,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajajj  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,augu/ #ac1 #bjbf,mr4 
,neguse introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d titles     
,,xviii & ,,xix ( ! ,social ,security   
,act & title ,,xxvii ( ! ,public ,heal? 
,s]vice ,act to provide = no-co/ cov]age
 = annual scre5+ mammography beg9n+ at  
#cj ye>s ( age4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,scre5 to ,save    
,act4  #b4 ,no-co/ cov]age ( annual     
scre5+ mammography beg9n+ at #cj ye>s ( 
age  7a7 ,cov]age "u ,m$ic>e  7#a7 ,9   
g5]al ,section #ahcd7;c7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #aciem7c77
 is am5d$--  7,a7 9 p>agraph 7#a77;,a71 
by ins]t+ or 7#c7 aft] p>agraph 7#b72   
7,b7 9 p>agraph 7#b7--  7i7 by /rik+ !  

p>agraph head+ & ins]t+ ,frequ5cy cov]$ 
be=e ,janu>y #a1 #bjbg2 &  7ii7 9       
subp>agraph 7,a71 by /rik+ ,subject &   
ins]t+ ,) respect to scre5+ mammography 
p]=m$ be=e ,janu>y #a1 #bjbg1 subject2 &
  7,c7 by add+ at ! end ! foll[+ new    
p>agraph3  7#c7 ,frequ5cy cov]$ on or   
aft] ,janu>y #a1 #bjbg ,) respect to    
scre5+ mammography p]=m$ on or aft]     
,janu>y #a1 #bjbg--  7,a7 no paym5t may 
be made "u ?is "p = scre5+ mammography  
p]=m$ on a woman "u #cj ye>s ( age2 &   
7,b7 9 ! case ( a woman ov] #bi ye>s (  
age1 paym5t may n be made "u ?is "p =   
scre5+ mammography p]=m$ )9 #aa mon?s   
foll[+ ! mon? 9 :i* a previ\s scre5+    
mammography 0 p]=m$4  4  7#b7           
,prohibition ( co/ %>+ ,section         
#ahcc7;a77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciel7a77#a77 is       
am5d$-- 7,a7 9 subp>agraph 7,y71 by     
ins]t+ aft] 9 ! case ( su* s]vices      
describ$ 9 subp>agraph 7,a7 ! foll[+3   
7o!r ?an scre5+ mammography 7z def9$ 9  
section #ahfa7;jj77 p]=m$ on or aft]    

,janu>y #a1 #bjbg72  7,b7 9 subp>agraph 
7,,gg71 by /rik+ & at ! end2 &  7,c7 by 
ins]t+ be=e ! semicolon at ! end !      
foll[+3 1 & 7,,ii7 ) respect to scre5+  
mammography 7z def9$ 9 section          
#ahfa7;jj77 p]=m$ on or aft] ,janu>y #a1
 #bjbg1 ! am\nts paid %all be %all be   
#ajj p]c5t ( ! less] ( ! actual *>ge = !
 s]vices or ! am\nt det]m9$ "u ! fee    
s*$ule t applies to su* s]vices "u ?is  
"p4  7#c7 ,con=m+ am5dm5t ,section      
#ahfb7;a77#a77;,f7 is am5d$ by /rik+    
section #ahcd7;c77#b7 & ins]t+ section  
#ahcd7;c74  7b7 ,cov]age "u ,m$icaid    
7#a7 ,inclusion "u diagno/ic1 scre5+1   
prev5tive1 & rehabilitative s]vices     
,section #aije7;a77#ac7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acif;d7a77#ac77 is am5d$--  7,a7 9     
subp>agraph 7,b71 by /rik+ & at ! end2  
7,b7 9 subp>agraph 7,c71 by add+ & at ! 
end2 &  7,c7 by add+ at ! end ! foll[+  
new subp>agraph3  7,d7 = wom5 ov] age   
#bi1 annual scre5+ mammography2  4  7#b7
 ,increas$ ,,fmap ,section #aije7;b77#e7

 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acif;d7b77#e77 is am5d$ by   
/rik+ describ$ 9 subsection             
7a77#ac77;,a7 & ins]t+ describ$ 9       
subp>agraphs 7,a7 & 7,d7 ( subsection   
7a77#ac74  7#c7 ,effective date ,!      
am5dm5ts made by ?is subsection %all    
apply ) respect to items & s]vices      
furni%$ on or aft] ,janu>y #a1 #bjbg4   
7c7 ,cov]age "u gr\p heal? plans & gr\p 
& individual heal? insurance  7#a7 ,9   
g5]al ,section #bgac7;a7 ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#ac7;a77 is am5d$-- 7,a7 9      
p>agraph 7#b71 by /rik+ at ! end &2     
7,b7 9 p>agraph 7#c71 by /rik+ at ! end 
! p]iod & ins]t+ 2 &2 &  7,c7 9 p>agraph
 7#d7--  7i7 by /rik+ at ! end ! p]iod &
 ins]t+ 2 &2  7ii7 by /rik+ wom51 su* & 
ins]t+  wom5-- 7,a7 su*  2 &  7iii7 by  
add+ at ! end ! foll[+ new subp>agraph3 
7,b7 9 ! case ( a woman ov] #bi ye>s (  
age1 annual mammography scre5+4  4  7#b7
 ,effective date ,! am5dm5ts made by ?is
 subsection %all apply to plan ye>s     

beg9n+ on or aft] ,janu>y #a1 #bjbg4