,,ii #aah? ,,congress #a/ ,session ,s4 #fdb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #b1 #bjbc,ms4 ,klobu*> 7= h]self & ,mr4 ,wick]7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to facilitate ! developm5t ( treatm5ts = canc]s1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,f9n ,sawy] ,access to ,canc] ,te/+ ,act4 #b4 ,cov]age ( canc] diagno/ic & laboratory te/s 7a7 ,m$ic>e 7#a7 ,cov]age ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$-- 7,a7 9 subsection 7s77#b7-- 7i7 9 subp>agraph 7,,ii71 by /rik+ & at ! end2 7ii7 9 subp>agraph 7,,jj71 by add+ & at ! end2 & 7iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,,kk7 canc] diagno/ic & laboratory te/s 7z def9$ 9 subsection 7nnn77 furni%$ on or aft] ! date t is #f mon?s aft] ! date ( ! enactm5t ( ?is subp>agraph4 2 & 7,b7 by add+ at ! end ! foll[+ new subsection3 7nnn7 ,canc] diagno/ic & laboratory te/s 7#a7 ,9 g5]al ,! t]m canc] diagno/ic & laboratory te/s means-- 7,a7 micro>ray analysis1 ,,dna sequ5c+1 ,,rna sequ5c+1 :ole-exome sequ5c+1 & o!r =ms ( next-g5]ation sequ5c+ furni%$ & report$ by a cl9ical laboratory 7z def9$ 9 section #cec7;a7 ( ! ,public ,heal? ,s]vice ,act72 & 7,b7 explanation & int]pretation ( any analysis or sequ5c+ describ$ 9 subp>agraph 7,a72 furni%$ to an individual diagnos$ ) canc]4 7#b7 ,frequ5cy ,:5 an individual te/ z describ$ 9 p>agraph 7#a7 reports out ! same g5etic cont5t1 x may only be furni%$ ) respect to an individual diagnos$ ) a canc]-- 7,a7 once ^u ! diagnosis ( su* canc]2 7,b7 once ^u any recurr5ce ( su* canc]2 & 7,c7 z necess>y = purposes ( plann+ treatm5t or monitor+ ! progression ( su* canc] or ! response ( su* canc] to treatm5t4 4 7#b7 ,paym5t ,section #ahcc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7 is am5d$-- 7,a7 9 subsection 7a77#a7-- 7i7 by /rik+ & be=e 7,,hh72 & 7ii7 by ins]t+ ! foll[+ be=e ! semicolon3 1 & 7,,ii7 ) respect to canc] diagno/ic & laboratory te/s 7z def9$ 9 section #ahfa7nnn771 ! am\nt paid %all be an am\nt equal to #hj p]c5t 7or #ajj p]c5t1 9 ! case ( su* te/s = :i* paym5t is made on an assignm5t-relat$ basis7 ( ! less] ( ! actual *>ge = ! te/ or ! am\nt t w\ld h be5 det]m9$ = su* te/ "u section #ahcd;,a _h su* te/ be5 a cl9ical diagno/ic laboratory te/22 & 7,b7 9 subsection 7b7-- 7i7 by /rik+ 1 & 7#ac7 & ins]t+ 7#ac72 & 7ii7 by /rik+ #ahfa7n74 & ins]t+ section #ahfa7n71 & 7#ad7 su* d$uctible %all n apply ) respect to canc] diagno/ic & laboratory te/s 7z def9$ 9 section #ahfa7nnn774 7#c7 ,exclusion modification ,section #ahfb7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7a77#a77 is am5d$-- 7,a7 9 subp>agraph 7,o71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,p71 by /rik+ ! semicolon & ins]t+ 1 &2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,q7 9 ! case ( canc] diagno/ic & laboratory te/s 7z def9$ 9 section #ahfa7nnn771 :i* are p]=m$ m frequ5tly ?an is cov]$ "u su* section2 4 7b7 ,m$icaid 7#a7 ,inclusion z m$ical assi/ance ,section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 is am5d$-- 7,a7 9 p>agraph 7#cj71 by /rik+ & at ! end2 7,b7 by r$esignat+ p>agraph 7#ca7 z p>agraph 7#cb72 & 7,c7 