbe1 ! fee s*$ule am\nts = ! area = items & s]vices 9 effect on ,decemb] #ca1 #bjbd2 & 7,,ii7 = ea* subsequ5t ye>1 ! am\nt det]m9$ "u ?is clause = ! prec$+ ye>1 increas$ by ! p]c5tage increase 9 ! consum] price index = all urban consum]s 7,unit$ ,/ates city av]age7 = ! #ab-mon? p]iod end+ on ,decemb] #ca ( ! previ\s ye>2 7ii7 9 rural areas & non-contigu\s areas 7,alaska1 ,hawaii1 & ,u4,s4 t]ritories71 ! paym5t am\nt is equal to-- 7,i7 #ej p]c5t ( #aaj p]c5t ( ! national av]age price = ! item or s]vice det]m9$ "u section #dad4baj 7g77#a77;ii7 ( title #db1 ,code ( ,f$]al ,regulations2 & 7,,ii7 #ej p]c5t (-- 7aa7 = #bjbe1 ! fee s*$ule am\nt = ! area 9 effect on ,decemb] #ca1 #bjbd2 & 7bb7 = ea* subsequ5t ye>1 ! am\nt det]m9$ "u ?is subclause = ! prec$+ ye>1 increas$ by ! p]c5tage increase 9 ! consum] price index = all urban consum]s 7,unit$ ,/ates city av]age7 = ! #ab-mon? p]iod end+ on ,decemb] #ca ( ! previ\s ye>2 & 7iii7 9 areas o!r ?an ^? describ$ 9 clauses 7i7 & 7ii71 ! paym5t am\nt is equal to ! sum ( #ge p]c5t ( ! adju/$ paym5t am\nt e/abli%$ "u clause 7i7 & #be p]c5t ( ! unadju/$ fee s*$ule am\nt o!rwise det]m9$ )\t tak+ into acc\nt ?is subp>agraph4 7,f7 ,special rule = liquid oxyg5 7i7 ,paym5t 7,i7 ,9 g5]al ,9 lieu ( ! volume adju/m5t e/abli%$ "u p>agraph 7#e77;,c71 n lat] ?an ,janu>y #a1 #bjbe1 ! ,secret>y 9 consultation ) suppli]s1 manufactur]s1 pati5ts & pati5t advocates1 & physicians1 & ?r\gh notice-&-comm5t rulemak+1 %all e/abli% a sep>ate paym5t am\nt t meets ! requirem5ts ( ?is subp>agraph made to a suppli] = ! provision ( liquid oxyg5 & liquid oxyg5 relat$ equipm5t1 supplies1 & s]vices t meets ! requirem5ts describ$ 9 subp>agraph 7,g74 7,,ii7 ,paym5t floor ,! paym5t am\nt e/abli%$ "u subclause 7,i7 may n be less ?an an am\nt equal to #bjj p]c5t ( ! #bjae ,durable ,m$ical ,equipm5t1 ,pro/hetics_/,or?otics ,supplies ,fee ,s*$ule updat$ by ! consum] price index = all urban consum]s 7,unit$ ,/ates city av]age7 = ye>s #bjaf ?r\gh #bjbd4 7,,iii7 ,update me*anism ,beg9n+ on ,janu>y #a1 #bjbf1 ! paym5t am\nt describ$ 9 subclause 7,i7 %all be increas$ annually by ! project$ p]c5tage increase 9 ! consum] price index = all urban consum]s 7,unit$ ,/ates city av]age7 = ! #ab-mon? p]iod end+ ,decemb] #ca ( ! previ\s ye>4 7ii7 ,consid]ations ,9 implem5t+ ! paym5t am\nt "u ?is subp>agraph1 ! ,secret>y %all take into acc\nt ! co/ ( liquid oxyg5 on a p] p\nd basis1 ! co/ ( liquid oxyg5 equipm5t1 ! infra/ructure co/s associat$ ) provid+ liquid oxyg5 equipm5t & supplies 7includ+ labor1 /orage1 transportation1 ma9t5ance1 & simil> co/s71 ! co/ ( comply+ ) ,f$]al & ,/ate regulations specific to ! deliv]y & transportation ( liquid oxyg51 & any o!r co/ factors ! ,secret>y deems appropriate aft] consult+ ) /akehold]s su* z suppli]s1 provid]s1 pati5ts & pati5t advocates1 & manufactur]s4 7iii7 ,mon?ly add-on = high-fl[ pati5ts 7,i7 ,9 g5]al ,subject to subclause 7,,ii71 ! ,secret>y %all e/abli% a non-budget neutral add-on to ! paym5t am\nt "u clause 7i7 :5 ! prescrib+ practition] ord]s an oxyg5 fl[ rate equal to or great] ?an #f lit]s p] m9ute4 7,,ii7 ,add-on am\nt ,! add-on am\nt %all equal ! p] p\nd co/ ( ! oxyg5 exce$+ ! am\nt requir$ to provide a lit] fl[ t is equal to or great] ?an #f lit]s p] m9ute4 7iv7 ,p]iodic assessm5t ( ! base rate ,! ,secret>y %all assess at lea/ once e #c ye>s ! adequacy ( ! paym5t am\nts "u ?is subp>agraph on a co/-relat$ basis or o!r economical & equitable basis4 7v7 ,transitional int]im paym5t 7,i7 ,9 g5]al ,= items & s]vices furni%$ on or aft] ! date ( ! enactm5t ( ! ,,so> ,act ( #bjbd & prior to ! implem5tation ( ! paym5t am\nt e/abli%$ "u ?is subp>agraph1 ! ,secret>y %all adopt a transitional int]im paym5t am\nt = liquid oxyg51 & liquid oxyg5 equipm5t1 supplies1 & s]vices 9 an am\nt equal to #bjj p]c5t ( ! #bjae ,durable ,m$ical ,equipm5t1 ,pro/hetics_/,or?otics ,supplies ,fee ,s*$ule updat$ by ! consum] price index = all urban consum]s 7,unit$ ,/ates city av]age7 = ye>s #bjaf ?r\gh #bjbd4 7,,ii7 ,update ,?is am\nt %all be updat$ annually by ! project$ p]c5tage *ange 9 ! consum] price index = all urban consum]s 7,unit$ ,/ates city av]age7 = ! #ab-mon? p]iod end+ on ,decemb] #ca ( ! previ\s ye>1 until ! ,secret>y implem5ts ! paym5t am\nt "u ?is subp>agraph4 7vi7 ,cov]age crit]ia 7,i7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbe1 ! ,secret>y1 9 consultation ) /akehold]s1 %all e/abli% objective cl9ical crit]ia = ! cov]age ( liquid oxyg51 & liquid oxyg5 equipm5t1 supplies1 & s]vices "u ?is title4 7,,ii7 ,update ( crit]ia ,! ,secret>y %all review & update ! cov]age /&>ds "u ?is clause e #e ye>s to ensure ! /&>ds take into consid]ation curr5t m$ical & cl9ical guidel9es & take into effect modality 9 ord] to maximize b5efici>y indep5d5ce4 4 #ajb4 ,e/abli%m5t ( supplem5tal oxyg5 responsibilities crit]ia 7a7 ,9 g5]al #ahcd7;a77#i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7a77#i771 z am5d$ by section #aja7;b71 is fur!r am5d$ by ins]t+ ! foll[+ new subp>agraph3 7,g7 ,oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices ,9 consultation ) /akehold]s1 ! ,secret>y %all def9e ! scope ( s]vices a suppli] ( oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices mu/ provide to receive paym5t "u ?is "p1 to include-- 7i7 conduct+ an initial evaluation ( ! b5efici>y us+ ! uni=m oxyg5 pati5t evaluation =m describ$ 9 p>agraph 7#e77;,g7 to det]m9e ! appropriate use ( oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices by ! b5efici>y1 includ+ ! use ( portable equipm5t2 7ii7 ensur+ ! b5efici>y has appropriate access to portable oxyg51 & portable oxyg5 equipm5t1 supplies1 & s]vices bas$ on ! mobility ne$s ( ! b5efici>y1 includ+ ! ne$s ( ! b5efici>y outside ! home ( ! b5efici>y2 7iii7 provid+ writt5 & v]bal b5efici>y & c>egiv] education reg>d+ oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices1 /ation>y & portable options1 & oxyg5 safety1 :i* includes evaluat+ ! environm5t ( ! b5efici>y = safety risks or haz>ds1 su* z fire & fall haz>ds2 7iv7 provid+ appropriate deliv]y1 set-up1 & coord9ation ( oxyg5 s]vices 7includ+ ! deliv]y ( any oxyg5 equipm5t or supplies to a b5efici>y prior to su* b5efici>y be+ dis*>g$1 deliv]+ su* equipm5t1 & sett+ up ! equipm5t71 z ne$$1 9 a timely mann] z agre$ ^u by ! b5efici>y or c>egiv]1 suppli]1 & prescrib+ practition]2 