,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajghg  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,octob] #i1 #bjbf,mr4 
,murphy 7= himself & ,mr4 ,s*neid]7     
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 title ,,xviii ( !     
,social ,security ,act to exclude       
urological & o/omy supplies f           
competitive acquisition programs "u !   
,m$ic>e program = #e ye>s1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,access to ,m$ical         
,supplies ,act4  #b4 ,exclud+ urological
 & o/omy supplies f competitive         
acquisition programs "u ! ,m$ic>e       
program = #e ye>s ,section              
#ahdg7;a77#b77;,a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciew-#c7;a77#b77;,a77 is am5d$ by     

ins]t+ exclud+ urological & o/omy       
supplies 7z def9$ 9 section #ahfa7s77#h7
 furni%$ on or aft] ,janu>y #a1 #bjbh1 &
 be=e ,janu>y #a1 #bjcc71 be=e & exclud+
 drugs & biologicals44  #c4 ,requir+ !  
e/abli%m5t ( te*nical exp]t panel to    
analyze ! impact ( includ+ urological & 
o/omy supplies 9 competitive acquisition
 programs "u ! ,m$ic>e program &        
recomm5d *anges ,section #ahdg ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#c7 is am5d$ by add+ at ! end !  
foll[+ new subsection3  7g7 ,te*nical   
exp]t panel review & analyzation ( !    
impact ( includ+ urological & o/omy     
supplies 9 competitive acquisition      
programs "u ! ,m$ic>e program  7#a7 ,9  
g5]al ,n lat] ?an #ij days aft] ! date (
 ! enactm5t ( ?is subsection1 !         
,secret>y 7?r\gh use ( a contractor or  
o!rwise7 %all e/abli% a te*nical exp]t  
panel = purposes ( review+ ! impact (   
includ+ urological & o/omy supplies 9 ! 
competitive acquisition programs "u ?is 
section & recomm5d+ *anges to su*       

programs4  7#b7 ,review1 assessm5t1 &   
recomm5dations ,n lat] ?an #a ye> aft] !
 date ! te*nical exp]t panel describ$ 9 
p>agraph 7#a7 is e/abli%$ 7& p]iodically
 !reaft] z ! ,secret>y det]m9es         
appropriate71 ! te*nical exp]t panel    
%all review /akehold] input & cl9ical   
lit]ature & make recomm5dations to !    
,secret>y ) respect to includ+          
urological & o/omy supplies 9 !         
competitive acquisition programs "u ?is 
section1 includ+ recomm5dations reg>d+  
h[ su* programs1 at a m9imum-- 7,a7 %all
 be adm9i/]$ 9 a mann] 9 :i* ! ne$s (   
pati5ts1 z det]m9$ by _! physicians1 are
 met ?r\gh ! widespread availability (  
specializ$ products to meet pati5t ne$s2
  7,b7 ensure t bids are submitt$ at a  
level t w all[ b5efici>ies to access !  
same range ( products select$ by ord]+  
physicians prior to ! implem5tation ( ! 
competitive acquisition program2  7,c7  
address o!r issues t ! te*nical exp]t   
panel det]m9es appropriate4  7#c7       
,memb]%ip ,9 e/abli%+ ! te*nical exp]t  

panel1 ! ,secret>y %all solicit         
recomm5dations f int]e/$ /akehold]s4 ,! 
te*nical exp]t panel %all be compos$ ( a
 m9imum ( #ae individuals ) relevant    
exp]tise & p]spectives1 includ+ !       
foll[+3 7,a7 ,home urological & o/omy   
supply pati5ts & c>egiv]s4  7,b7 ,exp]ts
 ) relevant cl9ical exp]i5ce & exp]tise1
 includ+ rese>*]s & o!r cl9icians4  7,c7
 ,exp]ts ) subject matt] exp]tise 9     
reimbursem5t sy/ems & m$ical necessity  
requirem5ts "u ?is title4  7,d7 ,exp]ts 
9 ! supply ( devices & s]vices =        
urological & o/omy supplies4  7,e7      
,exp]ts 9 ! design1 developm5t1 &       
manufactur+ ( urological & o/omy        
supplies4  7#d7 ,use ( ! recomm5dations 
by ! ,secret>y ,! ,secret>y %all        
implem5t ! competitive acquisition      
program consi/5t ) ! recomm5dations     
describ$ 9 p>agraph 7#b74  7#e7         
,transp>5cy ,! ,secret>y %all make !    
m9utes ( all meet+s ( ! te*nical exp]t  
panel & all docum5tation relat+ to !    
=mulation ( recomm5dations describ$ 9   

