,,ii  #aah? ,,congress  #a/ ,session    
,s4 #hhj  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #ba1 #bjbc,mr4    
,cassidy 7= himself & ,mr4 ,casey7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to require         
,med,p,a,c & ,,macpac to bi5nially      
conduct a coord9at$ review & analysis ( 
,m$ic>e & ,m$icaid policy ) respect to  
dually eligible b5efici>ies1 & to jo9tly
 submit recomm5dations = policy *anges1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,coord9at+ ,dual   
,eligible ,recomm5dations ,act4  #b4    
,coord9at$ ,med,p,a,c & ,,macpac review 
& report reg>d+ dually eligible         
b5efici>ies  7a7 ,9 g5]al  7#a7 ,m$ic>e 
,section #ahje7;b77#aa7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acie;b-#f7;b77#aa77 is am5d$-- 7,a7 by 
/rik+ ,! ,commission & ins]t+ ! foll[+3 
7,a7 ,9 g5]al ,! ,commission  2 &  7,b7 
by add+ at ! end ! foll[+3  7,b7        
,bi5nial coord9at$ review & jo9t report 

on policies affect+ dually eligible     
b5efici>ies  7i7 ,9 g5]al ,beg9n+ ) !   
report = ,m>* #ae1 #bjbd1 & bi5nially   
!reaft]1 ! ,commission %all coord9ate ) 
,,macpac to jo9tly-- 7,i7 review &      
analyze aggregate tr5ds 9 sp5d+1        
utilization1 & f9ancial p]=mance "u     
,m$ic>e & ,m$icaid reg>d+ access to1 & !
 quality (1 c>e provid$ "u su* programs 
= dually eligible b5efici>ies2 &  7,,ii7
 include z an app5dix to su* report--   
7aa7 analyses ( su* tr5ds2 &  7bb7      
subject to p>agraph 7#aj71              
recomm5dations = *anges to ,m$ic>e &    
,m$icaid policy to ensure adequate &    
effici5t access to c>e to improve &     
ma9ta9 ! heal? & functional /atus (     
dually eligible b5efici>ies & to        
increase ! alignm5t ( ! ,m$ic>e &       
,m$icaid programs 9 s]v+ su*            
b5efici>ies4  7ii7 ,appropriate         
committees ( ,congress ,ea* report      
requir$ "u ?is subp>agraph %all be      
submitt$ to ! appropriate committees (  
,congress4  4  7#b7 ,m$icaid ,section   

#aijj7;b77#aa7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif7;b77#aa77 is  
am5d$ by add+ at ! end ! foll[+3  7,c7  
,bi5nial coord9at$ review & jo9t report 
on policies affect+ dually eligible     
b5efici>ies  7i7 ,9 g5]al ,beg9n+ ) !   
report = ,m>* #ae1 #bjbd1 & bi5nially   
!reaft]1 ,,macpac %all coord9ate ) !    
,m$ic>e ,paym5t ,advisory ,commission   
e/abli%$ "u section #ahje to jo9tly--   
7,i7 review & analyze aggregate tr5ds 9 
sp5d+1 utilization1 & f9ancial p]=mance 
"u ,m$ic>e & ,m$icaid reg>d+ access to1 
& ! quality (1 c>e provid$ "u su*       
programs = dually eligible individuals2 
&  7,,ii7 include z an app5dix to su*   
report-- 7aa7 analyses ( su* tr5ds2 &   
7bb7 subject to p>agraph 7#ac71         
recomm5dations = *anges to ,m$ic>e &    
,m$icaid policy to ensure adequate &    
effici5t access to c>e to improve &     
ma9ta9 ! heal? & functional /atus (     
dually eligible b5efici>ies & to        
increase ! alignm5t ( ! ,m$ic>e &       
,m$icaid programs 9 s]v+ su*            

b5efici>ies4  7ii7 ,appropriate         
committees ( ,congress ,ea* report      
requir$ "u ?is subp>agraph %all be      
submitt$ to ! appropriate committees (  
,congress :i*1 = purposes ( ?is         
subp>agraph1 %all include ! ,committee  
on ,ways & ,means ( ! ,h\se (           
,repres5tatives4  4  7b7 ,te*nical      
am5dm5ts  7#a7 ,m$ic>e ,section         
#ahje7;b7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acie;b-#f7;b77 is       
am5d$-- 7,a7 9 p>agraph 7#f71 by ins]t+ 
,en]gy & be=e ,comm]ce2 &  7,b7 9       
p>agraph 7#aj71 by /rik+ section #bjha &
 ins]t+ section #bfjb4  7#b7 ,m$icaid   
,p>agraph 7#ac7 ( section #aijj7;b7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acif7;b77#ac77 is am5d$ by /rik+       
section #bjha & ins]t+ section #bfjb4