,,ii  #aahth ,,congress  #ast ,session  
,s4 #fee  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,march #f1 #bjbc,mr4
 ,thune 7for himself and ,mr4 ,carper7  
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend the ,internal ,revenue ,code of   
#aihf to permit high deductible health  
plans to provide chronic disease        
prevention services to plan enrollees   
prior to satisfying their plan          
deductible4  #a4 ,short title ,this ,act
 may be cited as the ,chronic ,disease  
,management ,act of #bjbc4  #b4 ,chronic
 disease prevention  7a7 ,in general    
,section #bbc7;c77#b7 of the ,internal  
,revenue ,code of #aihf is amended by   
adding at the end the following3  7,f7  
,preventive care services and items for 
chronic conditions ,for purposes of     
subparagraph 7,c7-- 7i7 preventive care 
shall include any service or item used  
to treat an individual with a chronic   
condition if-- 7,i7 such service or item

 is low-cost1  7,,ii7 in regards to such
 service or item1 there is medical      
evidence supporting high cost efficiency
 of preventing exacerbation of the      
chronic condition or the development of 
a secondary condition1 and  7,,iii7     
there is a strong likelihood1 documented
 by clinical evidence1 that with respect
 to the class of individuals utilizing  
such service or item1 the specific      
service or use of the item will prevent 
the exacerbation of the chronic         
condition or the development of a       
secondary condition that requires       
significantly higher cost treatments1   
and  7ii7 an individual who has been    
prescribed preventive care for any      
chronic condition may be presumed to    
have been diagnosed with such condition 
if such preventive care is customarily  
prescribed for such condition4  4  7b7  
,effective date ,the amendment made by  
this section shall apply to coverage for
 months beginning after the date of the 
enactment of this ,act4