,,ii  #aah? ,,congress  #b;d ,session   
,s4 #dhia  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ca1 #bjbd,mr4   
,casey 7= himself1 ,mr4 ,br[n1 ,mrs4    
,gillibr&1 ,ms4 ,/ab5[1 ,mr4 ,wel*1 &   
,ms4 ,klobu*>7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,arm$ ,s]vices  ,a ,,bill 
,to am5d title #aj1 ,unit$ ,/ates ,code1
 to direct ! ,secret>y ( ,def5se to     
limit copaym5ts = outpati5t visits =    
m5tal heal? or behavioral heal? "u !    
,,tric>e program1 & = o!r purposes4  #a4
 ,%ort title ,?is ,act may be cit$ z !  
,/op ,copay ,ov]pay ,act4  #b4          
,limitation on copaym5ts = outpati5t    
visits = m5tal or behavioral heal? "u   
tric>e program  7a7 ,limitation on m5tal
 or behavioral heal? copaym5ts  7#a7    
,limitation ,*apt] #ee ( title #aj1     
,unit$ ,/ates ,code1 is am5d$ by ins]t+ 
aft] ! item relat+ to section #ajge;a ! 
foll[+ new section3  #ajge;b4 ,,tric>e  
program3 limitation on copaym5ts = c]ta9
 m5tal or behavioral heal? visits  7a7  

,limitation on copaym5ts ,not)/&+ any   
o!r provision ( ?is *apt]1 ! ,secret>y (
 ,def5se may n *>ge to a cov]$          
individual a copaym5t 9 an am\nt great] 
?an ! am\nt describ$ 9 subsection 7b7 = 
an outpati5t visit = m5tal heal? or     
behavioral heal? "u ! ,,tric>e program1 
reg>dless ( :e!r su* outpati5t visit is 
furni%$ by a specialty c>e provid]4  7b7
 ,am\nt describ$ ,! am\nt describ$ 9 ?is
 subsection ) respect to a cov]$        
individual is ! am\nt ( a copaym5t t    
w\ld be *>g$ to ! cov]$ individual "u ! 
,,tric>e program = an outpati5t visit = 
prim>y c>e s]vices dur+ ! ye> 9 :i* !   
cov]$ individual is be+ *>g$ pursuant to
 subsection 7a74  7c7 ,cov]$ individual 
def9$ ,9 ?is section1 ! t]m cov]$       
individual means an individual enroll$  
"u ! ,,tric>e program1 reg>dless ( !    
b5efici>y category ( ! individual )     
respect to su* program or ! duty /atus (
 ! individual4  4  7#b7 ,cl]ical am5dm5t
 ,! table ( sections = su* *apt] is     
am5d$ by ins]t+ aft] ! item relat+ to   

section #ajge;a ! foll[+ new section3   
#ajge;b4 ,,tric>e program3 limitation on
 copaym5ts = c]ta9 m5tal or behavioral  
heal? visits4  4  7#c7 ,applicability ,!
 am5dm5ts made by ?is subsection %all   
apply ) respect to outpati5t visits =   
m5tal or behavioral heal? occurr+ on or 
aft] ! date ( ! enactm5t ( ?is ,act4    
7b7 ,tempor>y limitation on o!r         
specialty c>e copaym5ts  7#a7 ,tempor>y 
limitation ,dur+ ! "o-ye> p]iod beg9n+  
on ! date ( ! enactm5t ( ?is ,act1 !    
,secret>y ( ,def5se may n increase !    
am\nt ( a copaym5t *>g$ to a cov]$      
individual = any s]vice describ$ 9      
p>agraph 7#b7 beyond ! am\nt t !        
,secret>y w\ld h *>g$ to ! cov]$        
individual = su* s]vice dur+ fiscal ye> 
#bjba4  7#b7 ,s]vices describ$ ,a s]vice
 describ$ 9 ?is p>agraph is a s]vice--  
7,a7 t is furni%$ to a cov]$ individual 
by a specialty c>e provid] "u ! ,,tric>e
 program2 &  7,b7 t is n cov]$ "u       
section #ajge;b ( title #aj1 ,unit$     
,/ates ,code1 z add$ by subsection 7a74 

7#c7 ,applicability ,! limitation on    
copaym5ts specifi$ 9 p>agraph 7#a7 %all 
apply ) respect to specialty c>e receiv$
 on or aft] ! date ( ! enactm5t ( ?is   
,act4  7c7 ,report on effects (         
limitations  7#a7 ,9 g5]al ,n lat] ?an  
"o ye> aft] ! date ( ! enactm5t ( ?is   
,act1 ! ,secret>y ( ,def5se %all submit 
to ! ,committee on ,arm$ ,s]vices ( !   
,s5ate & ! ,committee on ,arm$ ,s]vices 
( ! ,h\se ( ,repres5tatives a report on 
h[ ! limitation "u section #ajge;b (    
title #aj1 ,unit$ ,/ates ,code 7z add$  
by subsection 7a771 has affect$1 or may 
affect1 ! heal? c>e sy/em ( ! ,dep>tm5t 
( ,def5se4  7#b7 ,elem5ts ,! report     
requir$ "u p>agraph 7#a7 %all include-- 
7,a7 any f9d+s by ! ,secret>y z to :e!r 
! limitation "u section #ajge;b ( title 
#aj1 ,unit$ ,/ates ,code 7z add$ by     
subsection 7a771 may result 9 an        
increase 9 copaym5ts *>g$ = s]vices     
describ$ 9 subsection 7b77#b7 aft] !    
p]iod specifi$ 9 subsection 7b77#a7     
concludes2 &  7,b7 recomm5dations by !  

,secret>y on h[ to avoid su* an         
increase1 z applicable4  7d7 ,def9itions
 ,9 ?is section3 7#a7 ,cov]$ individual 
,! t]m cov]$ individual has ! mean+ giv5
 t t]m 9 section #ajge;b ( title #aj1   
,unit$ ,/ates ,code1 z add$ by          
subsection 7a74  7#b7 ,,tric>e program  
,! t]m ,,tric>e program has ! mean+ giv5
 t t]m 9 section #ajgb ( su* title4