7v7 evaluat+ ! ability ( ! b5efici>y to op]ate ! equipm5t safely & effectively2 7vi7 provid+ infection control in=mation & in/ructions ab\t all equipm5t & supplies2 7vii7 provid+ equipm5t-relat$ s]vices1 includ+ *eck+ oxyg5 sy/em purity levels & fl[ rates1 *ang+ & clean+ filt]s1 & assur+ ! integrity ( al>ms & back-up sy/ems1 consi/5t ) ! manufactur] specifications & 9 accordance ) all ,f$]al1 ,/ate1 & local laws & regulations2 7viii7 monitor+ visits :5 necess>y by appropriate p]sonnel1 includ+ a respiratory !rapi/ to evaluate all aspects ( ! s]vices be+ provid$ to ! b5efici>y by ! provid]2 7ix7 docum5t+ exception report+ by ! suppli] to ! prescrib+ physician :5 *anges occur 9 ! compliance ( ! b5efici>y ) ! b5efici>y's plan ( c>e2 7x7 provid+1 z ne$$1 cont9u$ education to ! b5efici>y or c>egiv] reg>d+ appropriate oxyg5 equipm5t ma9t5ance practices & p]=mance2 7xi7 provid+1 z prescrib$ by ! plan ( c>e ( ! prescrib+ practition]1 appropriate oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices 7includ+ supplem5tal supplies & em]g5cy oxyg5 back-ups z appropriate72 7xii7 ensur+ oxyg5 & oxyg5 equipm5t c be us$ appropriately outside ! home ( a b5efici>y bas$ on necessity2 7xiii7 provid+ #bd-;h\r on-call cov]age to respond to b5efici>y ne$s relat+ to oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices2 & 7xiv7 assi/+ ! b5efici>y ) ! coord9ation ( oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices1 includ+ by assi/+ ! b5efici>y f9d a diff]5t suppli] if ! b5efici>y tempor>ily travels outside ( ! s]vice area ( ! suppli]4 ,if ! b5efici>y relocates p]man5tly1 ! new suppli] c>+ = ! b5efici>y w assume responsibility = bill+ ! ,m$ic>e program directly4 4 7b7 ,effective date ,! am5dm5t made by ?is section %all take effect on ! date t is #a ye> aft] ! date ( enactm5t ( ?is ,act4 #ajc4 ,te*nical corrections ,section #ahfa7n7 is am5d$ by /rik+ iron lungs1 oxyg5 t5ts & ins]t+ oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices4 ,,ii ,protect+ b5efici>y access to respiratory !rapi/s #bja4 ,reimbursem5t = respiratory !rapi/s 7a7 ,protect+ access to respiratory !rapi/ s]vices 7#a7 ,add+ respiratory !rapi/ s]vices to ! def9ition ( m$ical & o!r heal? s]vices ,section #ahfa7s77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$-- 7,a7 9 subp>agraph 7,,jj71 by ins]t+ & aft] ! semicolon2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,,kk7 respiratory !rapi/ s]vices 7z def9$ 9 subsection 7nnn77 furni%$ on or aft] ,janu>y #a1 #bjbe4 4 7#b7 ,def9ition ( respiratory !rapi/ s]vices ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7nnn7 ,respiratory !rapi/ s]vices ,! t]m respiratory !rapi/ s]vices means s]vices p]=m$ by a respiratory !rapi/ )9 ! scope ( practice ( a respiratory !rapi/ z def9$ by ,/ate law1 regulations1 & applicable accr$itation /&>ds = ! assessm5t1 treatm5t1 & monitor+ ( pati5ts requir+ oxyg5 & oxyg5 relat$ equipm5t1 supplies1 or s]vices4 4 7b7 ,add-,on paym5t adju/m5t ,section #ahcd7;a77#i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7a77#i771 z am5d$ by sections #aja7;b7 & #ajb7;a71 is fur!r am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,h7 ,mon?ly