,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajcca  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,septemb] #aj1        
#bjbf,mr4 ,de,saulnier introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to provide paym5t = pati5t     
navigator s]vices "u title ,,xix ( !    
,social ,security ,act1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,pati5t ,navigation        
,assi/ance ,act4  #b4 ,m$icaid cov]age =
 pati5t navigator s]vices  7a7 ,9 g5]al 
,section #aijb7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;a7a77 is     
am5d$--  7#a7 9 p>agraph 7#hi71 by /rik+
 & at ! end2  7#b7 9 p>agraph 7#ij71 by 
/rik+ at ! end ! p]iod & ins]t+ 2 &2    
7#c7 by ins]t+ aft] p>agraph 7#ij7 !    
foll[+ new p>agraph3  7#ia7 provide t ! 
,/ate %all reimburse an eligible entity 
7z def9$ 9 subsection 7zz77#a77 = any   
pati5t navigator s]vice 7z def9$ 9      
subsection 7zz77#c77 t is provid$--     
7,a7 to an individual :o is eligible =  

m$ical assi/ance "u ! ,/ate plan2 &     
7,b7 by a pati5t navigator 7z def9$ 9   
subsection 7zz77#b77 ?r\gh ! eligible   
entity4  2 &  7#d7 by add+ at ! end !   
foll[+ new subsection3  7zz7 ,pati5t    
navigator s]vices def9itions ,= purposes
 ( ?is section3  7#a7 ,eligible entity  
,! t]m eligible entity means an entity  
t-- 7,a7 is an eligible entity 7z def9$ 
9 subsection 7l77#a7 ( section #cdj;,a (
 ! ,public ,heal? ,s]vice ,act72 &  7,b7
 complies ) ! foll[+ requirem5ts ( su*  
section 7ins(> z !y apply to a grant    
recipi5t "u su* section73 7i7           
,subsection 7b7 7relat+ to pati5t       
navigator duties & community k74  7ii7  
,subsection 7c7 7relat+ to              
prohibitions74  7iii7 ,subsection 7e7   
7relat+ to applications74  7iv7         
,subsection 7j77#c7 7relat+ to reports74
  7#b7 ,pati5t navigator  7,a7 ,9 g5]al 
,! t]m pati5t navigator means an        
individual :o--  7i7 is employ$ by a    
heal? c>e or community-bas$ organization
 & provides individualiz$ education &   

res\rces to facilitate in=m$            
decision-mak+ & timely access to quality
 heal? & psy*osocial c>e2 &  7ii7 has   
obta9$ & complies ) education1 lic5sure1
 or c]tification1 includ+ at lea/--     
7,i7 a ba*elor's degree 9 nurs+ f an    
accr$it$ univ]sity1 ma/]'s degree 9     
social "w f an accr$it$ univ]sity1 or   
ba*elor's degree 9 a heal?-relat$ field 
f an accr$it$ univ]sity2  7,,ii7 lic5s+ 
& c]tification requirem5ts = a regi/]$  
nurse1 social "w1 or cl9ical            
practition]1 z applicable1 & scope (    
practice requirem5ts1 z def9$ by ! ,/ate
 or jurisdiction 9 :i* ! individual is  
lic5s$ or c]tifi$2  7,,iii7 completion (
 compet5cy-bas$ navigation tra9+        
sessions or c\rses = cl9ical or         
non-cl9ical pr(essionals1 z applicable2 
or  7,,iv7 subject to subp>agraph 7,b71 
completion ( a tra9+ program approv$ by 
! ,secret>y = purposes ( section        
#cdj;,a7l77#c7 ( ! ,public ,heal?       
,s]vice ,act4  7,b7 ,transitional       
limitation ,! tra9+ describ$ 9 subclause

 7,,iv7 ( subp>agraph 7,a77ii7 %all n   
satisfy ! requirem5t ( subp>agraph      
7,a77ii7 aft] ! date t is #c ye>s aft] !
 date on :i* ! provisions ( ?is         
subsection apply to pati5t navigator    
s]vices pursuant to section #b7;c7 ( !  
,pati5t ,navigator ,assi/ance ,act4     
7#c7 ,pati5t navigator s]vices ,! t]m   
pati5t navigator s]vice means a s]vice  
provid$ by a pati5t navigator to an     
individual1 includ+--  7,a7 ref]rals &  
relat$ activities to help ! individual  
obta9 ne$$ s]vices1 includ+ activities t
 help l9k ! individual ) m$ical1 social1
 logi/ical1 f9ancial1 or o!r programs or
 s]vices to address id5tifi$ or specifi$
 ne$s ( ! individual2  7,b7 s]vices     
specifi$ "u p>agraphs 7#a7 ?r\gh 7#f7 ( 
subsection 7b7 ( section #cdj;,a ( !    
,public ,heal? ,s]vice ,act2 &  7,c7 o!r
 s]vices specifi$ by ! ,secret>y4  4    
7b7 ,treatm5t z m$ical assi/ance =      
purposes ( ,,fmap ,section #aije7;a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif;d7a77 is am5d$--  7#a7 9 p>agraph 

7#ca71 by /rik+ & at ! end2  7#b7 by    
r$esignat+ p>agraph 7#cb7 z p>agraph    
7#cc72 &  7#c7 by ins]t+ aft] p>agraph  
7#ca7 ! foll[+ new p>agraph3  7#cb7     
pati5t navigator s]vices 7z def9$ 9     
section #aijb7zz77#c77 t are provid$ 9 a
 mann] t meets ! requirem5ts ( section  
#aijb7;a77#ia72 &  4  7c7 ,effective    
date  7#a7 ,9 g5]al ,subject to p>agraph
 7#b71 ! am5dm5ts made by ?is section   
%all apply to pati5t navigator s]vices  
provid$ aft] ! fir/ day ( ! fir/ cal5d> 
ye> t beg9s aft] ! date ( enactm5t ( ?is
 ,act4  7#b7 ,exception = ,/ate         
legislation ,9 ! case ( a ,/ate plan "u 
title ,,xix ( ! ,social ,security ,act1 
:i* ! ,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 ,act1 ! 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