,,ii  #aah? ,,congress  #b;d ,session   
,s4 #ejah  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #aa1 #bjbd   
,mr4 ,cassidy 7= himself1 ,mr4 ,book]1 &
 ,mr4 ,he9ri*7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to cl>ify & pres]ve ! bread? ( !  
protections "u ! ,m$ic>e ,second>y ,pay]
 ,act4  #a4 ,%ort title ,?is ,act may be
 cit$ z ! ,re/ore ,protections =        
,dialysis ,pati5ts ,act4  #b4 ,purposes 
,! purposes ( ?is ,act are--  7#a7 to   
cl>ify & pres]ve ! bread? ( !           
protections "u ! ,m$ic>e ,second>y ,pay]
 ,act2  7#b7 to prohibit heal? insurance
 plans f %ift+ prim>y responsibility =  
cov]+ ! co/ ( heal? c>e s]vices ne$$ by 
pati5ts ) end /age r5al disease 7,,esrd7
 to ! ,m$ic>e program2 &  7#c7 to affirm
 ,congress' int5t by cl>ify+ t s+l+ out 
dialysis s]vices = disfavor$ treatm5t   
?r\gh cov]age limitations z comp>$ to   
o!r cov]$ heal? s]vices con/itutes      

inappropriate diff]5tiations betwe5 !   
b5efits provid$ to individuals ) ,,esrd 
& o!r individuals1 b does n *ange a     
plan's curr5t ability to limit :i* r5al 
dialysis provid]s x includes 9 ! provid]
 network x elects to (f] its enrollees4 
#c4 ,cl>ification & pres]vation (       
prohibition "u ! ,m$ic>e program        
,section #ahfb7;b77#a77;,c7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciey7b77#a77;,c77 is am5d$--  7#a7 by 
/rik+ clause 7ii7 & ins]t+ ! foll[+ new 
clause3  7ii7 may n diff]5tiate1        
directly or indirectly1 9 ! b5efits x   
provides betwe5 individuals obta9+ r5al 
dialysis or hav+ end /age r5al disease &
 o!r individuals cov]$ by su* plan on ! 
basis (--  7,i7 ! diagnosis ( end /age  
r5al disease2  7,,ii7 ! ne$ = r5al      
dialysis2 or  7,,iii7 9 any o!r mann]2  
2 &  7#b7 by add+ at ! end ( ! matt]    
foll[+ clause 7ii7 ! foll[+ new s5t5ces3
 ,no?+ 9 ?is subsection %all be con/ru$ 
z requir+ a gr\p heal? plan to include a
 p>ticul> r5al dialysis provid] z "p ( !

 provid] network ! gr\p heal? plan      
elects to (f] its enrollees4 ,!         
,secret>y %all en=ce ?is subp>agraph    
consi/5t ) ! noncon=mance det]m9ation   
requirem5ts set =? 9 "p #daa ( title    
#db1 ,code ( ,f$]al ,regulations44