p>agraph 7#b7 available to ! public     
?r\gh ! website ( ! ,c5t]s = ,m$ic>e    
,m$icaid ,s]vices4  4  #d4 ,e/abli%m5t (
 demon/ration project to assess         
inclusion ( urological & o/omy supplies 
9 ! competitive acquisition program     
,section #ahdg ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciew-#c71 z am5d$ 
by section #c1 is am5d$ by add+ at ! end
 ! foll[+ new subsection3  7h7          
,e/abli%m5t ( demon/ration project ,to  
assess inclusion ( urological & o/omy   
supplies 9 ! competitive acquisition    
programs  7#a7 ,9 g5]al ,n lat] ?an ?ree
 ye>s aft] ! date ( ! enactm5t ( ?is    
subsection1 ! ,secret>y %all conduct a  
demon/ration project to te/ ! inclusion 
( urological & o/omy supplies 9 !       
competitive acquisition program t assess
 ! impact on b5efici>y access & heal?   
outcomes4 ,! ,secret>y %all use !       
results ( ! demon/ration project to     
include su* m$ical products 9 !         
competitive acquision program 9 a mann] 
t--  7,a7 ensures individuals c access !

 same or cl9ically comp>able m$ical     
supply products z det]m9$ by treat+     
physicians2  7,b7 ensures positive      
individual heal? outcomes2  7,c7 ensures
 bidd]s c provide br& "n m$ical supply  
products individuals us$ prior to !     
implem5tation ( any demon/ration or     
competitive acquisition program2 &  7,d7
 includes recomm5dations f ! te*nical   
exp]t panel describ$ 9 subsection 7g74  
7#b7  ,demon/ration project size & l5g? 
,! demon/ration project %all be conduct$
 9 n m ?an #c ,/ates & be conduct$ = #ab
 mon?s4  7#c7  ,survey  7,a7  ,9 g5]al  
,prior to conduct+ ! demon/ration       
project1 ! ,secret>y %all survey a      
repres5tative sample ( individuals      
resid+ 9 ! demon/ration project bid area
 :o us$ urological & o/omy supplies 9 ! 
previ\s cal5d> ye> to det]m9e :i*       
products su* individuals h be5 utiliz+4 
7,b7  ,resurvey  ,n lat] ?an #c mon?s   
aft] ! />t ( ! demon/ration project1 !  
,secret>y %all survey ! same individuals
 describ$ 9 subp>agraph 7,a7 to det]m9e 

:e!r !y are able to cont9ue access+ !   
same m$ical supplies4 ,if ! individuals 
are n able to access ! same m$ical      
supplies1 ! ,secret>y %all consult ) !  
te*nical exp]t panel describ$ 9         
subsection 7g7 to provide recomm5d$     
*anges to address ! access issue4  4    
#e4 ,prohibition on influ5c+ &          
inc5tiviz+ & "r to pur*ase ! same or    
cl9ically comp>able urological & o/omy  
supplies ,section #ahdg ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciew-#c71 z am5d$ by sections #c & #d1
 is am5d$ by add+ at ! end ! foll[+ new 
subsection3  7i7 ,prohibition on        
influ5c+ & inc5tiviz+ & "r ,to pur*ase !
 same or cl9ically comp>able urological 
& o/omy supplies  7#a7 ,9 g5]al ,a      
contract suppli] may n attempt to       
influ5ce or inc5tivize an individual to 
swit* ! br& ( urological or o/omy       
supplies select$ by ! ref]r+ physician &
 individual1 includ+ by--  7,a7 p]suad+1
 pressur+1 or advis+ ! individual to    
swit*2 or  7,b7 furni%+ in=mation ab\t  

alt]native br&s to ! individual :]e !   
individual has n reque/$ su* in=mation4 
7#b7  ,individual "r to pur*ase same or 
cl9ically comp>able urological & o/omy  
supplies  7,a7  ,9 g5]al  ,! ,secret>y  
%all e/abli% a process to ensure t      
individuals receiv+ urological or o/omy 
supplies "u a demon/ration or o!r       
competitive acquisition program c access
 ! same or cl9ically comp>able          
urological or o/omy supplies z su*      
individuals did prior to implem5tation (
 su* demon/ration or program4  7,b7  ,"r
 to pur*ase  ,! process e/abli%$ 9      
subp>agraph 7,a7 %all specify t if !    
individual _c access ! same or cl9ically
 comp>able urological or o/omy supplies 
z requir$ "u subp>agraph 7,a71 !        
individual has ! "r to receive su*      
urological & o/omy supplies f ano!r     
suppli]1 or a non-contract suppli]4  4