paym5t add-on adju/m5t = respiratory !rapi/ s]vices ,= respiratory !rapi/ s]vices furni%$ on or aft] ,janu>y #a1 #bjbe1 ! ,secret>y %all implem5t ?r\gh notice & comm5t rulemak+ & 9 consultation ) /akehold]s a non-budget neutral add-on paym5t adju/m5t to ! paym5t am\nt e/abli%$ "u ?is p>agraph t reflects ! co/ ( provid+ respiratory !rapi/ s]vices z cl9ically appropriate "u ,/ate law4 4 ,,iii ,adoption ( electronic templates #cja4 ,use ( electronic templates to docum5t m$ical necessity & re/or+ cl9ical inf]5ce = oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices 7a7 ,adopt+ electronic templates = det]m9+ m$ical necessity ,section #ahcd7;a77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7a77#e77 is am5d$ by add+ at ! end ! foll[+3 7,g7 ,adoption ( electronic templates to docum5t m$ical necessity 7i7 ,9 g5]al ,= any oxyg5 & oxyg5 relat$ equipm5t1 supplies or s]vice1 includ+ liquid oxyg51 furni%$ on or aft] ,janu>y #a1 #bjbe1 ! ,secret>y %all adopt a template 9 an electronic =mat t meets ! requirem5ts ( clause 7ii7 to be complet$ by ! prescrib+ practition] 7z def9$ by ! ,secret>y7 t %all con/itute ! complete reque/ = in=mation to det]m9e :e!r paym5t = su* s]vice1 equipm5t1 or supplies is cov]$ by ?is title & is reasonable & necess>y = ! diagnosis or treatm5t ( illness or injury 7"u section #ahfb7;a77#a77;,a774 7ii7 ,template requirem5ts ,! template %all require ! prescrib+ practition] to provide ea* ( ! foll[+3 7,i7 ,docum5tation t ! b5efici>y 0 se5 by a prescrib+ practition] )9 ! appropriate timeframes = c]tification ( ! ne$ = ! s]vices1 equipm5t1 or supplies4 7,,ii7 ,docum5tation ( ! qualify+ blood gas or saturation te/ results4 7,,iii7 ,docum5tation indicat+ t ! b5efici>y ne$s or is us+ ! appropriate equipm5t1 supplies1 & s]vices4 7,,iv7 ,any o!r docum5tation det]m9$ appropriate by ! ,secret>y1 except ! ,secret>y %all n require ! prescrib+ practition] to provide m$ical record notes reg>d+ ! b5efici>y4 7iii7 ,contractor adjudication ,! ,secret>y %all require ,m$ic>e adm9i/rative contractors to adjudicate claims = paym5t = oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices us+ electronic transactions4 7,h7 ,re/oration ( cl9ical inf]5ce & judgm5t ,= claims submitt$ on or aft] ! date ( enactm5t ( ?is subp>agraph ) respect to ! conduct ( paym5t audits ( suppli]s ( oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices "u ?is "p ! ,secret>y %all use cl9ical inf]5ce & cl9ical judgm5t 9 ! evaluation ( templates1 m$ical records1 & ord]s :5 conduct+ su* audits 9 ! same mann] z ! ,secret>y int]pret$ & appli$ su* cl9ical judgm5t to claim reviews be=e #bjji pursuant to ! ,secret>y's in/ruction to contractors4 4 ,,iv ,e/abli%m5t ( b5efici>y rights #dja4 ,e/abli%+ protections = individuals receiv+ oxyg5 or oxyg5 relat$ equipm5t1 supplies1 or s]vices ,section #ahcd7;a77#e7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciem7a77#e771 z am5d$ by section #cja1 is fur!r am5d$ by add+ at ! end ! foll[+ new subp>agraph3 7,i7 ,e/abli%+ protections = individuals receiv+ oxyg5 or oxyg5 relat$ equipm5t1 supplies1 or s]vices ,! ,secret>y %all e/abli% ?r\gh regulation protections = any individual