,,ii  #aah? ,,congress  #a/ ,session    
,s4 #fee  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #f1 #bjbc,mr4     
,?une 7= himself & ,mr4 ,c>p]7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,f9ance  ,a   
,,bill  ,to am5d ! ,int]nal ,rev5ue     
,code ( #aihf to p]mit high d$uctible   
heal? plans to provide *ronic disease   
prev5tion s]vices to plan enrollees     
prior to satisfy+ _! plan d$uctible4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,*ronic ,disease ,managem5t ,act (    
#bjbc4  #b4 ,*ronic disease prev5tion   
7a7 ,9 g5]al ,section #bbc7;c77#b7 ( !  
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by add+ at ! end ! foll[+3  7,f7        
,prev5tive c>e s]vices & items = *ronic 
conditions ,= purposes ( subp>agraph    
7,c7-- 7i7 prev5tive c>e %all include   
any s]vice or item us$ to treat an      
individual ) a *ronic condition if--    
7,i7 su* s]vice or item is l[-co/1      
7,,ii7 9 reg>ds to su* s]vice or item1  
!re is m$ical evid5ce support+ high co/ 

effici5cy ( prev5t+ exac]bation ( !     
*ronic condition or ! developm5t ( a    
second>y condition1 &  7,,iii7 !re is a 
/rong likelihood1 docum5t$ by cl9ical   
evid5ce1 t ) respect to ! class (       
individuals utiliz+ su* s]vice or item1 
! specific s]vice or use ( ! item w     
prev5t ! exac]bation ( ! *ronic         
condition or ! developm5t ( a second>y  
condition t requires significantly high]
 co/ treatm5ts1 &  7ii7 an individual :o
 has be5 prescrib$ prev5tive c>e = any  
*ronic condition may be presum$ to h be5
 diagnos$ ) su* condition if su*        
prev5tive c>e is cu/om>ily prescrib$ =  
su* condition4  4  7b7 ,effective date  
,! am5dm5t made by ?is section %all     
apply to cov]age = mon?s beg9n+ aft] !  
date ( ! enactm5t ( ?is ,act4