by ins]t+ aft] p>agraph 7#cj7 ! foll[+ new p>agraph3 7#ca7 canc] diagno/ic & laboratory te/s 7z def9$ 9 section #ahfa7nnn772 & 4 7#b7 ,m&atory cov]age ,section #aijb7;a77#aj77;,a7 ( su* ,act is am5d$1 9 ! matt] prec$+ clause 7i71 by /rik+ & 7#cj7 & ins]t+ 7#cj71 & 7#ca74 7#c7 ,inclusion 9 b5*m>k cov]age ,section #aicg7;b77#e7 ( su* ,act is am5d$ by ins]t+ be=e ! p]iod at ! end ! foll[+3 1 & beg9n+ ,janu>y #a1 #bjbe1 cov]age ( canc] diagno/ic & laboratory te/s 7z def9$ 9 section #ahfa7nnn774 7#d7 ,con=m+ am5dm5ts ,title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 is am5d$-- 7,a7 9 section #aijb7nn77#c71 by /rik+ p>agraph 7#cj7 ( section #aije7;a7 & ins]t+ ! la/ numb]$ p>agraph ( ! fir/ s5t5ce ( section #aije7;a72 & 7,b7 9 section #aije7;a71 9 ! #d? s5t5ce 9 ! flu% matt] foll[+ ! la/ numb]$ p>agraph ( ! fir/ s5t5ce ( su* section1 by /rik+ p>agraph 7#cj7 & ins]t+ ! la/ numb]$ p>agraph4 7#e7 ,effective date 7,a7 ,9 g5]al ,! am5dm5ts made by ?is section %all apply ) respect to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjbe4 7,b7 ,exemption = ,/ate legislation ,9 ! case ( a ,/ate plan "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 or waiv] ( su* plan1 t ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 9 ord] = ! respective plan to meet any requirem5t impos$ by am5dm5ts made by ?is section1 ! respective plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet su* an additional requirem5t be=e ! fir/ day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! close ( ! fir/ regul> session ( ! ,/ate legislature t beg9s aft] ! date ( ! enactm5t ( ?is ,act4 ,= purposes ( ! previ\s s5t5ce1 9 ! case ( a ,/ate t has a #b-ye> legislative session1 ea* ye> ( ! session %all be consid]$ to be a sep>ate regul> session ( ! ,/ate legislature4 7c7 ,,*ip ,section #bajc7;c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7c771 z am5d$ by section #aadje7;b77#a7 ( ,public ,law #aag-afi1 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ac7 ,cov]age ( canc] diagno/ic & laboratory te/s ,reg>dless ( ! type ( cov]age elect$ by a ,/ate "u subsection 7a71 beg9n+ ,janu>y #a1 #bjbe1 *ild heal? assi/ance provid$ "u su* cov]age = t>get$ l[-income *ildr5 &1 9 ! case t ! ,/ate elects to provide pregnancy-relat$ assi/ance "u su* cov]age pursuant to section #baab1 su* pregnancy-relat$ assi/ance = t>get$ l[-income pregnant wom5 7z def9$ 9 section #baab7;d771 %all include cov]age ( canc] diagno/ic & laboratory te/s 7z def9$ 9 section #ahfa7nnn774 4 #c4 ,education & aw>5ess program on g5omic te/+ 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices1 9 coord9ation ) ! ,director ( ! ,national ,human ,g5ome ,rese>* ,in/itute1 %all c>ry out an education & aw>5ess program = physicians & ! g5]al public on :at g5omic te/+ is1 h[ c be us$1 & ! role ( g5etic c\nselors4 7b7 ,canc] & molecul> diagno/ics ,! education & aw>5ess program "u subsection 7a7 %all enc\rage ! inclusion 9 graduate m$ical education & cont9u+ m$ical education 7includ+ = specialty oncology s]vices7 ( education & tra9+ on ! importance ( molecul> diagno/ics at diagnosis & reoccurr5ce ( canc] to detect mutations4