receiv+ oxyg5 or oxyg5 relat$ equipm5t1 supplies1 or s]vices "u ?is "p :]e su* individual %all h ! "r to-- 7i7 *oose ! local suppli] ( su* s]vices f among qualifi$ suppli]s & to *ange su* suppli]2 7ii7 receive communications f ! suppli] 9 a cle> & und]/&able mann]2 7iii7 ensure privacy & confid5tiality 9 all aspects ( treatm5t & ! p]sonal heal? in=mation ( su* individual consi/5t ) ,f$]al & ,/ate laws2 7iv7 be in=m$ by ! suppli] ( su* s]vices ab\t all aspects ( ! s]vices be+ furni%$ by su* suppli] & be in=m$ ( ! "r to refuse treatm5t1 to discont9ue treatm5t1 & to refuse to p>ticipate 9 exp]im5tal rese>*2 7v7 be in=m$ by ! suppli] ( policies & expectations ( ! suppli] reg>d+ pati5t conduct & responsibilities2 7vi7 be in=m$ by ! suppli] ab\t treatm5t modalities & categories ( equipm5t relat+ to oxyg5 s]vices = use by ! individual & (f]$ by ! suppli]2 7vii7 be in=m$ by ! suppli] ( ! policies ( su* suppli] reg>d+ #bd-;h\r on-call cov]age2 7viii7 be in=m$ by ! suppli] ( ! f9ancial responsibilities ( ! individual ) reg>d to su* s]vices2 7ix7 be provid$ ) ! appropriate gase\s or liquid oxyg5 equipm5t1 supplies1 & s]vices to ensure ! mobility ( ! b5efici>y1 z well z ! cl9ically appropriate am\nt ( oxyg5 & oxyg5 relat$ equipm5t1 supplies1 & s]vices z agre$ ^u by ! individual 7or ! individual's repres5tative71 ! suppli]1 & ! prescrib+ practition]2 7x7 receive equipm5t t is ma9ta9$ to ! guidel9es ( ! manufactur]2 7xi7 h brok5 or faulty equipm5t repair$ or replac$ 9 a timely mann]2 7xii7 h oxyg5 or oxyg5 relat$ equipm5t or supplies deliv]$ by ! suppli] & to be contact$ consi/5t ) ! requirem5ts ( section #daj4ch ( title #db1 ,code ( ,f$]al ,regulations2 7xiii7 be in=m$ by ! suppli] ( any pot5tial *anges to ! equipm5t1 supplies1 or s]vices ( ! individual & ! "r to consult ) ! prescrib+ practition] ( ! individual reg>d+ su* *anges to ensure !y are appropriate & necess>y & to be in=m$ ( ! exceptions1 z specifi$ by ! ,secret>y1 :5 a supplem5tal oxyg5 s]vices suppli] may *ange ! oxyg5 equipm5t ( ! individual2 7xiv7 be in=m$ by ! suppli] ( ! int]nal & ext]nal grievance processes ( ! suppli] 7z well z h[ to contact ,m$ic>e ?r\gh a hotl9e or b5efici>y ombudsman71 :i* %all include ! "r ( an individual to file1 p]sonally or ?r\gh a repres5tative ( ! individual's *oos+1 an int]nal or ext]nal grievance )\t retaliation or d5ial ( s]vices2 7xv7 9 ! case ( a suppli] involunt>y dis*>g+ an individual-- 7,i7 receive f su* suppli] a writt5 notice t is provid$ to ! individual no lat] ?an #cj days 9 advance ( ! involunt>y dis*>ge ( ! individual2 & 7,,ii7 h su* suppli]-- 7aa7 foll[ e/abli%$ involunt>y dis*>ge proc$ures2 or 7bb7 9 ! case ( an imm$iate ?reat to ! heal? & safety ( o!rs1 foll[ an abbreviat$ involunt>y dis*>ge proc$ure2 7xvi7 be assi/$ by ! suppli] 9 obta9+ ! oxyg5 equipm5t & supplies prescrib$ by ! treat+ physician ( ! individual :5 ! individual is travel+2 7xvii7 receive f ! suppli] oxyg5 supplies1 refills1 & em]g5cy back-up equipm5t1 z appropriate2 & 7xviii7 be in=m$ ( a plan by ! suppli] 9 case ( a p[] outage or o!r natural em]g5cy1 s t ! individual w cont9ue to receive ! necess>y oxyg5 supplies & equipm5t4 4